6 Eye-Opening Concepts About Lower Back Pain Relief

6 EYE OPENING CONCEPTS

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DR. JOSEPH BOWLES 6 EYE OPENING CONCEPTS

Thank you for requesting my Free Report,
“6 Eye-Opening Concepts About Lower Back Pain Relief”

In the few minutes it will take to go through it,
you’ll be encouraged by what you learn, and very likely

see a new path towards FINALLY getting the true and
lasting relief you deserve.

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DR. JOSEPH BOWLES 6 EYE OPENING CONCEPTS

Table of Contents

Introduction ..........................................................................................................................................................3
Concept #1 - Are All The Possible 'Pain Producers' Being Considered? ..................................................4
Concept #2 - Is Your 'Herniated Disc' The True Source Of Your Pain? ......................................................6
Concept #3 - Do Weak Abdominal Muscles or Being Overweight Really Cause Lower-Back Pain?8
Concept #4 - Could Your Lower-Back Pain Be Coming From Stress? ....................................................10
Concept #6 - Do You Have Stress-Related Lower-Back Pain? The Self-Assessment ...........................15
Interpretation of Scoring ..................................................................................................................................17
TESTIMONIAL – Mr. A. George .........................................................................................................................18
References: ........................................................................................................................................................21
Copyright/Disclaimer:.......................................................................................................................................22

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DR. JOSEPH BOWLES 6 EYE OPENING CONCEPTS

Introduction

You can go just about anywhere and find someone whose life has been
changed because of lower-back pain. It has been estimated that there is an 80%
chance for any given person to have lower-back pain. Some people have it for
a few days or a week, and then it fades gradually into nonexistence. However,
there is a type of pain that can go on for months, years, or indefinitely. That
particular type of lower-back pain is known as 'chronic' pain and millions of
people worldwide suffer from it.

Chronic pain in the lower back is the kind that persists beyond the normal 4-16-
week window of time that damaged tissues take to heal. Of the 50 million
Americans who have chronic pain, 17 million of those have had it in excess of 5
years and the largest subcategory of this pain is lower back pain.

All too often, traditional care (in the form of surgery, medications, spinal
manipulation, acupuncture, physical therapy, massage and other conservative
means) doesn’t provide complete relief. Even with modern medical professionals
having the best skills, equipment, technology, and intentions, the numbers of
people with chronic, lower-back pain continues to rise.

Obviously, something must be missing from evaluation and treatment of chronic,
lower-back pain.

"In this report, you will get a brief insider’s look at what's been missing and why
lower-back pain can continue indefinitely. In doing so, I will dispel some myths
associated with chronic lower-back pain that cause doctors to miss the mark in
treating your pain. More importantly, I’ll also show you the most commonly
ignored cause of chronic, lower-back pain. This is a cause that cannot be
revealed by MRI, CT Scan, x-ray or lab tests and all too frequently remains
undiagnosed with no precise treatment provided."

As you read, you’ll begin to discover why I call this the 30-Day Final Answer.

Warmest Regards,

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Concept #1 - Are All The Possible 'Pain Producers' Being Considered?

Can you remember when your lower back started to hurt?

Often, lower back pain can develop and go away in a day or two with no
treatment. It could have been soreness from strenuous exercise or maybe some
type of minor injury. Maybe the pain lasted a little longer and you may have
gotten some type of brief treatment, like a spinal adjustment, some massage, or
a little over-the-counter medication. In a week or two, you probably felt fine
again. Regardless, you did very little treatment and that mildly annoying pain in
your lower back disappeared.

However sometimes, lower-back pain goes on for months or years. In this
scenario, people often have any number of examinations and treatments done
to try and get to the root of the problem. Possibly you've already received x-rays,
MRI's, CT scans, physical therapy, spinal adjustments/manipulation, acupuncture,
medications and spinal injections.

