Dr. Marc Bijman, Chiropractor

Low back pain - What are some of the contributing factors? . We often look for one cause of back pain: * "I'm out of place" * "I got in an accident 10 years ago"... * "My parents and grandparents had back pain, therefore I do" * In reality, back pain has many causes that cannot be singled down to one discernable factor So what are the contributing factors? . Physical/lifestyle * Level of physical activity * Level of conditioning * Amount of load lifted (and how it is lifted) * Sleep * Nutrition . Psychological/social * Emotions * Thoughts * Culture * Work * Home environment * Stress . Non-modifiable * Genetics * Social conditioning (what we are taught by others) * Biological sex * Age * Life stage . Because pain back is so complex, it is important to get an assessment and care from a trained (and competent) back pain practitioner! .. .. #lowbackpain #prehab #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. Murray, Christopher JL, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 19902010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet 380.9859 (2012): 2197-2223. World Health Organization. World report on disability 2011. World Health Organization, 2011. @ Victoria, British Columbia See more

Off the Cuff: Episode #8 . 3 Questions you should ask your Chiropractor . Today's Off the Cuff, I discuss 3 questions that you should ask your chiro (and they should have a good answer!)... . Unfiltered, uncut, off the cuff. Filmed on my afternoon meditative walk. . Disclaimer* Every patient interaction is judged on a case by case basis. This should not be used as official medical advice. Talk to your local practitioner if you have questions! No patient identifiers mentioned. . #drmarcb See more

What is advised against? . Medications * The first choice of therapy should be non-pharmacological... * Start with chiropractic, massage, physio, naturopathic care * Advice, education, exercises * If it fails, consider pharmacological (drug) options . Imaging * The use of imaging (MRI, x-ray, CT) should be used sparingly * Medical Doctors and Chiropractors are imaging patients unnecessarily . Electrical modalities * Advice against Electrical modalities * Sorry, Dr. Ho. TENs machines and inversion tables typically don't get to the root of the problem . Surgery * Surgery has a very limited role, if any, in low back pain * These approaches are often used in high-income countries (Canada, US, UK, Australia, etc.), however, there is little evidence of its success . One size fits all * Treat the person as a holistic entity: * Sleep, exercise, nutrition, beliefs, learned behaviours, social and family life, culture, life-stage, etc. * Find a practitioner that provides individualized care . #lowbackpain #prehab #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb . Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. . Foster, Nadine E., et al. "Prevention and treatment of low back pain: evidence, challenges, and promising directions." The Lancet 391.10137 (2018): 2368-2383. @ Victoria, British Columbia

What are the guidelines? . Low back pain should be managed in primary care ... * Back pain should be managed by your chiropractor or medical doctor * Not in an emergency room or ambulance * This helps the patient, saves healthcare dollars and opens up the emergency room for emergencies . Practitioners should provide education and advice * Avoid bed rest * Continue with regular activities * Counselling and cognitive behavioural therapy (CBT) may be beneficial as an adjunct * It is very unlikely that you have a serious pathology . Remain active and stay at work * Many clinicians around the world, incorrectly, advocate rest and absence of work * You will do better with activity and return to work * People are able to get back to work before they are 100%! . Exercise is recommended for chronic low back pain * Chronic is back pain that's been going on for a while (3 weeks - 6 months+) * Find something that you love to do! * Walk, hike, swim, underwater hockey, base-ketball, yoga, pilates, weight training, parkour, snorkelling, etc. . A Biopsychosocial framework should guide the management of low back pain * Treating the person as a whole: * Treat their sleep, exercise, nutrition, beliefs, learned behaviours, social and family life, etc. * Not just their "slipped" disc or "Pelvis out of position" * Btw - both of those are very rare) . #lowbackpain#prehab#injuryprevention#backpain#injuryrehab#posture#posturecorrection#physicaltherapy#chiropractic#chiro#chiropractor#backpainexercises#backpainsucks#backpainsupport#chronicbackpain#lowbackpainrelief#yogaforbackpain#mobility#sciatica#sciaticarelief#badposture#improveposture#movewell#moveoften#equilibriumtherapeutics#drmarcb . Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. . Foster, Nadine E., et al. "Prevention and treatment of low back pain: evidence, challenges, and promising directions."The Lancet391.10137 (2018): 2368-2383.

