While the reverse crunch effectively trains your abdominals, it can be a painful exercise to perform for some individuals. The way the reverse crunch is performed plays a large role in keeping the exercise pain free; however, some people will require modifications to the exercise so that pain does not occur. Learning proper technique as well as the modifications will ensure you perform the reverse crunch safely and will allow you to make a better decision on its inclusion to your abdominal workout program. Proper Form Many people also benefit from custom-made orthotics or orthopedic shoes to stabilize the feet, and improve gait and posture, thus improving spinal alignment. Back knots are painful areas of tension that typically develop in the upper back area between the shoulder blades. The knot results from a muscle spasm called a myofascial trigger point. Knots are also caused by poor posture, computer usage, and exercise. If knots are not treated, they can cause continued pain and tightness. Stretching before workouts and while at the computer helps keep knots from forming. You can ask another person to help locate the knot in your back by applying pressure to different areas to determine the trigger point. Last week, following ice skating lessons for my boys, we joined another family at the local Papa Ginos for pizza and balloon tricks by the resident clown. Did I mention that it was Valentine's Day and this is how my husband and I celebrated it? With a pepperoni pie and fried mozarella sticks! Seriously, that's a subject for a whole 'nother post. Maybe tomorrow. The morbidly obese group averaged 1.3 minutes of moderate activity at a time. But if they increased that average by just one minute, their risk of lower back pain was cut by 38 percent. Scar tissue can form on an internal wound, inside your body, or on your skin. Scar tissue is what is left on damaged skin or inside your body after the wound or injury has healed. Inversion therapy is a form of physical therapy that is used to relieve back pain. People use special equipment for inversion therapy that allows them to hang upside down. Patients should discuss the risks of this therapy with a doctor. When suffering from lower back pain, you may benefit from putting orthotics (arch supports) into your shoes. Orthotic devices are corrective devices, which reduce the shock to your back and legs when you are walking. A total of 401 patients participated in the 12-week, double-blind, placebo-controlled study, designed to assess the efficacy of duloxetine 60 mg once daily on the reduction of pain severity in patients with chronic low back pain. In the study, duloxetine-treated patients experienced a statistically significantly greater improvement on BPI average pain scale compared with placebo in chronic low back pain (p Cymbalta is approved in the United States for the treatment of major depressive disorder, the treatment of generalized anxiety disorder, the management of diabetic peripheral neuropathic pain and the management of fibromyalgia, all in adults (18+). Cymbalta is not approved for use in pediatric patients. Patients with neck pain may have hand weakness from pain and spasm of muscles in the hand such that it may be difficult to oppose the little finger to the thumb. For the little finger to move forward to meet the thumb, there must be elevation of the knuckle bone of the little finger. The palm of the hand must have also be brought into a cupping position. Associated arthritis with pain at the base of the thumb is very common. The pain can be made worse by pain and spasm in all muscles that cross or act upon the carpometacarpal joint of the thumb.