Hopefully, there was no surgery, which usually ends in more pain. All these
examinations and treatments focus on the 'physical' component of pain. The
exams are important to rule out serious disease masquerading as lower-back
pain. However, the examination of the physical body parts (discs, muscles,
ligaments, nerves) does not always find the true ongoing 'pain producer'. If you're
still experiencing ongoing pain after having any number of the treatments
mentioned above, you can also attest to the frustration that comes with their
lack of long-term effectiveness. Are you doomed? I don't think so.

Ignoring 'unresolved' stress is what I see is missing and the origin of why millions of
people worldwide have lower-back pain that goes on indefinitely…and this, in
spite of the best intentions by doctors and therapists.

For centuries, doctors and therapists of all types have been focusing on only one
side of what is the three-sided problem of pain. I know this is true. I was one of
them until 2007.

If you look at the chronic pain diagram shown in figure #1, you will see that there
is a "Triad of Chronic Pain".

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Figure #1: The Chronic Pain Triad

Practicing doctors have always assumed that, regardless of how long a person
has been in pain, if you treat the 'physical' findings of the person with the pain,
you're doing the best and the only thing really needed. Focusing on the 'physical'
factor findings makes sense initially. However, as time progresses and pain
persists, it doesn't. Basically, here's why…

It's a fact that the damaged tissues (muscles, ligaments, bones, nerves, blood
vessels) generally heal in a 4-16 week time span. The initial pain should gradually
fade until it disappears. After that 4-16 week time period, the 'physical' factors
play a much lesser and possibly no role as the predominant source of ongoing
pain. If pain continues in the lower back after this period of time, that's when the
two other factors of the Chronic Pain Triad become a primary part of the pain
problem.

If your lower back pain has lasted beyond 4-16 weeks and your doctor is still
looking at your x-rays or MRI and still saying things like, "it's that herniated disc
acting up again," or "you've got arthritis and that's making your back hurt," that
doctor has NOT fully evaluated you.

Let's move on to the Concept # 2

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Concept #2 - Is Your 'Herniated Disc' The True Source Of Your Pain?

The MRI and CT Scan are tests that accurately show the condition of the inside
and outside of a herniated disc. The herniated disc is real. It does exist. But it’s
more important to ask whether the herniated disc is the true source of the pain in
the lower back. Is the herniated disc really the lower-back pain public enemy
#1? Probably Not.

For years, I doubted that the lower-
back herniated disc was the real
source of pain for multitudes of
people. Many other doctors agree
with my notion. In the world of the
healing arts, Nikolai Bogduk, M.D.,
Ph.D. is probably the most
respected of human anatomy
researchers. Here are some of his
general responses concerning
what you might think are common
causes of chronic lower-back
pain1.

1) Can disc herniation cause chronic back pain? According to Bogduk, a
bulging or herniated disc ‘might’ explain sciatica, but is unlikely to be a
common source of chronic lower-back pain.

2) Can internal disc disruption be a cause for chronic back pain? According
to Bogduk, this is a controversial concept and is based upon unreliable
observation rather than scientific studies. In other words, Dr. Bogduk is
saying…we've been looking at this for years and haven’t found anything
to indicate that it does (and I doubt we ever will).

3) Can the oft-repeated diagnosis of “sprained ligament” be a cause of
chronic lower-back pain? According to Bogduk, anatomical studies cast
doubt on this diagnosis as well. In other words, the world’s foremost
research anatomist says “NO.”

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4) Can muscle strain cause chronic lower-back pain? According to Bogduk,
muscle strain can cause short-term lower-back pain (1-12 weeks).
However, there is little evidence that it can cause chronic pain (beyond
10-12 weeks).

Other common scapegoats, such as muscle spasm and trigger points, have
found little support as causes to chronic lower-back pain in scientific studies.

To summarize, herniated discs, internal disc disruption, ligament sprains, muscle
strains, muscle spasms, trigger points and even spinal arthritis do not cause
chronic lower back pain. Remember: the definition of 'chronic' pain is that which
lasts beyond the normal tissue healing time of 4-16 weeks.

Let's move on to another myth.

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Concept #3 - Do Weak Abdominal Muscles or Being Overweight
Really Cause Lower-Back Pain?

