Am I doing more harm than good? Back issue
#1
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Am I doing more harm than good? Back issue
For the past four months I've been dealing with back issues. Stenosis, herniated disc and arthritis. I've been trying to work through it and avoid surgery. Physical Therapy, yoga, massage, chiropractor and inversion table have not given me much relief. I'm currently seeing a Physiatrist and have had 2 epidural injections and a facet joint injection without much relief. I can barely walk even with a cane and it takes a good hour to get the pain down in the morning. The thing is I have no pain when riding the bike. Granted I have been riding on Zwift on the trainer, since walking is problematic, as I don't want to get stuck miles from home if I have a mechanical. I've been riding about 10 hours a week or 175 Zwift miles.I'm just wondering am I actually hurting myself by continuing to ride. As I said riding the bike is really the only time I feel normal. Anyone have any experience with a similar situation.
#2
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I have lower back issues (doesn't sound quite as bad as yours) and as far as I can tell cycling doesn't hurt it, might even be helping.
Does your PT involve stretching? Stretching seemed to be the cause of the biggest improvement for me. The stretching regimen I do was prescribed by a physical therapist, and (surprisingly to me) was focused on my buttocks and legs.
Does your PT involve stretching? Stretching seemed to be the cause of the biggest improvement for me. The stretching regimen I do was prescribed by a physical therapist, and (surprisingly to me) was focused on my buttocks and legs.
#3
Beicwyr Hapus
Another one with lower back issues for many years that are not as bad as yours. My back gives me far less pain when I ride regularly, and none while riding.
Both my doctor and physiotherapist say to keep on riding as the stretching out on my road bike opens up the spine. I do not ride in a very aggressive setup, but have my bars at only just below my saddle height.
I have not been able to ride for the past ten weeks following fusion of C3/C4 in my neck, and already my lower back is starting to give me more pain, so can't wait to get back on the bike.
Both my doctor and physiotherapist say to keep on riding as the stretching out on my road bike opens up the spine. I do not ride in a very aggressive setup, but have my bars at only just below my saddle height.
I have not been able to ride for the past ten weeks following fusion of C3/C4 in my neck, and already my lower back is starting to give me more pain, so can't wait to get back on the bike.
#4
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I stretch in the morning and after every ride, mostly AI stretching. At this point I'm trying everything I can come up with. I recently started using the Melt Method as well. Everything seems to help a bit but I haven't gotten the relief I've been looking for.
#5
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Another one with lower back issues for many years that are not as bad as yours. My back gives me far less pain when I ride regularly, and none while riding.
Both my doctor and physiotherapist say to keep on riding as the stretching out on my road bike opens up the spine. I do not ride in a very aggressive setup, but have my bars at only just below my saddle height.
I have not been able to ride for the past ten weeks following fusion of C3/C4 in my neck, and already my lower back is starting to give me more pain, so can't wait to get back on the bike.
Both my doctor and physiotherapist say to keep on riding as the stretching out on my road bike opens up the spine. I do not ride in a very aggressive setup, but have my bars at only just below my saddle height.
I have not been able to ride for the past ten weeks following fusion of C3/C4 in my neck, and already my lower back is starting to give me more pain, so can't wait to get back on the bike.
#6
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If your alternative is spinal fusion surgery, my advice is if your docs tell you it's time, listen. I waited to long and wound up with permanent nerve damage in my leg with the inevitable balance issues to go with it. Walking takes 100% focus to avoid face plants. Cycling is the only outdoor exercise I enjoy. Definitely continue all therapies and conditioning until then to improve recovery time. I was on disability for six months before being cleared to return to work.
Good luck and keep in touch.
Good luck and keep in touch.
#7
☢
For the past four months I've been dealing with back issues. Stenosis, herniated disc and arthritis. I've been trying to work through it and avoid surgery. Physical Therapy, yoga, massage, chiropractor and inversion table have not given me much relief. I'm currently seeing a Physiatrist and have had 2 epidural injections and a facet joint injection without much relief. I can barely walk even with a cane and it takes a good hour to get the pain down in the morning. The thing is I have no pain when riding the bike. Granted I have been riding on Zwift on the trainer, since walking is problematic, as I don't want to get stuck miles from home if I have a mechanical. I've been riding about 10 hours a week or 175 Zwift miles.I'm just wondering am I actually hurting myself by continuing to ride. As I said riding the bike is really the only time I feel normal. Anyone have any experience with a similar situation.
