When you’re in pain, exercising may feel like the last thing you want to do. But a growing body of research suggests that, while it’s not a cure, physical activity may be a useful tool for managing chronic low back pain. And, over time, inactivity may make symptoms worse.
It may feel counterintuitive, but “the best thing for you to do is actually to keep on moving,” in most cases, said Dr Edward Phillips, an associate professor of physical medicine and rehabilitation at Harvard Medical School.
Exercise can help to relieve pain by stretching and strengthening the muscles that support the back. For some, it can also improve your perception of the pain and reduce chronic stress.
Still, studies suggest that one of the main reasons people with back pain don’t exercise is because they fear they will make their pain worse.
Whether you’re looking to move more, or you’re already active and want to keep working out despite your back pain, we asked doctors to share their dos and don’ts for exercising safely and effectively. (Because back pain can have different causes, check with your health care provider before getting started, or if your pain worsens.)
TAKE MOVEMENT BREAKS
Prolonged sitting, particularly in the same position, presents a triple whammy for back pain: It puts excessive pressure on your discs, weakens your core and glute muscles and decreases the flexibility of your legs, said Dr Carolyn Chudy, the director of physical medicine and rehabilitation at the virtual orthopaedic care provider Vori Health. And when you stand up, your back muscles may strain to compensate.
If you spend most of your time sedentary, start by taking short movement breaks throughout the day, Dr Chudy said. Every 30 minutes, stand up, walk around your home or office, or do a few air squats or sit-to-stands.
Stretching can also help: When you sit for long periods, your leg, hip and core muscles can become tight, which can lead them to tug on your back muscles and spine, Dr Chudy said.
Experts suggest pausing throughout your day to do child’s pose and cat-cow stretches, figure-four stretches for your hips, and hamstring stretches.
STRENGTHEN YOUR CORE – AND BEYOND
When your core muscles become weak, your spine and discs are forced to absorb more pressure when you move, which can lead to pain or injury. Think of your core like a corset made of muscle, Dr Phillips said. The stronger and more supportive it is, the less your spine and discs will have to endure.
Building strength in your quads, glutes and hamstrings – which help support your trunk – can also help ensure that your core muscles don’t become strained. “Everything is connected,” Dr Phillips said.
Dr Phillips recommends doing a routine of planks, side planks and glute bridges two to three times per week. Superman exercises can help, too. (But avoid crunches and sit-ups, which can aggravate your back.)
During your strength-training sessions, experts also recommend doing a few functional resistance exercises, since these movements can help you to move through daily life in proper form, lowering your risk of pain and injury. Think squatting or curtsying to pick things up (as opposed to bowing), and regularly taking the stairs.
Research suggests that yoga and Pilates can also help to manage back pain, thanks to their focus on strengthening and stretching the core and surrounding areas
If you’re concerned about hurting yourself while strength training, the experts recommended getting an evaluation from a physical therapist, who can offer personalised guidance.
TRY LOW-IMPACT CARDIO
If you’re new to exercise or haven’t worked out in a while, the safest forms of aerobic exercise are low-impact workouts such as walking, using an elliptical machine, cycling and swimming, since they put less pressure on your back than other forms of aerobic activity, said Dr Andrew Sama, the co-chief of spine surgery at the Hospital for Special Surgery in New York City.
One study published last year found that walking can be especially beneficial for preventing a recurrence of back pain.
But if you can tolerate it, higher-impact cardio workouts can be helpful, too, depending on your fitness level. One recent, small study found that people with back pain who did a 12-week run-walk programme experienced less intense pain and disability compared with a control group who did not participate in the program.
If you do choose to run or do higher-impact workouts, be sure to wear supportive shoes and opt for even terrain to help avoid injury, Dr Sama said. Afterward, stretching and icing your back can help to keep pain at bay.
Generally, a good litmus for determining whether a workout is safe for you is asking yourself: Does this make my back pain worse, either during or afterward? If the answer is no, Dr Sama said, you can keep moving the way you’ve been moving without fear.
By Danielle Friedman © The New York Times Company
The article originally appeared in The New York Times.
