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@ladyspinedoc
Central sensitization = your nervous system turns the volume up on pain In chronic back pain, the issue isn’t always ongoing injury - it’s that the brain and spinal cord become over-responsive, amplifying normal signals into pain. That’s why some patients hurt even when imaging looks “normal.” Pain is real but it’s being processed differently. Understanding that changes how we treat it. #backpain #centralsensitization #chronicpain
3,135
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@ladyspinedoc
Did you know the SI joint is thought to be the source of pain in 15 to 30 percent of people with chronic low back pain? This is called Fortin’s finger test. #surgeon #doctor #backpain
94,220
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@drdavidmorris
Could THIS muscle be your back pain? Chronic low back pain is often assumed to come directly from the spine, but another structure is frequently overlooked: the psoas muscle. This deep hip flexor connects the lumbar spine to the femur and plays a major role in posture and movement. Long periods of sitting may keep it in a shortened position, which can influence how the pelvis and lower back are loaded throughout the day. Because of its depth, it’s not always assessed in standard evaluations focused only on spinal imaging. Understanding how the hip flexor system interacts with the spine can change how chronic discomfort is viewed. Have you ever had your hip flexors checked for back pain? π¬ Do you sit more than 6 hours a day? #murfreesboro #functionalmedicine #magnoliamedicalcenter #rootcause #fyp #viral #backpaintips #psoasrelease #hiphealth #spinehealth #movementmatters #posturecorrection
28,761
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@wow_so_much_aura
#backpain #fyp #joke #whyareyoureadingallmyhashtags
1,704
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@ladyspinedoc
Replying to @Amber 𦴠Case Study 189: Ankylosing Spondylitis (AS) Chronic back pain in a 24-year-old female, worse in the morning, improving with activity. After years of misdiagnoses and dismissals, the answer finally came: Ankylosing Spondylitis. π Key Facts: • π Avg delay to diagnosis: 6–8 years, especially in women • π HLA-B27: Positive in ~90% of White patients with AS, but less common in Black and Asian patients • π Prevalence: ~0.1–1.4% globally • π§ Often missed due to gradual onset, subtle early signs, and overlap with mechanical back pain 𧬠Pathophysiology: Autoimmune inflammation begins at the entheses (where ligaments insert on bone), progressing to spinal fusion via syndesmophytes. It’s not just a “spine disease” - it’s systemic. π« Extra-spinal features: • Uveitis (25–30%) • IBD (~7%) • Psoriasis (~10%) • Cardiovascular and pulmonary complications in advanced stages π‘ Remember: Chronic low back pain that improves with exercise and not rest? Think inflammatory. Early MRI can reveal sacroiliitis before X-rays do. π§βοΈ Treatment • NSAIDs = first-line • TNF or IL-17 inhibitors for moderate/severe disease • Physical therapy is essential • Avoid spinal fusion with early recognition and action π Takeaway: If your patient is young, stiff in the morning, and dismissed for years - look again. AS hides in plain sight. #CaseStudy189 #AnkylosingSpondylitis #SpineHealth #Rheumatology #MedEd #BackPain #AutoimmuneAwareness #WomenInMedicine #LadySpineDoc #SundayCaseStudy
16,068
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@kirrathompson_
here’s something you don’t know about me lol #backpain #struggles #nursing #fyp #fml
689
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@chronicpainbrain
genuine conversations with the doctors after 2 years of severe chronic painπ #backpain #fyp #chronicpain #mobilityaid #hotwaterbottle
960
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@health.coach016
The Real Cause of Chronic Back Pain : Most people believe chronic back pain is caused by a serious injury or a damaged spine—but that’s not always true. In many cases, the real cause develops slowly over time through everyday habits like poor posture, prolonged sitting, and weak core muscles. These imbalances force your back to work harder than it should, leading to fatigue, tension, and long-term discomfort. This video breaks down the real reason your back pain isn’t going away—and what your body is actually trying to tell you. Watch till the end to understand how posture, muscle imbalance, and nerve irritation all play a role in chronic pain. Disclaimer: This video is for educational purposes only and does not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. #backpain #chronicpain #spinehealth #sciatica #healthtips
5,749
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@chelseaalarie
Unfortunately this is an every day occurrence at my desk #spinalfusionsurgery #corporatelife #scoliosis #backpain #chronicpain
1,048
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@recoverwellfitness
Chronic back pain didn't just hurt my back. It quietly took my whole life. For three plus years I told myself the pain was the problem. The constant ache. The flare-ups that would hit at the worst times. The sciatica shooting down my leg in the middle of a work day. But that was never the real problem. The real problem was who I became because of it. I became someone who said no. No to hanging out with friends. No to holidays. No to the things I used to love doing without even thinking twice. My whole day got planned around my back. My whole identity got wrapped up in managing it. And after a while, you stop questioning it. You just accept "this is my life now" and figure there's no other way. You lose parts of who you are. You spend years surviving, managing symptoms day to day, instead of ever actually dealing with the real issue underneath it all. If any part of this sounds like you, I need you to hear this. You're not broken. And it's not too late to change your story. If you're ready to actually deal with the root cause instead of just managing it, comment RECOVER to find out if this is right for you
20
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@calamity__strikes
Asking as a girlie who struggles with horrible chronic lower back pain that I’m finding it harder to manage. And yes, I’m aware losing the weight will help. #chronicpain #lowerbackpain #painrelief #relief #medicalhelp
932
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@alina.sara1
5 years ago my life changed forever after a back surgery and I ended up developing CRPS. My life has been hêll ever since. I am in pain 24/7 and suffer pain head to toe. It’s crazy how one decision changed my whole life. The whole story is coming soon. #chronicillness #crps #raredisease #surgery #hospital
24,957
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