Also, for those with lower back problems have no fear. Its as common as a headache. Almost everyone will suffer from some level of lower back problems at some point in their lives since it can be caused by so many things i.e. standing, sitting, lifting, a poor mattress, posture, walking, cycling, etc. Typically transitory, so no real worries there.
Last edited by KraneXL; 06-13-18 at 04:56 PM.
#8
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If your alternative is spinal fusion surgery, my advice is if your docs tell you it's time, listen. I waited to long and wound up with permanent nerve damage in my leg with the inevitable balance issues to go with it. Walking takes 100% focus to avoid face plants. Cycling is the only outdoor exercise I enjoy. Definitely continue all therapies and conditioning until then to improve recovery time. I was on disability for six months before being cleared to return to work.
Good luck and keep in touch.
Good luck and keep in touch.
If you don't mind my asking how did the fusion impact the flexibility of your back?
Last edited by TCR Rider; 06-13-18 at 05:09 PM.
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Sorry to hear about your difficulties. I plan to submit to the surgery when I run out of conservative options. I'm just tired of living in pain. Next week I'm having a Radio Frequency Denervation after that maybe stem cell injection if necessary. Hope springs eternal.
If you don't mind my asking how did the fusion impact the flexibility of your back?
If you don't mind my asking how did the fusion impact the flexibility of your back?
#10
Beicwyr Hapus
Everyone tells me to keep riding as well. How did your fusion go? The surgeon I spoke to said the fix would be a fusion of L4/L5 but the surgery is a bear and involves a 6 month recovery and a successful outcome is not guaranteed. That being said I'm running out of options.
I have some pain and dizziness issues but my physio say that that is only to be expected following a serious operation. I hope she is right.
I will know more with a couple of months rehab exercising.
#11
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Too soon to say yet. Mine was precautionary to avoid potential loss of movement in the future in my hands and arms because of nerves being compressed by damaged disc.
I have some pain and dizziness issues but my physio say that that is only to be expected following a serious operation. I hope she is right.
I will know more with a couple of months rehab exercising.
I have some pain and dizziness issues but my physio say that that is only to be expected following a serious operation. I hope she is right.
I will know more with a couple of months rehab exercising.
#12
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Thread Starter
My fusion was L5-S1 and after healing of course, and six full months of physical therapy, I have better flexibility than before. I think you could improve on the six month recovery time due to prior therapy and conditioning if you don't wait too long. I was just a train wreck waiting to happen, it seems. One day my Chiropractor took one look at me and refused to touch me and sent me directly to the hospital for a MRI. The next day I was sitting in a spine surgeon's exam room.
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After 10 yrs on BF I finally realized, at 52, I should check out the 50+ subforum. Interesting reading above. I was diagnosed with severe stenosis at L4/L5 in Feb 2017. Standing can be pretty painful and it's caused me to step back from girls softball coaching which I love. Tried massage and acupuncture with minor relief. Stretching as prescibed by PT hasn't done much other than just keep me limber. I tried one epidural injection and got relief for 2 months but am very hesitant to do many more because of the negative effects of too many of those. Riding is an acitivity both PT and the neurosurgeon said would be helpful beause the posture opens the spinal space and relieves pressure on the nerves.
The only problem now is I have pain and numbness in my left arm from either a pinched nerve or stenosis developing at C5/C6. Working through all the conservative treatment (in PT now) before getting an MRI. It's definitely problematic because lifting my head on while riding causes the symptoms in my arm.
I'm curious if anyone has dealt with both of these simultaneously.
The only problem now is I have pain and numbness in my left arm from either a pinched nerve or stenosis developing at C5/C6. Working through all the conservative treatment (in PT now) before getting an MRI. It's definitely problematic because lifting my head on while riding causes the symptoms in my arm.
I'm curious if anyone has dealt with both of these simultaneously.
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#14
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I'm not sure it's possible to do *worse* with appropriate physical therapy/exercise. The tricky bit is being sure it's appropriate for the physical condition.
I have a bum back and neck from a 2001 injury, and am nursing a busted shoulder from being hit by a car last month. After four weeks off -- doing moderate physical therapy and range of motion exercises, but no bicycling -- I was getting antsy and started using my road bike on an indoor trainer. I've used the trainer every day for a week, starting at 30 minutes and working up to two hours (usually while watching TV or movies). Really helped to relieve the chronic aching pain while I was on the bike, and for a couple of hours afterward.