Have you been told you have to have a midsection that resembles those in the
photo to have a pain-free lower back? The truth is you don't. In fact, you don't
even have to be anywhere close. Weak abdominal muscles and being
overweight have little or nothing to do with recovery from lower-back pain.

For the last century or so, physicians
have boldly stated that being
overweight is a risk factor and possibly
the sole cause of lower-back pain.
They’ve also argued that strengthening
weak abdominal muscles eases lower-
back pain. Truth be made known, we
health professionals don’t agree about
whether these two things can be a
primary cause or not for chronic, lower-
back pain.

What has been clearly determined is that remaining obese or having what is
perceived to be weak abdominal muscles does not prevent RECOVERY from
lower-back pain. I think this can be best understood by going to the research lab
again and take a peek at the surprising findings of a definitive expert in this area,
Dr. Eyal Lederman, PhD.

Dr. Lederman is a noted authority and researcher in the treatment of chronic
pain. He casts the same wary eye as I do when it comes to the use of exercise
and diet to relieve/improve lower-back pain. He has many well-supported
doubts concerning the benefits of doing core-strengthening (abdominal)
exercises for chronic pain.

In his extensive research2, he explains how untested assumptions (guesses)
regarding core stability (strength of abdomen, pelvic area, lower-back muscles
and diaphragm) started an entire industry of gyms and clinics worldwide. His
critical review of exercise for relief of chronic lower-back pain reached these
three main conclusions:

1) The abdominal muscles can demonstrate dramatic structural changes,
such as during pregnancy, postpartum, and obesity, with no detriment to
spinal stability and health.

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2) Damage to the abdominal muscles does not seem to be detrimental to
spinal stability or contribute to lower-back pain.

3) No study to date has demonstrated that lower-back pain comes from
spinal instability. Despite over a decade of research in this area, it remains
purely theoretical in nature and unproven.

Of course, general exercise is good for your health and should always be
recommended for people who are physically capable of doing it.

Now that the cat's out of the bag on diet and exercise, don't throw caution to
the wind and lose your self-discipline. Just understand that supposed “weak abs”
are not making your lower back hurt, and neither is being a bit overweight.

Lets' move on to what is making your lower back hurt.

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Concept #4 - Could Your Lower-Back Pain Be Coming From Stress?

Remember the three sources of pain from Concept #1? The base of the 'Chronic
Pain Triad' was stress, tension and emotional factors. After 4-16 weeks, the
'physical' sources of pain lessen and stress, emotional and tension factors begin
to cause pain to continue even though the tissues have healed completely.

Before I go much further, understand these 3 things:

1) It's caused by a series of nerve messages and hormonal secretions that
need to be brought back into balance.

2) Even though the pain is coming from 'stress' (actually, it's unresolved stress)
it is very real and can last many years or indefinitely.

3) Physical treatments will only provide temporary improvement for
'stressrelated' lower back pain.

One of the first things many people think when pain caused by 'stress' enters the
picture is, “It's psychosomatic.” They usually pass a 'psychosomatic' problem off
as something that is not real or somehow blown out of proportion. Not so. Let me
explain.

Briefly, the word psychosomatic is
misunderstood by the public and has been
misused by many doctors and therapists. When
translated from Latin, it simply means mind
(psycho) and body (soma).

There is a part of the human brain that
produces emotions called the limbic system.
No
matter how small, the limbic system acts on
every pain sensation you feel. It can be part of
a physical chain of events that ends with
chronic lower-back pain. So briefly, the mind and the body are one. They
radically affect each other’s functions.

In my opinion, there are two primary 'mechanisms' by which chronic lower back
pain commonly develops after damaged tissues have had sufficient time to heal.
These two mechanisms work simultaneously and are both part of a cycle of pain.
However, I will explain them separately.

