back pain cost

At the end of his rope after chiropractic, physical therapy, massage and surgery, a Transportation Planning Consultant finds relief with Gokhale Method Foundations Course.

Travis Dunn, PhD, remembers clearly the onset of his excruciating back pain. He was all of 24 years old.

“It first appeared while I was on vacation in June 2005,” he recalls. “There was no specific, major incident that precipitated the pain, but it grew sharper and more debilitating over the course of a week or so, including occasional sciatica.”

He would start each day with his back pain registering “one or two” on a scale of ten, he recalls. As soon as he sat, the pain would grow worse. “If I were to remain seated, I’d be at seven or eight within a half hour. When I stood up, I would be like a hunchback,” he says, bending over to show how contorted his body was. “Then I would have to stretch to reset my muscles before I could sit down.”

He survived his workday by taking walking breaks—some were part of his regular routine of walking to meetings or lunch. Others were add-ons to a fully loaded workday. All told, he’d spend an hour or so walking each day, just so he could sit and work. When the pain became unbearable, he would rearrange his desk and stand at his computer, which helped only slightly.

Dunn opted for a conservative approach to treatment, starting with chiropractic care. “The chiropractor took x-rays, then put them up on the wall and showed me where everything was wrong in my spine. He said I’d see him three or four times a week at first, and then we’d taper off after that as I got better.” That lasted two months. “I wanted to believe it would work, and he told me it would. But I saw no difference.”

Over the following two years Dunn tried therapeutic massage—“short-term relief measured in hours, not days.” Next came six months of physical therapy, which provided some help if he maintained a strict regimen. Dunn had cortisone injections twice, with no benefit. 

“Long road trips and air travel were nightmares,” he recalls. Over-the-counter pain killers had no effect, he says, and he studiously avoided prescription pain relievers or muscle relaxants. “I knew of people with back pain similar to mine, who had become prescription pain killer addicts; I didn’t want to go down that trail.”

Dunn finally went to an orthopedic surgeon who, unlike the chiropractor, saw nothing of concern on the x-rays. “He looked at the same x-rays as my chiropractor and said, “You can’t see anything from these.” The orthopedist ordered an MRI, which showed a herniated L4-L5 disc.

After exhausting what he thought were all of his alternatives, he had surgery in December 2006, an L4-L5 discectomy to remove the herniation. It relieved his occasional sciatic pain, but the low back pain continued. “I followed up with routine physical therapy for the next 6 months which helped me to manage the pain, but if I skipped even one day of stretches and exercises I was miserable,” he says. 

At this point Dunn estimates he was out of pocket about $7,000 and that his health insurance company had absorbed at least another $20,000. He also missed work for a month while recovering from the surgery.

For the next several years he managed his pain with a strict regimen of stretching and exercise, but still struggled at work where he spent long hours sitting at a desk. The pain was constant, he remembers, with its severity tempered only modestly by stretching and back exercises.

The ordeal was at least as taxing emotionally as it was physically and financially. “I was never clinically depressed, but over time it took a toll on me emotionally,” Dunn recalls. “I’m an engineer by training. I solve problems, and I couldn’t figure this one out. I was going to all the medical professionals you’re supposed to go to, and they couldn’t fix it."

“The despair part of it is this fear that you’re going to have to live with this for the rest of your life. The longer it went on, especially after the surgery didn’t resolve the underlying back pain, the more I was left wondering if this was going to be a chronic lifelong cross to bear. I never stopped looking for answers, but I had five years of very limited success. And when a problem lasts that long, you can lose hope.”

In April 2010, nearly five years after the pain began, he took the three-day intensive Gokhale Method Foundation course. 

“It was intuitive, in a way that was revealing, or eye opening,” he recalls. He had seen Gokhale Method creator Esther Gokhale’s book, and the class came naturally to him. “I remember sitting down for the opening session, and listening to her explanation of posture. It was very intuitive, and I felt very comfortable. I saw results almost immediately."

“I quickly realized that many of the stretches and sitting positions I had been using to find relief were, according to the Gokhale Method, counterproductive. For example, arching or swaying my back and using a lot of lumbar cushioning—that was a big one—were actually making things worse. I had no guidance or foundation for the geometry and physics of a healthy back, so I used countless positions and exercises, many of which were ill-advised. Esther’s method was a very logical philosophy, easy to follow.”

Dunn shared an email he wrote to Gokhale six months after taking her course. "My low-back pain is, for the most part, a memory. I have applied your methods principally to my sitting, which was always the most uncomfortable position for me. The results are striking. Whereas in the past it was a struggle to get through a day (complete with standing / stretching / walking breaks every 10 minutes or so), I can now sit uninterrupted and pain free for long stretches."

“As evidence of that, I have traveled from Boston in the past three months twice to Portugal (that's four flights of seven+ hours each), twice to Texas (four flights of three+ hours), and once to Mexico (two flights of four+ hours). Each time, I flew comfortably and pain free!"

Dunn—now a 32-year-old transportation planning consultant—travels regularly overseas and has driven twice across the country—all pain free. And his advice to others in back pain? 

“This method is something everyone should be doing, regardless of whether they’re in pain. I notice posture now. I notice how people are sitting. For those in pain, it’s easy, low cost, and a low-hanging fruit. I wish I had done it first.”