Monday, September 2, 2013

Lower Back Exercises For a Back Pain Relief? Here's How


In terms of pain in the lower back, you are undoubtedly not on your own. Get this, 80% of Americans endure back problems at some point in their lives. Because of this, lower back exercises are critical if you want to be rid of lumbar pain forever.

While there can be many causes of back pain like slipped disk, spinal stenosis or even inflammation, the root cause of most back pain is loss of robustness in the core muscles that support your lower back. Those core muscles include the back muscles, ab muscles, and gluteal (buttocks) muscles.

However, if more than one of your core muscles is weak, any tension on the lower back will cause one of the muscles to contract, which could put your back out of alignment resulting in pain in the lower back.

Robust, flexible muscles surrounding the lower back and abdomen are required to strengthen your backbone and guard it from future problems. Just strengthen those core group of muscles and it will minimize your back pain noticeably and eventually eliminate it altogether.

BEFORE you commence these back pain exercises, here are a few important tips:

1. It is extremely crucial that you keep the ab muscles taut for the course of the workout.

2. Breathe normally, NEVER hold in your breath at anytime during the session.

3. Be sure to consult with your medical professional BEFORE starting up this or any type of back strengthening exercise program.

4. Wear clothes that are loose enough that you can bend and stretch without any kind of restriction.

Here are 3 simple back pain exercises that you can do in the comfort of your home that concentrate on the muscles of the core.

Backward Leg Swing: Focuses on the gluteal (buttocks) muscles

Stand upright, hold a chair back for support. Contract abs. Sweep leg in reverse until you are feeling your buttocks muscles stiffen. Tense up muscles as much as you are able to and swing leg back a couple more inches. Bring back leg to ground. Do 10 times. Alternate sides and repeat.

Leg Lifts: Lower abdominal exercise

Lay down flat on back. Bend one knee and push foot flat on floor. Stiffen abdominal muscles. Elevate opposite leg about 45 degrees. Maintain position for 3 seconds. Do 10 reps. Change sides and repeat.

The Plank: Strengthening exercise for back. Also strengthens abdominal muscles, neck, arms and legs.

Rest on tummy, place elbows and forearms on floor. In a push-up posture, balance on your toes and elbows. Hold your back straight and legs upright. (Like a plank) flex abdominal muscles. Maintain place for 10 seconds. Then Loosen up. Repeat 5-10 times. If this type of drill is too painful, balance on your knees rather than your toes.

These back exercises are where it starts but they will get you on the journey to being pain free in no time at all.

Sunday, September 1, 2013

Simple Exercises to Relieve Sciatica Pain


Sciatica Pain can range from minor discomfort in the lower back and legs to serious debilitating pain that keeps us from our regular daily activities. Fortunately there are some simple and easy exercises we can do that will go a long way to relieving this pain.

Before we proceed there is one very important thing you must do if you are experiencing any regularly recurring pain. You must first determine the cause of your pain whether it is sciatica or any other pain. It is very important to seek professional medical attention to be sure the pain is not from serious damage that may require medical attention to correct. Your health care professional can help you determine the best way to proceed with whatever you need to do.

When beginning any exercise program the most important thing you can do is to stretch your muscles. Stretching allows your muscles to relax and will make any physical activity less likely to cause injury. Many times simply stretching will provide great relief from painful sciatica symptoms all by itself.

Muscles have what is called "muscle memory" this means if you perform certain motions regularly the muscles will eventually "get used to" these motions. This can be a good thing or a bad thing depending on what we allow our muscles to "remember". If we are regularly sedentary, sitting at our jobs, sitting in the car, sitting at home watching TV or whatever then these are the "memories" our muscles will reinforce. The muscles will become tightened and adjusted to the sitting position.

By using a few simple stretching techniques we can allow our muscles recover from the bad muscle memory and replace it will something that is better. A simple and short addition to our daily routine can have a great impact on how much pain we feel each day. Nothing drastic or extreme just a few minutes each day and you will notice great improvement.