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Mechanism #1

It is well known and accepted that the emotions associated with all of your
negative experiences since childhood, and millions of other bits of information,
are stored in your unconscious mind. The primary emotions located there are
anger, fear, and grief. Everything that made you mad, scared you, or made you
sad is stored there. These negative emotions could come from situations as
simple as coming in contact with a barking dog or stepping on a small tack while
barefoot. They can also come from something as emotionally distressing as the
loss of a family member.

Bearing that in mind, let's now move to the adult of ages 30 to 60. As people
encounter the rigors of daily life, the stresses and strains of living will cause
negative emotions buried deep within the unconscious mind to rise to
consciousness. To protect you against the greater harm of memories becoming
conscious, the brain will mildly reduce blood flow to a body part. This mild
reduction occurs in the microscopic blood vessels. It produces what is known as
hypoxia, or reduced oxygen.

As this oxygen reduction continues, waste products gradually begin building up
in the tissues surrounding the spine. Muscles, ligaments, nerves, and tendons are
affected. Stiffness and pain soon develop, and can worsen over a few days or
weeks. This entire process is meant to protect the person emotionally by
distracting them with pain. As internal tension rises from the stress of life, pain
starts or increases. It is very much like a balance scale. The pain can be mild and
occasional, or it can be severe and occur on a daily basis.

Mechanism #2

Anxiety (worry) plays a large part in chronic, lower-back pain. This could be worry
about one's health, family, finances, friends and many other possibilities. The list
could go on indefinitely. Worrisome
thoughts will trigger chronic, pain in the
lower back. Here's briefly what occurs in
the body when too much worry occurs.

There is a very important hormone
produced in the small intestine. This
hormone is called Cholecystokinin3 (let's
call it CCK) and was discovered in 1928.
Way back then, it was thought to only
be present in the intestines to aid
digestion.

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However in 1978, it was found in the central nervous system (brain & spinal cord)
for the first time. The discovery of it being located there has started a new wave
of information that can be used to help those with chronic, lower back pain.
Here's how.

Ongoing research4 has shown that positive or negative mental events can
activate various mechanisms within the nervous and hormonal systems that are
similar to those activated by drugs. Basically, ones patterns of thought can
dictate if the body releases more natural painkillers like endorphins (human
morphine) or more of the body's' pain-enhancers (CCK). Thought has a powerful
effect on the bodies' own ability to kill pain.

I know that talking about different hormones and responses within the nervous
system can get more than a bit confusing at times. So let me summarize what
these new advances in chronic pain means.

Too much worrying can cause your body to produce too much CCK. CCK acts
against your body's own naturally produced painkillers. If someone has had a
prior injury to a body part (let's say the lower-back) the nerves there become
'over-stimulated' by CCK. As a result, your lower-back hurts and all the 'physical'
treatments have limited or no effect.

Now that you have a thumbnail sketch of what's making lower-back pain linger
on indefinitely, it's important to know that the two 'mechanisms' are harmless;
they do not damage your body. They only make your body hurt.

Chronic lower-back pain that has failed to respond to other forms of care was
most likely triggered by one or both of these two mechanisms. The important fact
to remember is that until the primary stress-related cause is addressed, other
forms of treatment will have minimal impact, if any.

You may have noticed I haven't mentioned 'social factors' (the third side of the
'Pain Triangle' shown in Concept #1). Very simply, social factors do not act as a
source of pain. They only act as a complicating factor. Let's move on to discuss
who gets stress-related pain.

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Concept #5 - Who Gets Stress-Related Lower-Back Pain?

Although anyone can have stress-related pain in the lower back or other body
parts, the person with an ‘amiable’ personality is most likely to have it. ‘Amiable’
is one of the 4 variations in contemporary-personality typing. Do any of these
personal qualities sound familiar?

On an Individual Level

A person with ‘amiable’
qualities is down-to-
earth. He or she is quiet,
reserved, and interested
in security and peaceful
living. He/she has a
strongly felt internal
sense of duty and
responsibility. This quality
gives amiable people a serious air, and they generally succeed at most anything
they undertake.

