Deciding who to listen to when it comes to diet, exercise, treatment choices, etc. can be confusing at best. Currently I have been reading about solutions for chronic back pain. Each book I read enthusiastically promotes its ideas, with lots of impressive testimonials to boot. As I read many of the books, I find myself thinking — oh yes this makes so much sense, this is the final answer. And yet, many of them disagree on even the most fundamental recommendations. Any suggestion, from how the pelvis should be tilted to whether back pain is related to physical abnormalities or stress, will have an opposing view.

I’m finding in my own healing journey that I learn a little bit of value from each book I read and every therapist I see, even if it is what doesn’t make sense for me. Every idea can trigger an insight for me, as I put together what works for me. It’s ultimately my own insights and observations about what works for me that I’ve come to rely on. How many times has a recommendation for health been made by a major authority, only later to be withdrawn as faulty? How many times have you followed a piece of advice simply because it came from an “authority”, only to later realize it wasn’t helpful at all, maybe even quite the opposite of helpful. I feel it’s vital that we view everything in the light of common sense and our own intuition. The best advice comes from what our bodies tell us, our inner knowing and testing things out for ourselves. At the very least, if someone says “always do this”, “never do that”, “eat this”, “don’t eat that”, etc., actively search out the opposing viewpoint and weigh the options for yourself.

Perhaps conflicting viewpoints are most obvious when it comes to diet. You can find an overwhelming number of conflicting theories and recommendations about food. Some say eat only raw food, others say eat only cooked food. Some say a food is wonderful for you that someone else says is toxic to eat. I’ve been very interested in Ayurveda for years. Ayurveda contains an extensive list of what foods are good for what types of people (which is a big improvement over recommending the same foods for everyone as is done in most systems). Many of these recommendations are consistent among Ayurvedic experts, but even there you can find differing viewpoints.

I always get a chuckle when I remember how someone reconciled opposing viewpoints about whether to eat tomatoes and/or potatoes. One vaidya (Ayurvedic physician) said eat potatoes but don’t eat tomatoes. Another said eat tomatoes but don’t eat potatoes. Someone made an amusing remark — my conclusion is that I can eat both tomatoes and potatoes to my heart’s content! Someone else would have avoided both “just in case”. The ultimate test, of course, would be to see how your own body responds to eating both. And always, moderation goes a long way to negate the possibility of eating the wrong thing. “Eat a little of everything” might be the best advice if you are unsure.

To say that we must be our own authority on our health doesn’t mean not to consult experts. But it does mean to ask questions, educate ourselves about what they are recommending, listen to alternative viewpoints, and ultimately make the decision what makes the most sense for us.

Since I feel that I need to be my own authority, I feel it’s important to develop certain skills. I spend time learning about anatomy and how my body works, noticing the sensations and signals my body sends me, observing how my emotions affect my body, and being thoughtful about the choices I make. I spend time clarifying my values and what is important to me. Being my own authority means being willing to rely on my own common sense and intuition in spite of what the outcome will be. There are never any guarantees for outcomes in life, but we can make sure that we make the best decisions possible and that we honor ourselves and our own inner knowing in the process.

I came away from my first visit with the physical therapist (Dawn) with a clearer understanding of what was going on with my back, and most importantly, what to do about it than I’d ever had. I’d picked up bits and pieces of information here and there in the past and understood quite a lot about the spine, nerves, muscles, etc. I knew about the benefits of stretching, and stretching had made a big difference for me. But the session with Dawn made everything fall into place.

I’d had various evaluations before, but Dawn’s seemed more comprehensive. She seemed to hone it on exactly what was happening with my back. She evaluated areas of weakness, muscles that needed stretching and others that needed strengthening. Above all, she communicated what she found in such clear terms and gave me stretches and exercises that are very specific to my back and spine (which has a mild scoliosis). 

Even though I’ve had an understanding of proper body mechanics and posture in the past, Dawn was able to help me experience it in my own body. She helped me to feel in no uncertain terms what “neutral” is for my spine (with the lumbar area neither too concave or too flexed). She watched me do every stretch and exercise making sure I was doing it properly.

I walked out of the session feeling that I was given what I needed in terms of understanding the situation with my back and a clear plan of action to follow. Because Dawn explained everything so clearly and her instructions made such perfect sense as remedies for my problem, I’ve been highly motivated to follow them.

Finally, what made the session with Dawn so valuable is that is was completely geared to my own self-care. Although physical therapists do provide treatments through manipulation and other means, Dawn’s focus was to show me what I needed to do to get stronger. I’ve long ago become disillusioned with repeated trips to practitioners like chiropractors who would make an adjustment which would then go out and required re-adjustment a short time later. The most valuable thing a practitioner can give us is knowledge of how to take care of ourselves. 

Of course, only time will tell what impact this will have for me. The most important ingredient in achieving a healthier back will be my follow through, and this is true of any healing program. It’s our own self-care that brings success. 

When I’ve had a kind of “breakthrough” session like this, I always have to ask the question as to whether it happened because the practitioner had the right training and skills or whether I was simply ready to more forward. Certainly the many experiences of the past and what I’d learned from them, as well as various ways in which I’ve grown, created a readiness to take a leap forward. Perhaps some other kind of practitioner could have done it for me. But given the experience of my friends with PTs and my experience with Dawn, I’d encourage anyone with back (or knee or neck) problems to give physical therapy a try.