Three Easy Tips to Keep your Back from “Going Out”

Three Easy Tips to Keep your Back from “Going Out”

Most people – four out of five to be exact! – will experience a debilitating back pain episode at one point during their lives, and typically we put more effort into caring for our backs during those times than when we’re feeling good. But it’s critical that we take good care of our backs all the time, not just when we’re in pain!

1. Stand Up & Take a Load Off

When we sit for too long, the burden of our weight is placed abnormally on our spine and can cause damage over time. Before long, those small loads add up to real pain. It makes sense when you consider that our bodies were designed to stand, sit, crawl, run, kneel, bend and move through the world in many different ways. It was never designed to sit in one position for prolonged periods, day after day. Sit too long, too often, and it can lead to bulging discs and weak, brittle muscles that are prone to tearing and other damage.

The solution? Limit your sitting to half-hour periods with a few minutes of standing in between, and you’ll reduce the uni-directional forces on your spine. In other words, if you sit for a long time at work or at home, stand up and walk around a little bit every thirty minutes. Aside from participating in regular strengthening exercise, like Pilates, this is the easiest way for the average person to prevent back injury (and heal your back faster if you already have an injury).

2. Watch for Curves

We have natural curves in our spine that help us handle stress and loads.  Whether sitting or standing, it’s important to maintain these curves.  When standing, our spinal curves occur more naturally and are usually easier to maintain.  When we sit, the protective curves in our spine are harder to maintain and often disappear.  And while a healthy core and strong back muscles are important to back health, they won’t protect your back if you sit for long periods, or when the curve in your lumbar area disappears while you’re sitting.

Fortunately, the solution is as simple as rolling up a towel and placing it between your chair or car seat and the small of your back (just above the belt line). Using a purpose-designed lumbar roll is my favorite choice, and what I use for low-back support. You can use a lumbar roll in your office chair, car, and on the plane if you’re flying! If you want to learn where you can get on of your own contact us about them here. Or  see in more detail how to use them in our free e-book!

3. Extend instead of Bend

The human spine (and entire body) craves balance, which means both extension and flexion.  But we spend the majority of our time in flexion, bending over to put shoes and socks on, brushing our teeth, driving, sitting at work and then driving home. At home we bend forward to cook, sit some more as we eat and then curl up on our couch or an easy chair. As long as we’re not gymnasts or circus performers, it’s safe to say we could all use a little more extension in our day.

A really good exercise is to stand and place your hands on your lower back for support and then arch back as far as you can go.  Repeat this 10 times, at least once per day.  This is also a great activity to do when you are interrupting your sitting during the day.  If you’ve never arched you back like this before, it may feel stiff or even hurt a little at first. But, with a gradual increase in frequency, it will feel less stiff and more natural over the course of a few days.  If it doesn’t, or becomes troublesome for you, stop and consult with a qualified physical therapist who specializes in back pain.

If you like these tips and want to learn even more ways to prevent debilitating back pain episodes, check out our FREE back pain report right here!

It reveals five easy ways (plus two bonus tips!) that are PROVEN to help you ease back pain quickly – without pain medication, frequent doctor’s visits, or surgery. And don’t forget to check out our Pilates programs if you’re looking for a way to exercise that will target – and resolve – back pain!

Failed Back Surgery Syndrome. What you need to know.

Failed Back Surgery Syndrome. What you need to know.

I was recently doing some research on how often back surgery fails – and I came across more than one research paper talking about “Failed Back Surgery Syndrome”.

Say what?

I knew that approximately 50% of back surgeries were unsuccessful, but I didn’t know it was common enough that they had actually coined the term!

Failed Back Surgery Syndrome refers to patients with chronic, long standing back pain, with or without referred leg pain, who have had one or more surgical interventions that have failed to treat the pain.

It’s also known as “post-surgical spine syndrome” – and it’s estimated to occur in 20 – 40% of all surgical cases.

A systematic review of the literature of patients under the age of 70 suffering from disc herniations, and who underwent discectomies, found that between 5 and 36% of these folks suffered from recurring back or leg pain after 2 years. Another study by Skolaksy et al investigating 260 patients with degenerative changes in their spine who underwent surgery for spinal stenosis – found that almost 30% of these patients had either no change – or increased pain – 12 months after surgical laminectomy with or without lumbar fusion.

Despite these statistics, approximately 500,000 Americans are still undergoing back surgery every year to relieve their pain.

The Agency for Healthcare Research and Quality estimates back surgery to cost us $11 billion annually. That’s a lot of money to spend on something that isn’t even guaranteed to work.

So why ARE we spending so much money on back surgery when for almost half of these people, it’s not successful?

Well first, back pain is not fun. It can be excruciating, debilitating, and can have a significant impact on your life and happiness. If you’re told surgery will fix your problem (and it often does take your pain away in the short-term), why wouldn’t you choose this option?

Second, there is a major problem with the way back pain is diagnosed.

Most of the time, back pain is diagnosed via imaging (X-rays or MRI’s) and a treatment plan is based off of the results of those images. If you’ve got a bulging disc with severe leg pain or numbness, they recommend you cut it out. If you’ve got severe degenerative changes causing stenosis, they recommend fusion.

Back pain should always be diagnosed first with specialized movement testing.

Why?

Because we now know from research that 70-80% of all back pain is considered “mechanical”- meaning the root cause or your pain is due to poor mobility or movement habits, and not actually caused by the findings in your images.

Findings such as bulging discs, disc degeneration, and stenosis are all a normal part of aging and there are plenty of people out there who have these exact same findings and no pain at all. What typically happens is that your inefficient movement patterns, or immobility problems, will exacerbate these structures and findings – and that is when you start to experience pain.

This explains why so many back surgeries are unsuccessful and why more people than necessary end up with Failed Back Surgery Syndrome. When underlying movement or mobility problems go undiagnosed, and are not addressed first, your symptoms come back. It may not be right away, and could be up to a few years, but they do return. And sadly, they become even more difficult to address after one or more surgery has occurred.

So if you’ve got back pain and are considering surgery, definitely think twice and be sure you’ve been fully examined by a mechanical back pain expert FIRST.

And if you’ve already had back surgery and it didn’t work to fully resolve your symptoms and get you back to doing everything you love to do – there’s still hope for you – a good place to start is with a proper mechanical back pain exam to see what was missed prior to your surgery.

Dr. Carrie Jose, Physical Therapist and Pilates expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch, or to catch a replay of her online Back Pain & Sciatica Masterclass – visit cjphysicaltherapy.com

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