However the aching would return in the middle of the night. I asked the ortho doc about it this week and he said to continue with my own self-directed physical therapy at home because it's the same thing their in-house clinic would be doing anyway. He doubted the exercises and cycling on the indoor trainer were making things worse. The pain was just a normal response to healing and the body getting accustomed again to exercise.
As it turns out, the normal body posture of riding a bike is the same as the physical therapist would recommend for my shoulder injury -- a very modest body weight effort with mostly steady pressure and some range of motion without exceeding the limitations of the healing joints.
So at least in my case the aching pain in the middle of the night doesn't mean I'm doing it wrong. And I'd already modified the bike slightly before the recent injury to accommodate the previous injury and neck limitations -- just minor tweaks to bike fit with a new saddle, shorter stem, etc.
I have a bum back and neck from a 2001 injury, and am nursing a busted shoulder from being hit by a car last month. After four weeks off -- doing moderate physical therapy and range of motion exercises, but no bicycling -- I was getting antsy and started using my road bike on an indoor trainer. I've used the trainer every day for a week, starting at 30 minutes and working up to two hours (usually while watching TV or movies). Really helped to relieve the chronic aching pain while I was on the bike, and for a couple of hours afterward.
However the aching would return in the middle of the night. I asked the ortho doc about it this week and he said to continue with my own self-directed physical therapy at home because it's the same thing their in-house clinic would be doing anyway. He doubted the exercises and cycling on the indoor trainer were making things worse. The pain was just a normal response to healing and the body getting accustomed again to exercise.
As it turns out, the normal body posture of riding a bike is the same as the physical therapist would recommend for my shoulder injury -- a very modest body weight effort with mostly steady pressure and some range of motion without exceeding the limitations of the healing joints.
So at least in my case the aching pain in the middle of the night doesn't mean I'm doing it wrong. And I'd already modified the bike slightly before the recent injury to accommodate the previous injury and neck limitations -- just minor tweaks to bike fit with a new saddle, shorter stem, etc.
#15
☢
After 10 yrs on BF I finally realized, at 52, I should check out the 50+ subforum. Interesting reading above. I was diagnosed with severe stenosis at L4/L5 in Feb 2017. Standing can be pretty painful and it's caused me to step back from girls softball coaching which I love. Tried massage and acupuncture with minor relief. Stretching as prescribed by PT hasn't done much other than just keep me limber. I tried one epidural injection and got relief for 2 months but am very hesitant to do many more because of the negative effects of too many of those. Riding is an activity both PT and the neurosurgeon said would be helpful because the posture opens the spinal space and relieves pressure on the nerves.
The only problem now is I have pain and numbness in my left arm from either a pinched nerve or stenosis developing at C5/C6. Working through all the conservative treatment (in PT now) before getting an MRI. It's definitely problematic because lifting my head on while riding causes the symptoms in my arm.
I'm curious if anyone has dealt with both of these simultaneously.
The pain can be excruciating at times but the real issue is that it's always there -- at some level -- and therefore, effects my quality of life. I'm now working with a new doctor (whom I've lost complete confidence in, but continue simple because I have no other alternative at the moment) who wants me to take yet another MRI and more X-rays.
My view is some things just can't be fixed -- not completely -- so I'm just trying to get my condition manageable so I can move forward. As you know constant pain, causes depression, and after that happens, everything in your life falls apart.
Last edited by KraneXL; 06-22-18 at 10:59 PM.
#16
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I have lumbar spinal stenosis and riding my road bikes (leaning over the bars) is what my spine doc recommended. I don't have problems with walking or serious back pain except when its time for my next pain injection. I usually go about 5-6 months between injections.
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The Lord is merciful and gracious, slow to anger and abounding in steadfast love. - Psalm 103:8
I am a cyclist. I am not the fastest or the fittest. But I will get to where I'm going with a smile on my face.
#17
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As I said in my OP I have stenosis and arthritis in the lower back. and I'm doing everything in my power to avoid fusion surgery. I have a Radio Frequency Nerve Denervation scheduled in two weeks and if that bears no fruit I'm sorry to say I'm s.o.l and will most likely go under the knife. As someone pointed out earlier living in constant pain really does wear you down.That being said I'm not giving up yet...no way.