Back Pain Professionals. . Are we Gardeners or Mechanics? . What is a back pain Mechanic?... . There is a breakdown in the system, and we fix it. Back pain is like a car, and there is a mechanical breakdown that can be remedied. Tighten what needs to be tightened, release what needs to be released and swap out parts as necessary. . What is a back pain Gardener? . Provides sunlight, fertilizes, prunes . Meaning: provides education, encourages exercise, nutrition and sleep; balances emotions, reassures the patient they are not broken and provides subtle hands-on therapy (trimming, pruning, releasing) when needed. . Which one is it? . For the longest time, conventional wisdom believed professionals were like Mechanics, however recent research into people as wholistic entities have tilted the spectrum towards Gardeners. . The argument for a Mechanic: . If my back is fine when I rest it but sore when I bend down, it is a mechanical fault in the system. . The argument for the Gardener: . Humans are complex bio-psycho-social beings with feelings, beliefs, conditioning and learned behaviours. Pain is very complex, and blaming it on a biomechanical fault is not true and can be harmful. We are best to shower the patient with sunlight, water and a healthy environment to see them grow. . In my opinion: . After reading the research and through my experiences, I believe we are much more like gardeners than mechanics. . I’m not ready to completely throw biomechanical breakdowns out the window, however I believe a significant shift is needed towards the gardener end of the spectrum. . Let me know your thoughts in the comments. . #lowbackpain#prehab#injuryprevention#backpain#injuryrehab#posture#posturecorrection#physicaltherapy#chiropractic#chiro#chiropractor#backpainexercises#backpainsucks#backpainsupport#chronicbackpain#lowbackpainrelief#yogaforbackpain#mobility#sciatica#sciaticarelief#badposture#improveposture#movewell#moveoften#equilibriumtherapeutics#drmarcb See more

Low back pain - What are some of the main causes? . Non-specific * In rare cases, there is a discernible cause (fracture, malignancy, infection) * However, most often the diagnosis is "non-specific" - as in health professionals cannot accurately say it is one recognizable factor... . Non-specific * If we can't find a specific cause, can we still "fix it"? * Of course! Rarely is a cause found but people still get back pain relief every day from the right professionals * There are numerous strategies that can be implemented to help improve back pain (more on this in a later post) . However, we have pinpointed some factors. Including: * Physically demanding jobs * Smoking * Mental comorbidities * Obesity (See "Off the Cuff Ep. 4) * Low levels of physical activity . A cause is rarely found on imaging * Most findings on imaging (x-ray, CT scan, MRI) of those with low back pain are also common in people without such pain * There is no proof that X-rays improve patient outcomes and guidelines consistently recommend against the routine use of imaging for people with back pain . #lowbackpain #prehab #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. Murray, Christopher JL, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 19902010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet 380.9859 (2012): 2197-2223. World Health Organization. World report on disability 2011. World Health Organization, 2011. @ Victoria, British Columbia See more

Low back pain - The #1 Cause of Disability Worldwide . Facts * Pain between the lower portion of the ribs and top of the gluteal muscles * It is the number one cause of disability in the world... * Most adults will experience back pain at some point in their life . Global costs * Costs are extremely high worldwide and are expected to increase in the coming decades * The costs include: healthcare costs, social support and disability payouts * It is especially problematic in low to middle-income countries . Back pain at work * Disability from low back pain is highest in working-age groups worldwide * Especially concerning in low to middle-income countries (notice a theme here?) * Workers in these countries are at increased risk because of informal employment and little job modification . Demographics * Typically has the most impact on: * Women * The Elderly * Rural communities * Lower-income populations * Lower-income countries * In some areas of the world, it is more prevalent in males (Africa) vs. females (Latin America) * Low back pain contributes to inequality . Moving forward * In this 10-part series, I will breakdown some causes, disabilities and solutions of low back pain * As well, instilling strategies that will allow YOU to deal with low back pain and help control the global burden #lowbackpain #prehab #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. Murray, Christopher JL, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 19902010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet 380.9859 (2012): 2197-2223. @ Victoria, British Columbia See more