Some simple stretches you can use include:

  • Standing about one foot away from a wall and keeping both feet flat on the ground putting both hands on the wall and leaning in towards the wall.


  • Standing with your feet together and stretching your arms up and going all the way to your tiptoes


  • Standing with your feet shoulder width apart and allowing your arms to hang at your sides loosely and twisting at the waist letting your arms swing so they will go with one arm in front of your body and one arm in back then twisting the opposite way allowing your arms to loosely swing around.


  • Standing with your feet shoulder width and pushing one arm straight up and the other arm straight down then switching arm position alternately.

These are just a few simple things you can do each day and only take a minute or two that can help your body by stretching the muscles.

There is no need to even work up a sweat or push beyond anything that is comfortable. Simple painless stretching is a great way to start feeling better and as you feel better you can increase you activity to include other exercises that will help you even more.

If you find you are interested in learning more stretching techniques you can always find a Yoga class or Martial Arts class near you. These activities are both very dependent on stretching your muscles to be able to perform at their highest. It is always a good idea to seek someone who has experience if you decide to pursue this beyond the simple beginning.

The Lumbar Multifidus Muscle & Chronic Low Back Pain


It is well known that within the general population, 60-80% of individuals will experience an episode of low back pain (LBP) during their lifetime, with many experiencing more than one episode.

Spinal stabilization therapy has become very popular for treating LBP, and appears to be more effective over time than minimal intervention and exercise therapy alone. It has also been observed to reduce pain and disability associated with low back pain, as well as medication use and recurrence rates. Increasing our understanding of the mechanics of the low back - specifically with respect to the ability to stabilize the spinal "Neutral Zone" - was critical to the development of this exercise approach. From a rehabilitation and exercise perspective, our focus has shifted to strengthening and reactivating the stabilizing muscles of the spine, while encouraging proper motor control and "grooving" proper movement patterns. The lumbar mutifidus muscle(s) play a key role in stabilizing the spine. Therefore, neuromuscular training directed at 'neutral zone' stabilization is thought to impact these muscles and the outcome of LBP, disability, recurrence and prevention.

To quickly review, the "Neutral Zone", originally proposed by Panjabi, is defined as the part of the range of intervertebral motion, measured from the neutral position, in which spinal motion can occur with minimal non-muscular, passive resistance from spinal structures.

Lumbar multifidus muscles (LMM) are important stabilizers of this neutral zone, and dysfunction in these muscles is consistently associated with low back pain in existing studies. This dysfunction may be the result of reflexive inhibition from the spine leading to atrophic changes in the LMM musculature and fatty replacement that can be visualized on MRI.

This article discusses the role of LMM in recurrent (chronic) low back pain and reviews several literature-based approaches pertaining to the assessment and treatment of LMM dysfunction. The "Additional References" section below can serve as a resource for those interested in more information on this topic.

Multifidus Function:

Multifidus are important stabilizers of the lumbar region, and account for more than two-thirds of the stiffness in the spine when it is in the neutral position.

LMM is divided into deep in superficial fibers: the deep fibers span 2 segments and are tonically innervated; while superficial fibers span 3-5 levels and function physically. This anatomical architecture makes it suitable mechanically as well as anatomically for optimal stabilization.

Multifidus Atrophy and Low Back Pain:

The pathological process that involves the LMM and can accompany LBP closely includes LMM atrophy and replacement of this muscle with fat (this can also occur after low back surgery). This is typically classified as: none, slight and severe in imaging studies. Such changes have been demonstrated in adults with LBP, and do not appear to be correlated with Body Mass Index.

"Dorsal ramus syndrome" (low back pain with referred leg pain) produced by the irritation of structures supplied by the dorsal ramus (i.e. facet joints and LMM) might very well explain atrophic changes observed in the LMM after injury. In turn, abnormalities of the LMM might explain referred leg pain in the absence of other MRI abnormalities such as obvious disc or neural compromise.

