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The researchers found, however, that keeping patients active cut that figure to 30 percent
To recover from this wear and tear, the spine needs a good blood supply to bring in vital oxygen and nutrients and carry away the cells' waste products. Disks and vertebrae are subjected to minor stresses every time you walk, stand up, sit down, pick something up, or twist suddenly-hundreds of times each day. A team of researchers in Helsinki, Finland, conducted autopsies on people who had died of various causes unrelated to back pain. Unfortunately, of all the arteries in the human body, the abdominal aorta is among the first to develop atherosclerotic plaques, bumps that slowly grow and end up blocking the flow of blood. Arteries bring in oxygen and nutrients, and veins carry away cellular wastes. This blood supply comes from the lumbar arteries, which branch off of the aorta, the body's main pipeline, as it passes from the heart downward along the spine toward the legs.
Indeed, a new, more optimistic view of back problems is emerging, and it comes from a look at the underlying cause. They are not perfect, but when doctors resist the urge to immobilize patients or to operate when it can be avoided, the body can gradually recover in many cases. Just as many doctors were becoming resigned to the uselessness of their treatments for chronic back pain, we came to find that the body has ways to heal itself. Aerobic exercise has also proven useful for spinal stenosis, replacing the immobilization that was once routine. To put this study in perspective, people who have already missed eight weeks of work have a 60 percent chance of still being out after six months. They had to resist the urge to guard their backs too much with inactivity and were told that "the worst thing they could do to their backs was to be too careful. They were encouraged not to rest, but to stay active and flexible to enhance blood flow to the back and speed up repair. By staying active, patients keep the back flexible and improve blood flow; A research team in Oslo, Norway, decided to prescribe the opposite of bed rest for a group of 463 people whose back problems were serious enough that they needed to take at least eight weeks' absence from work.
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