Pain Science and Placebo - Post 2/2 . Do the words that we use affect pain? Heck ya! . Placebo is a substance or treatment which is designed to have no therapeutic value.... . Pain perception is the ability to feel unpleasant sensations. Those with chronic pain typically have a higher pain perception (i.e. they feel more pain). . Researchers from Florida wanted to know if the perception of pain was changed simply by giving people positive or negative instructions. . Methods They split participants into two groups and told them either: -Positive: "Spinal adjustments are an effective way to treat lower back pain and we expect it to reduce your perception of pain"* -Negative: "Spinal adjustments are an ineffective way to treat lower back pain and we expect it to worsen your perception of pain"* -*Paraphrasing. In the study, there was a 3rd neutral group -Participants then performed spinal adjustments (SMT) . Results -Those that were told they would get PAIN RELIEF from spinal adjustments, got pain relief (positive group)* -Those that were told they would get SORENESS from spinal adjustments, got soreness (negative group)* . Take home #1 -Participants got pain relief after spinal adjustments if they believed it was beneficial -With more studies like this, we can make the claim: "If you believe spinal adjustments are good, you may get pain relief. If you believe they are bad, you may not."* . Take home #2 -Placebo is real -Those that were told A got results A, those that were told B got results B -If you have influence (especially with regards to pain and exercise) over others, BE CAREFUL with the words that you use. . I summarized the findings of this paper for IG format. To read the entire paper, see the article below. . #research #painandexercise #response #physiotherapy #biokinetics #prehab #rehab #backpain #injuryrehab #physicaltherapy #painandexercise #chiro #chiropractor #lowbackpain #yyj #victoriabc #equilibriumtherapeutics #drmarcb . Bialosky, Joel E., et al. "The influence of expectation on spinal manipulation induced hypoalgesia: an experimental study in normal subjects." BMC Musculoskeletal Disorde @ Victoria, British Columbia See more

Hamstring Flexibility & Back Pain . Do "tight" hamstrings have anything to do with lower back pain? . What is Hamstring Flexibility?... The ability for your hamstring muscles to lengthen through hip range of motion (typically with our knees extended) . How do we determine Hamstring Flexibility? Three main tests: * Straight Leg Raise (SLR) * Sit and Reach test (+/- chair) * Hip-Knee 90-90 . Japanese researchers examined numerous studies from 1966-2017 & asked the question: "If there are differences in hamstring flexibility and stiffness between individuals with and without lower back pain." . Results "It was impossible to make a definite conclusion in the current literature as to whether individuals with LBP had impaired hamstring flexibility and stiffness." This is science talk for: "No!" . Take-Home Message #1 There is no evidence stating that "tight" or "flexible" hamstrings have anything to do with lower back pain If you have "tight" hamstrings, you may or may not have back pain If you have "flexible" hamstrings, you may or may not have back pain . Take-Home Message #2 (From Dr. Marc, not the researchers) If you have back pain, don't spend any time "stretching" your hamstrings Instead: * Be active * Load your tissues with body-weight or weighted exercises * Partake in activities you love to do * Spend time with family/friends . #lowbackpain #prehab #hippain #injuryprevention #hamstrings #tighthamstrings #backpain #injuryrehab #posture #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #mobilityflow #healthymovements #sciatica #sciaticarelief #badposture #improveposture #equilibriumtherapeutics #drmarcb . Paper Hori, Masataka, Hiroyuki Hasegawa, and Hiroshi Takasaki. "Comparisons of hamstring flexibility between individuals with and without low back pain: systematic review with meta-analysis." Physiotherapy Theory and Practice (2019): 1-24. . Pictures https://en.wikipedia.org/wiki/Straight_leg_raise - SLR https://testsforsports.com/flexibility/sit-and-reach-test - sit and reach https: @ Victoria, British Columbia See more

