Dr. John Sarno and Tension Myositis Syndrome
John Sarno, MD was one of the most brilliant back pain specialists I have encountered. His success rate 2 years out from treatment was 76 percent with no back pain whatsoever, and that’s with no surgery and no medications. The 16 percent of patients who didn’t improve at all simply refused believe what he was telling them was the root cause of their pain.Dr. Sarno’s curiosity over the true source of back pain came after examining the imaging of a group of people who were actively experiencing pain, compared to people with no back pain at all. He found some of the group in pain had better x-rays than the group with no pain. And in the group with no pain, some had such bad x-rays it was a wonder they weren’t in extreme pain. This led him to dig deeper, and what he found may surprise you.
Most people have been taught to believe that they have done something to injure their backs, and Dr. Sarno found the back is not as fragile of a structure as we have been brainwashed into believing. His research led him to the conclusion that back pain is not caused by disc disease, degeneration of the spine, bone spurs, or pinched nerves. (Incidentally, no x-ray, myelogram, or CT scan can show a nerve being pinched or pressured.) It is NOT a structural abnormality of the spine that causes most back pain.
What he found is that first, a small group of blood vessels constricts, resulting in ischemia, which is a lack of blood flow and oxygen to a localized area, and results in the affected muscle spasming painfully. Chemical wastes accumulate, which is also painful. Finally, because the oxygen supply to the surrounding nerves is cut off, those nerves cause extreme pain. This pain can start anywhere from the back of the neck and extend all the way down to your buttocks. If any of the nerves extend beyond the spine, then you have pain that travels to arms and legs, and causes numbness and tingling.
My 3 Step Process for Relieving Back Pain
Whether your pain just set in a few minutes ago or you’ve been suffering for years, there are 3 simple steps I recommend you take to get relief.Step 1. Acknowledge the Root Cause
If you are a hard working perfectionist, your own worst critic, carry the weight of the world on your shoulders, or have other tension-related conditions like headaches, asthma, allergies, skin problems, digestive issues, or peptic ulcers, then you are representative of Dr. Sarno’s typical back pain patient. The average patient he saw, before his passing at age 93, had been experiencing back pain for at least 8 years and had some type of imaging to back up the structural cause of their pain.Step 2. Stimulate Your Vagus Nerve
Vagus nerve stimulation is another way to relieve tension and inflammation in the back. The vagus nerve is the longest cranial nerve in the body, stretching from your brainstem all the way down into your facial muscles, throat, heart, lungs, diaphragm, stomach, and intestines. The vagus nerve is a key player in the mind-body connection, carrying signals from the nerves and neurotransmitters in your gut to your brain, and vice versa.What happens in the vagus, doesn’t stay in the vagus – it has wide-reaching effects throughout your entire body, with the ability to reduce your overall inflammation levels once it’s stimulated. Activating your vagus nerve modulates the immune system and releases hormones and enzymes like acetylcholine and oxytocin. The end result is lower inflammation, more relaxation, better memory, and more energy.
Step 3. Increase Circulation and Fight Inflammation
Once you realize the cause of your pain is the ischemia and resulting inflammation, there are easy ways to increase blood flow and reduce inflammation. The first place I like to start is with vitamin B12, also know as the “painkiller vitamin.” The most effective form is Methyl B12, and I recommend at least 1500 mcg per day to fight back pain.In some countries, vitamin B12 is used much like we use aspirin or ibuprofen – as a pain reliever. It works 2 ways – first, it increases the oxygen-carrying capacity of your blood by boosting your red blood cell count. This means more oxygen gets to those areas where you are experiencing ischemia and subsequent pain. Second, it’s essential for healthy nerves. It forms the insulation around your nerves known as the myelin sheath and is excellent for relieving nerve pain.
With back pain comes muscle spasm, and I’m a firm believer in hands-on therapies to relax the muscles and for overall relaxation. Massage with myofascial release; traditional Chinese cupping of the back, which gained popularity during the Olympics; and any of the variety of machines and devices that stretch and extend the lumbar region of the back can be used to help relieve muscle spasms and restore the natural curve to the lower back. Because magnesium deficiency is also a cause of muscle spasm and it has reached epidemic proportions in our country, make sure you supplement with a good quality magnesium, taken at least twice daily to keep muscles relaxed.