Posts Tagged ‘Surgery’

Yoga and Lower Back Pain for Computer Users: What the Research Says and How to Protect Your Back

by on Saturday, June 25th, 2011

Hours at a desk are hard on the back. If you work at a computer and often feel an ache in your lower back, you are in good company. The older version of this article made big promises about yoga postures and even told readers to practice “to the point where mild pain is felt.” That is not advice to follow. This updated guide explains what we know about yoga and back pain, how to look after your back at home, and when to see a doctor.

How common is low-back pain?

According to the National Center for Complementary and Integrative Health, about 80 percent of adults have low-back pain at some point in their lives. It is the most common cause of job-related disability and a leading reason for missed work. Most episodes last only a short time. Causes range from a strained muscle to problems with the discs and joints of the spine, and sometimes no specific cause is found.

Can yoga help?

It may help a little. NCCIH reports that a 2022 review of 21 studies, with 2,223 participants, found that yoga is slightly better than no exercise for low-back pain, although the small difference may not matter much to patients. An earlier 2017 review of 12 studies found small to moderate improvements in back-related function after three and six months compared with no exercise, and it was unclear whether yoga does better than other exercise. The American College of Physicians’ 2017 guideline recommends nondrug treatments first for chronic low-back pain, and yoga is one of several options it suggests. So yoga is a reasonable choice, but it does not cure back pain, and no posture “fixes” the spine.

What should you do when your back hurts?

MedlinePlus says a common myth is that you need to rest and avoid activity for a long time, and that health care providers do not recommend bed rest. If you have no warning signs, stay as active as you can. Stop normal activity for only the first few days, use ice for the first 48 to 72 hours and then heat, and avoid heavy lifting and twisting for the first six weeks. It also says not to exercise in the days right after the pain starts and to begin again slowly after two to three weeks, preferably with a physical therapist’s help. If you lie on your back, a pillow or rolled towel under your knees can ease pressure, and if you lie on your side, a pillow between your legs does the same. Read the full advice in MedlinePlus’s guide to taking care of your back at home.

How should you sit at the computer?

The same MedlinePlus guide gives practical rules. Use a chair with a straight back and an adjustable seat and back, armrests and a swivel seat. Put a stool under your feet so your knees are higher than your hips, and place a small pillow or rolled towel behind your lower back. Avoid high heels, and on long drives stop and walk around every hour. The same idea works at a desk: get up and move regularly. Our posts on the triangle pose for computer users and everyday activities that count as exercise show easy ways to break up the day.

When is back pain a warning sign?

The National Institute of Arthritis and Musculoskeletal and Skin Diseases says to see a doctor if your pain does not improve after a few weeks, or if it comes with numbness or tingling, severe pain that does not improve with medication, pain after a fall or injury, trouble urinating, weakness, pain or numbness in the legs, fever, or weight loss that you did not intend. Do not start any new exercise program, including yoga, until you know the cause.

What about the video below?

At the end of this post is a video titled “Sandy Blaine: Yoga for Computer Users.” I have not reviewed its movements, so follow it only if you feel comfortable, move slowly, and stop at any pain. NCCIH says people with lumbar spine disease and other conditions may need to change or avoid some poses, so ask your health care provider or a qualified instructor first. If you are new to the practice, start with what yoga is and the basic yoga postures.

Weight Loss Surgery: Understanding the Health Risks

by on Tuesday, April 12th, 2011

Weight loss surgery and its health risks

If you have been watching your weight climb for years and are worried about it, you may wonder whether weight loss surgery works. Can it stop future weight gain? Here is what you should know before you decide.

What is weight loss surgery?

Weight loss surgery, also called metabolic and bariatric surgery, is a group of operations that change your digestive system to help you lose weight. Some of them make your stomach smaller, so that you feel full sooner. Others change the small intestine, so that your body absorbs fewer calories. Surgery can also affect hormones that control hunger. Surgical techniques and monitoring have improved over the years, but it is still major surgery with real risks.

For this reason, appearance should not be the main reason for having it. It is meant for people with obesity who have not been able to lose weight and keep it off in other ways, and its main aim is to improve health problems linked to obesity, such as type 2 diabetes.

Who is it for?

According to the US National Institute of Diabetes and Digestive and Kidney Diseases, it may be an option for adults with a body mass index (BMI) of 40 or more, or a BMI of 35 or more together with a serious health problem linked to obesity, such as type 2 diabetes or sleep apnea. In some cases it is considered for people with a BMI of 30 to 35 whose type 2 diabetes is hard to control.

How much weight do people lose?

It varies. Studies show that many people lose, on average, 15 to 30 percent of their starting weight, depending on the type of operation. No method, including surgery, is sure to work. Some people lose less than they hoped, and over time some regain part of the weight. How well it works depends on your weight before surgery, the type of operation, your age, your ability to exercise, your overall health, your commitment to follow-up care and the support you get from family and friends.

What are the risks?

Side effects right after surgery can include bleeding, infection, leaks where the stomach or intestine was stapled or sewn, diarrhea and blood clots in the legs that can travel to the lungs or heart. Follow-up procedures or hospital stays are fairly common, affecting about one in three patients within five years. Rarely, complications can be fatal.

Problems can also appear later. Your body may not absorb enough nutrients, especially if you do not take the vitamins and minerals you are prescribed, which can lead to anemia or osteoporosis. This matters for vegetarians, who need to plan their intake of vitamin B12, iron, calcium and protein with a dietitian. Gallstones can form after rapid weight loss, gastric bands can slip, and some patients develop strictures (a narrowing that makes it hard to eat) or hernias. Some research suggests that gastric bypass may change how the body handles alcohol.

How can you prepare?

Learn as much as you can. Talk to an experienced bariatric surgeon, or at least a family doctor who knows the field, and ask about the types of surgery, the risks and the follow-up. Speak to a dietitian, and consider seeing a psychologist or psychiatrist for advice on long-term goals, since eating habits and emotions play a big part in the results. Make sure that you have people around you who will support you.

What happens after surgery?

Surgery is a tool, not a cure. To keep the weight off, you still need lifestyle changes: healthy eating, regular exercise, your vitamins and regular check-ups. Read our posts on a weight loss plan, natural weight loss and weight loss tips for ideas that work for the long term. For a summary of surgery types, risks and benefits, see the NIDDK guide to weight-loss surgery.

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