Pain Science and Placebo . Do the words that we use affect pain? Heck ya! . Placebo is a substance or treatment which is designed to have no therapeutic value.... . Pain perception is the ability to feel unpleasant sensations. Those with chronic pain typically have a higher pain perception (i.e. they feel more pain). . Researchers from Denmark wanted to know if the perception of pain was changed simply by giving people positive or negative instructions. . Methods They split participants into two groups and told them either: -Positive: "Stronger pressure is needed after exercise than before exercise to elicit pain. Exercise can provide pain relief."* -Negative: "Less pressure is needed after exercise than before to elicit pain. Exercise causes soreness of muscles."* -*Paraphrasing -Participants then performed exercise . Results -Those that were told they would get PAIN RELIEF from exercise got pain relief (positive group)* -Those that were told they would get SORENESS from exercise got soreness (negative group)* . Take home #1 -Participants got pain relief after exercise if they believed exercise was beneficial -With more studies like this, we can make the claim: "If you believe exercise is good, you may get pain relief. If you believe it is bad, you may not."* . Take home #2 -Placebo is real -Those that were told A got results A, those that were told B got results B -If you have influence (especially with regards to pain and exercise) over others, BE CAREFUL with the words that you use . #research #painandexercise #response #physiotherapy #biokinetics #prehab #rehab #backpain #injuryrehab #physicaltherapy #painandexercise #chiro #chiropractor #lowbackpain #yyj #victoriabc #equilibriumtherapeutics #drmarcb . Vaegter, Henrik Bjarke, et al. "Power of Words: Influence of Preexercise Information on Hypoalgesia after Exercise-Randomized Controlled Trial." Medicine and Science in Sports and Exercise (2020). @ Victoria, British Columbia See more

Exercise to improve pain. . . It is well understood that exercise helps us manage pain. But does that exercise have to be pain-free?... . . Researchers from the UK pondered this question. They wanted to know if painful exercise was better, worse or the same as non-painful exercise to treat pain. . . It turns out that exercise does not have to be pain-free, and painFUL exercise may provide more benefit than pain-free exercise. . . Take-Home Message: Exercise is great for treating your pain and feeling better. Don't be scared to do it, even if it causes a bit of pain. Belief is that if pain with exercise lasts less than 24 hours and stays between 0-5/10 - than you are good to go! . . Research is still in its early stages. Follow-up with your local healthcare practitioner, preferably a chiropractor - because I'm a Chiro and I'm biased , for individualized care. . . #research #painandexercise #response #physiotherapy #biokinetics #prehab #rehab #backpain #injuryrehab #physicaltherapy #painandexercise #chiro #chiropractor #lowbackpain #equilibriumtherapeutics #drmarcb . Smith, Benjamin E., et al. "Musculoskeletal pain and exercisechallenging existing paradigms and introducing new." British journal of sports medicine 53.14 (2019): 907-912. . Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis @ Victoria, British Columbia

Happy Canada Day . . From Dr. Marc - I hope you enjoy the holiday and get some time to relax with those closest to you (following guidelines from the health officials). .... . Be kind, be accepting, be tolerant and pick up your neighbour when they need a little support. . . I’m grateful this country welcomed in my four grandparents only two generations ago. I’ll be taking in the beautiful landscape and enjoying some delicious multi-cultural cuisine. . . As well, don’t forget to enjoy some maple syrup , Sarah McLachlan and ride a moose . . . What are your plans for today? . . I’ll be back helping spines tomorrow and Friday. . . #canadaday #canada #canadaday #canadá #canadaday2020 #canadian #canada #canada_pic #happycanadaday #canadasworld #bc #britishcolumbia #alberta #ontario #quebec #wethenorth #equilibriumtherapeutics #drmarcb See more

Exercise snacks . An exercise snack is breaking up a single session of continuous exercise into several shorter bouts spread throughout the day. . In this study done by McMaster University in Hamilton, Canada; the researchers had the participants:... . Climb 60 steps 3x/throughout the day (spaced out) 3x/week For 6 weeks . The results showed participants had improved cardiovascular fitness and peak oxygen uptake after 6 weeks. . Take home points: This study tells us that even small bouts of exercise throughout the day have real benefits. If you aren't able to be active today, take the stairs, go for a walk or do some jumping jacks in your office! . Keys to exercise and activity: Find exercise or activity that you love doing Don't be so hard on yourself if you miss a day Find time in your schedule, and actually put it in your calendar . Jenkins, E. Madison, et al. "Do stair climbing exercise snacks improve cardiorespiratory fitness?." Applied Physiology, Nutrition, and Metabolism 44.6 (2019): 681-684. Kevin Malone. The Office, NBC and Netflix. . #getfit #workout #cardio #hiit #active #exersice #workouts #burningcalories #exercising #lowbackpain #backpain #injuryrehab #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb @ Victoria, British Columbia See more