In a Work Environment

Amiable people are also extremely dependable and keep their promises. They
may have a difficult time turning down new work, and they sometimes accept a
load of tasks that they cannot reasonably handle. For this reason, they often work
long hours and are frequently taken advantage of by others who have great
confidence in their skills. They do not usually give themselves enough credit for
their achievements, seeing their accomplishments as the natural fulfillment of
their obligations.

In General

Amiable people are capable, logical, reasonable, and effective. However, these
wonderful qualities and their perfectionist tendencies make them susceptible to
developing stress-related chronic lower-back pain.

Why Is Such a Wonderful Person More Prone to Chronic Pain?

On a conscious level, amiable people are fun to be around, and the personality
they reflect is genuine. On the unconscious level, the amiable person often
harbors resentment. He/she has always been a perfectionist and very organized

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team player: someone who has always placed himself second. Having secretly
not gotten his way, unconscious resentment builds as time progresses.

This unconscious resentment causes the hidden memories to rise closer to
consciousness. This process breeds anxiety (worry) that we know can magnify
chronic pain. You may recall the effect worry has on the production of CCK (the
pain-enhancer) in the body. When these personality characteristics interact with
stressful life situations, they trigger the chain reactions that bring about
stressrelated chronic lower-back pain.

By now, you've seen quite a few new concepts about chronic lower back pain.
Stress, tension, and emotional factors are the final answer to the question, “What
is the source of chronic pain in the lower back?”

There are only 3 sides to the Chronic Pain Triad (see figure #2 below). Once 4-16
weeks has passed and injured tissue has healed in the lower back, factors other
than the physical arise to prolong pain indefinitely. The social factor is only a
complicating factor, and is not a primary cause of pain. That leaves only one
option.

I'd say you're able to see my point now. The numbers of people with chronic,
lower back in America and worldwide continues to rise because stress and
tension have been ignored by all but a handful of doctors as the primary cause.

Figure #2: The Chronic Pain Triad
Time to move on to the personal self-assessment.

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Concept #6 - Do You Have Stress-Related Lower-Back Pain? The Self-
Assessment

When someone has stress-related lower-back pain, one particular condition
will often clear up, only to make way for another condition. Often, people
with stressrelated lower back pain think about their condition throughout the
day.

Below, I have included a self-evaluation questionnaire that will help to
determine the effects of your past history and how likely you are to have
stressrelated lower back pain.

Instructions: Check 'yes' or 'no' as it applies to your personal situation.
Scoring is at the end of the self-assessment.

Question #1: Do you feel that your pain level is related to the amount of
personal stress you experience?

Yes
No

Question #2: Would you describe yourself in general as worrisome, self-critical,
and highly responsible for others and a perfectionist?

Yes
No

Question #3: Have you suffered from any of these other stress/tension-related
illnesses? Hives, eczema, migraine headaches, irritable bowel syndrome, hay
fever.

Yes
No

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Question #4: Do you spend a great deal of time thinking or worrying about your
pain?

Yes
No

Question #5: Have you had a surgical procedure performed and received
temporary or no relief?

Yes
No

Question #6: Have you used prescription/non-prescription pain relievers for one
month or longer and received only temporary or no relief?

Yes
No

Question #7: Do you find that massage or other 'physical' treatments help your
pain?

Yes
No

Question #8: Are you sensitive to massage or are you tender to the touch in
some areas of your back?

Yes
No

Question #9: Do you require consistent physical exercise/activity (aerobics, brisk
walking, cycling etc.) to maintain or reduce your pain level?

Yes
No

Question #10: Does physical therapy (ultrasound, heat packs, and electric
stimulation) seem to help your pain level temporarily?

Yes
No

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Interpretation of Scoring

If you answered 'Yes' 1-2 times: Unresolved Stress is playing a role in
ongoinglower-back pain. Pain level and frequency of pain increases as times
progresses and unresolved stress grows unchecked.

If you answered 'Yes' 3-4 times: Unresolved Stress is playing larger role in ongoing
lower-back pain. Unresolved stress has had an impact that immediate attention
would help.

