IELTS Listening · Cam 3

Test 1 Part 4

Do you know what Prince Charles, Seve Ballesteros and Elizabeth Taylor have in common? They all suffer from chronic back pain.

Level: B1 · 91 sentences

Transcript

  1. Do you know what Prince Charles, Seve Ballesteros and Elizabeth Taylor have in common?
  2. They all suffer from chronic back pain.
  3. In fact, bad backs are one of the most common health problems today,
  4. Affecting people in all walks of life.
  5. The most recent available figures
  6. Show that about a quarter of a million people
  7. Are incapacitated with back pain every day.
  8. And many sufferers don't know the cause
  9. Or the solution to their problem.
  10. The majority of our patients at the clinic tend to be women.
  11. They are especially vulnerable because of pregnancy,
  12. But also because of osteoporosis,
  13. Which I personally believe to be the major cause of problems for women.
  14. I have many women patients
  15. Who say they have completely given up exercise
  16. Because the pain makes them so miserable.
  17. But of course, that starts up a vicious circle.
  18. Bed rest, giving up exercise and painkillers
  19. Are traditional responses to back pain.
  20. But although there are many excellent drugs on the market, at our clinic
  21. We're beginning to realise the unique benefits of relaxation therapy.
  22. Other specialists in the field
  23. Make a strong case for certain types of exercise,
  24. But in our experience they are easily mishandled
  25. And can lead to more harm than good.
  26. Now let's look at some of the reasons
  27. Why back pain is developing into such a unique menace.
  28. In general, the body is pretty good at self-repair.
  29. A strain or a blow to a limb,
  30. Though painful at the time, generally resolves itself.
  31. But the body's response to back injury can be very counterproductive.
  32. When pain strikes,
  33. We attempt to keep the back as immobile as possible,
  34. Which makes the muscles tense up.
  35. Research shows that they often go into spasm,
  36. Which causes further twisting of the spine.
  37. A vicious circle is underway.
  38. The second mistake we often make when stricken with extreme back pain
  39. Is to go to bed and stay there.
  40. Although at the clinic
  41. We recognise that a short rest in bed can be helpful,
  42. Up to two days,
  43. Any longer makes our back muscles become weaker
  44. And unable to hold up our spine.
  45. The pain therefore becomes worse.
  46. Another problem is being overweight.
  47. Anyone as stoned or more overweight who already has back pain
  48. Is not doing himself any favours.
  49. Though it won't actually set it off in the first place,
  50. The weight will increase the strain and make things worse.
  51. The British diet could be partially to blame for the increase in back pain,
  52. Over the last 10 years,
  53. The average weight of men has risen by 11 pounds
  54. And of women by 9 pounds.
  55. So much for the causes and aggravations of pain.
  56. But what can we do to help?
  57. There are many ways in which simple day-to-day care
  58. Can make all the difference.
  59. The first point to watch, of course, is weight.
  60. If you are overweight...
  61. A diet will make all the difference.
  62. Also, studies have shown that just
  63. One hour sitting in a slouched position
  64. Can strain ligaments in the back,
  65. Which can take months to heal. At the clinic,
  66. We have come to the conclusion
  67. That the major cause of the problem
  68. Is not with the design of chairs, as some have suggested,
  69. But in the way we sit in them.
  70. It can be useful to get special orthopedic chairs,
  71. But remember, The most important improvement should be in our posture.
  72. Another enemy of your back is, of course, your beds.
  73. If your bed doesn't give enough support,
  74. Back muscles and ligaments work all night trying to correct spinal alignment,
  75. So you wake up with a tired, aching back.
  76. Try out an orthopedic mattress or a spring slatted bed.
  77. Research shows that both can be beneficial for certain types of back pain.
  78. Another hazard for your back
  79. Are the shock waves which travel up your spine when you walk,
  80. Known as heel strike.
  81. A real find for our patients
  82. Has been the shock-absorbing shoe insert,
  83. A cheap but very effective solution.
  84. And you might be better off
  85. Avoiding shoes with heels higher than one and a half inches.
  86. Though absolutely flat shoes can be a solution for some,
  87. Others find their posture suffers.
  88. Finally, a word about the state-of-the-art relief,
  89. The TENS machine, a small battery-powered gadget
  90. Which delivers subliminal electrical pulses to the skin.
  91. Our experience indicates that your money is better spent on the more old-fashioned remedies.