Happy Father's Day! ... To all the wonderful and supportive Dads To anyone who has lost a father To the stand-in fathers... To the father's still adjusting to being a Dad To single Fathers To those who don't feel like "traditional" Dads To those Fathers changing lives or going through their own life battles ... And Happy Father's Day to my father, who's done so much for me an IG & FB post won't do him justice. He’s still getting after it today with some good old fashioned work around the house. As well, Happy Father's Day to my little brother, as his child is seven weeks from entering the world! @ Brantford, Ontario

Don't call it a comeback May 31st, I was able to complete something I hadn't done in 3 years - a 1/2 ironman. In 2017, I completed my 1st Half Ironman (70.3) in Muskoka, Ontario, and it was one of the proudest days of my life. 2 weeks later, however, I was travelling to San Fran for a chiro seminar, and there was a 1/2-marathon happening - I had to do it. ... Tissue tolerance is the ability of our body's specific tissue to withstand the effects of load placed upon it. Unless you're the @ironcowboyjames, it is ill-advised to partake in a half marathon 2 weeks after your first 70.3 half ironman to allow sufficient time for overall bodily systems to recover. I suffered a stress fracture in my left medial tibia (the inside of your shin bone) and had to halt all activity for > 6 months. It took almost 2 years to regain pre-injury running resiliencea long journey, both mentally and physically. On May 31st, 2019, I went to watch the 70.3 happening in Victoria because I enjoy the sport and love the energy of all participants. It was that day that I decided I will compete again in this event next year. To prime my body, I then went through 7 months of conditioning at Crossfit Lolo and 5 months of triathlon-specific training. I even hired a coach for 3 months to ensure I was aiming in the right direction. All was set, and then COVID-19 hit - all races were cancelled. This is a #firstworldproblem. It might even be a 1% problem; however, it was still a major bummer. Although I wouldn't be able to compete with other participants and an enthusiastic crowd, I wanted to achieve what I set out to accomplish. So that's what I did . I finished about 12% slower than I did in Muskoka three years prior. However, I did complete all three race goals I had made one year prior: 1. Complete the 70.3 2. Not get injured 3. Feel motivated after the race to do more Seriously, Don't call it a comeback! #703 #ironmantri #tri365 #triathlon #triathlonlife #halfironman #im703 #virtualrace #running #crossfit #strength #lowbackpain #injuryprevention #backpain #injuryrehab #chiro #mobility #movewell #moveoften #drmarcb @ Victoria, British Columbia See more

#blackouttuesday

What I'm going to miss most is the quarantine hair jokes #quarantinecut #homehaircut #covidhaircut #quarantinehairdontcare #quarantinehair #ineedahaircut #covidhair #diyhaircut #covidhairdontcare #homehaircuts #lowbackpain #prehab #covid #covid19 #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief mobility #equilibriumtherapeutics #drmarcb #tiktok #cookstreetbarbershop

Stop "Self-adjusting" (@chiroup) .... Back or neck irritation may produce an ongoing urge to "pop it" yourself. Although self-adjusting may produce temporary relief, you should avoid the temptation for several reasons. Self-application of a crude generalized force to an entire region of the spine rarely frees the restricted culprit, but rather further loosens an already mobile segment. Over time, repeated self-mobilization could lead to new problems from creating excessive mo...tion. Consequently, spinal manipulation should be performed only by chiropractors or other highly trained doctors who can recognize when an adjustment is appropriate and when it is not. ... If your joint happens to cavitate (or pop), don't worry, move on, your spine will survive! #lowbackpain #prehab #covid #covid19 #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb #chiroup #tiktok

REOPENING! #bluesideout ... BC is now in Phase 2 of the COVID-19 reopening plan and we re-opened this week! ... We've taken extra measures to make sure this is an absolute clean facility and safety is paramount.... ... Safety protocols include: - Pre-screening - PPE - Sanitization - Spacing of appointments ... One thing not changing is the quality of care you expect from us. ... See the link in bio for online booking! #lowbackpain #prehab #covid #covid19 #injuryprevention #backpain #injuryrehab #posture #posturecorrection #physicaltherapy #chiropractic #chiro #chiropractor #backpainexercises #backpainsucks #backpainsupport #chronicbackpain #lowbackpainrelief #yogaforbackpain #mobility #sciatica #sciaticarelief #badposture #improveposture #movewell #moveoften #equilibriumtherapeutics #drmarcb