If you answered 'Yes' 5 times or more: Unresolved stress is playing a
verysignificant role in ongoing lower-back pain. Unresolved stress has had a
significant impact that immediate attention would help.

If using multiple 'physical' therapies, medications and possibly surgery have left
you still in pain; unresolved stress has a very high probability of being the culprit
to your ongoing pain problem.

The 30-Day Final Answer for Chronic, Lower-Back Pain is designed to teach
people how to defuse the 'unresolved' stress that triggers the development of
chronic lower-back pain. This is done through various techniques that can be
learned and applied by virtually anyone. If you feel as though you have some
degree of stress-related lower-back pain, applying the treatment principles
provided in the step-by-step course will help address the mind-body imbalances
that trigger and can indefinitely prolong lower back pain. If treatment of this
type has been left out of your care, you're missing out on the opportunity to
completely recover.

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TESTIMONIAL – Mr. A. George

Mr. A. George. - "My first experience with back pain
was in 1995. It began with a powerful "lightening"
type of pain through my back while I was driving a
delivery truck. Then I experienced that pain
periodically with bouts of a few days of up to several
weeks of pain where I was bedridden. Then in 2007, I
was bedridden for three months but my back never
improved. The pain continued 24 hours every day.
Periodically the pain would increase and I would be
bedridden for days to weeks at a time.

The diagnosis by several doctors after MRI reports
was that of bulging disks on my lower back.
Successive MRI's showed further degeneration, so
the condition was not improving at all. Several
specialists on back issues also confirmed the same
diagnosis. All of the doctors said that the only hope was to have an operation.

For treatment, I went through constant physiotherapy sessions through the years. I
tried back exercises, but I could only do them for a few short days then the pain would
increase. Wherever I went I carried a bag with a special back support pillow, which for
years became like my "sidekick." I also purchased a contraption for providing traction at
home, and that proved to be of a little help. Heating pads were constantly used and I
had to have a constant stock of that as well. I avoided oral pain medication but used
topical gels, but the only temporary relief was rest, but even that did not remove the
pain completely.

My life was affected tremendously by this condition. Because of my job, I work long
hours and travel a lot. Honestly I wondered if this would lead to me being crippled for
life. I would have to find a place at the office to lie down on the carpet to rest my back
during the afternoons. Then when I got home, all I could do was lay down. Whenever I
traveled, I looked for any place in airports with carpets to lie down and rest my back.
Numerous times, during the flight the pain would intensify and I would need to have a
wheelchair to move around in the airport.

After reading Dr. Bowles' information, my pain was reduced about 50%. Then after my
second time through reading the book, I began to read the daily reminders consistently.
I put it on my computer, my phone, and on my desk at work so I could read it throughout
the day. I needed more than the twice per day that was recommended in the book.
Along with that, the idea that when pain starts, our reaction impacts our body's reaction
as well, and the situation compounds. Controlling my mind and thoughts became a
priority for me. Now, I only read the daily reminders once every few days. Along with
this, I am doing a daily journaling to evaluate each day and see how I am responding to
stressful situations.

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The recognition that the pain was completely gone came gradually. Then when I began
to express it to others, they just ignored it thinking that it was just my "hopefulness" and
temporary relief. Then, last August, the men in our church did some tree planting on
our church property. I went and dug holes for four hours with only a short break to drink
water. That was confirmation that my pain was completely gone and now I am able to
do everything that I was capable of doing before.

Thanks Dr. Bowles for this wonderful tool. It is worth so much more than its price.

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About the Author – Meet Dr. Bowles

For over 30 years as a chiropractic
physician, chiropractic-college faculty
member and post-graduate lecturer, Dr.
Joseph Bowles has had a reputation for
advancing new ideas and methods of
patient care.

His daily practice motto is “if I can’t help
you…I’ll find someone or something that
can.” The practice theme he lives by: do
the most conservative thing for
someone’s pain first and then
recommend more aggressive methods if
satisfactory results are not achieved.

