It seems that healing is an easy concept, it would be “when you are no longer sick” we would say most of the first. Well in practice humans complicate everything a little. Western society has a very particular experience of illness and death, almost as something that should not be produced and, when it occurs, a culprit is sought. And with this psychology happens what I want to tell you.

If I cut my skin with a knife in an uncomplicated area, the wound will bleed, then it will crust and finally there will be a scar. At that moment if we ask “how about the wound?” Will probably answer “I’ve been cured”. The scar that remains on the skin is not the original tissue that had the skin. The structure of healthy skin has specific characteristics to adequately fulfill its purpose. It has elasticity, has hair, has glands that allow us to sweat, participates in the regulation of body temperature, etc. The skin does many things that the scar area cannot do. The scar has solved a problem but it is not healthy skin. It is not something that we give importance because we usually worry more about the aesthetic part of the scar; this is so when the scar is small. Another story is when we have a big burn, for example. If we burn an entire arm, after numerous surgeries and a long period of healing we end up with huge scars. Then we realize the properties of the skin that we have lost.

HealingWithout going any further, I want to tell you what happens with the back. The logical goal of every person is to want to live without back pain. After suffering the pain for a while and getting over it would be logical to think that we have healed. However, there are two “buts”: one objective and one subjective.

Since there are imaging tests like magnetic resonance imaging that tell us if we have a hernia, a protrusion or other anatomical lesion, our concept of healing has faltered. I have painless patients who suffer from the anguish that they have a hernia. They do not feel cured and live life as sick. Here the one who is sick is the brain, not the back. Lesions that appear on an MRI, most of the time, are of no importance and do not define whether we are healed or not. It is better not to have pain and that the image of the resonance is horrible than to be raging with pain and that the resonance is scrupulously normal. Don’t you think? The two ends occur every day in the query routine. The photo is not so important.

On the other hand, not having pain does not mean that we are fully healed. The lumbar injury carries a weakness in the musculature that if we do not recover will cause new lumbago to come easily. This is called chronic low back pain.

In short, the healing as far as the back is concerned, is a back that does not hurt and that is back in shape to endure our day to day. Do not be fooled by a photo that we get ugly, that does not mean that we are ugly.

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