Dr. Bowles entered the academic realm after 20 years of private practice and
was an associate professor for clinical studies at his alma mater, Cleveland
Chiropractic College - Kansas City. During his stay at Cleveland College, he was
granted the 2001 ‘Doctor of the Year’ award from Clinical Biomechanics of
Posture (CBP).

CBP is a prestigious spinal research organization that has published over 100
articles in the peer-reviewed medical literature. He received this award for his
pioneering academic efforts in improving the understanding and application of
innovative methods of spinal diagnosis and treatment.

From his earliest days of practice, he recognized the need to orchestrate care
among various doctors and therapists for the people he served. As a result, he
formed multiple referral relationships with other doctors and therapists to aid
people in all walks of life.

Similar to virtually all chronic-pain doctors and therapists, he felt that once
underlying organic disease (cancer, for instance) was ruled out as the pain
source, the common primary causes of lower back pain were herniated disc,
arthritis, spinal misalignment, muscle weaknesses and being overweight.
However in 2007, he discovered a new realm of thinking that completely
changed his outlook.

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He was introduced to the idea that personal stress and tension can be the
primary cause to chronic, lower-back pain. To see if this new idea was valid, he
embarked on a search of writings published on the subject in medical journals.
"The 30 Day Final Answer for Chronic, Lower-Back Pain" is the end result of that
research and study.

Dr. B., as he is commonly known, feels that his greatest accomplishment is
hearing someone say, “I’m feeling much better. Thank you.”

This report and Dr. Bowles’ other materials are made available as a source of
information to provide hope and relief to chronic, lower-back pain sufferers after
other methods have fallen short or failed.

References:

1) Nikolai Bogduk BSc (Med) MB BS MD PhD DSc Dip Anat Dip Pain Med and
Brian McGuirk MB BS DPH (Aug 28, 2002) - Medical Management of Acute
and Chronic Low Back Pain: Pain Research and Clinical Management
Series

2) E. Lederman: Journal of Bodywork & Movement Therapies (2010) 14, 84e98

3) Gary McCleane MD - Cholecystokinin and Its Antagonists in Pain
Management – 2006 Haworth Medical Press

4) National Rev Neuroscience. 2005 Jul; 6(7):545-52. Placebos and painkillers:
Is mind as real as matter? Colloca L, Benedetti F. Source: Department of
Neuroscience, Clinical and Applied Physiology Program, University of Turin
Medical School, Corso Raffaello 30, 10125 Turin, Italy.

www.drjosephbowles.com/back-pain-self-care Page 21

DR. JOSEPH BOWLES 6 EYE OPENING CONCEPTS

Copyright/Disclaimer:

6 Eye-Opening Concepts About Lower-Back Pain Relief © 2012, Dr. Joseph T.
Bowles. All rights reserved. No part of this Free Report may be reproduced or
transmitted in any form or by any means, electronic or mechanical, including
photocopying or by any information storage or retrieval system for personal
financial gain, without prior written permission of Dr. Joseph T. Bowles. Dr. Joseph
T. Bowles, DC and Michelle D. Bowles.

Disclaimer: The information herein is not intended to replace the services of a
trained health professional. You are advised to consult a healthcare professional
for matters relating to your health and underlying organic disease sources of
chronic lower back pain. Please seek assistance regarding matters that may
require immediate diagnosis and treatment attention.

The authors and publishers of this report and the accompanying materials have
used their best efforts in preparing this information. The authors and publishers
make no representation or warranties (expressed or implied), merchantability, or
fitness for any particular purpose. The authors and publishers shall in no event be
held liable for any loss or other damages, included but not limited to special,
incidental, consequential, or other damages.

Special Note to the Reader: The information in this report has been prepared for
the person that has had the proper examination and testing needed to rule out
potentially life-threatening disease. Serious disease will often masquerade as
lower-back pain. Reading this information does not constitute a doctor/patient
relationship with Dr. Bowles. If you have not had a proper consultation and
examination, he strongly suggests you have one done as soon as possible.

www.drjosephbowles.com/back-pain-self-care Page 22