Advanced imaging (MRI) of the lumbar multifidus can measure atrophy and fatty replacement with good inter-observer reliability.

Multifidus Atrophy and Reflexive Inhibition:

LMM is divided into five distinct myotomes, each innervated by a single spinal segment - medial branch of the dorsal ramus - which also innervates the zygapophyseal joints. The shared innervation suggests that nociceptive input from the facet joints could result in reflexive inhibition and subsequent atrophy of the LMM at the same level.

LMM atrophy seen in the human spine as a result of reflexive inhibition is caused by afferent feedback from the zygapophyseal joint. This in turn impedes the voluntary activation of the LMM. The inhibitory response might explain (at least in part) the efficacy of manual approaches such as manipulation and mobilization directed at the facet joints.

In animal models, rapid onset of LMM atrophy can occur within as little as three days after experimentally induced nerve root injury.

LMM atrophy tends to be local in studies comparing multifidus size and symmetry between chronic low back patients and healthy asymptomatic subjects.

LMM atrophy is typically associated with reduction in the ability to voluntary contract the muscles.

There is also evidence to suggest that those with LBP and LMM atrophy demonstrate a significantly decreased ability to perform isometric contractions of the multifidus muscle.

Clinical Application & Conclusions: Multifidus Atrophy - Treatment:

In one study a randomized group of patients were allocated into three programs: i) stabilization training, ii) stabilization training combined with dynamic resistance, and iii) stabilization training with dynamic-static resistance. CT scan was used to monitor LMM development over 10 weeks of training. Conclusions indicated that concentric and eccentric contraction phases were critical to induce LMM re-growth.

Exercise specifically designed to increase the ability to contract LMM improves functions and reduces LBP disability.

In general, the research supports the concept that the LMM are critical stabilizers for the lumbar spine neutral zone, and that atrophy in these muscles is strongly correlated with low back pain & dysfunction. It has been suggested that the atrophy perpetuates an inhibitory feedback loop that begins with pain in the spine and can be associated with additional areas sharing the same segmental innervations (i.e. from the dorsal rami of the spinal nerve), which would include the intervertebral disc and facet joints. The sequela to this is mostly likely reflexive inhibition of the multifidus and fatty replacement of that musculature, subsequent weakening of the area, and insidious dysfunction and pain.

It was noted that LMM atrophy can exist in the general population, including highly active and elite athletes. This may be one reason for the high recurrence of low back pain - particularly after traumatic episodes where LMM atrophic changes occur. This would further suggest that conditioning of the LMM is an integral part of low back function - not only from a rehabilitation perspective but also as a prophylactic or preventive measure for promoting general back health...as always, GET YOUR PATIENTS EXERCISING!

Physical Therapy Treatment for Chronic Low Back Pain


Pain affecting the lower part of the back characterizes the common condition simply called low back pain. Usually, low back pain goes away after a few days or weeks. You have acute low back pain if you have been experiencing pain for less than six weeks. However, if the pain persists for more than twelve weeks then you have a chronic condition.

Low back pain may occur suddenly or gradually. Although the lower back is the main body part affected, the pain may go into other areas of the body such as the buttocks down to the legs and feet. Strain to the muscles, ligaments, tendons and bones are the main causes of low back pain. However, what causes the strain differs from one person to another so it best to consult with your doctor.

For acute low back pain, it is important not to overexert yourself nor stay completely inactive. You may feel like staying in bed will get rid of the pain but in fact doctors do not recommend long periods of bed rest in this case. It is best to continue with your normal activities but at a gradual pace. Some exercises may not be helpful at all at the onset of pain. However, after a couple of weeks you may do some aerobic exercises. Avoid putting pressure on your lower back when you exercise.

If the pain continues for three weeks, it is best to seek professional physical therapy treatment for chronic low back pain. A qualified physical therapist is knowledgeable on the specific needs of a person suffering low back pain and will be able to design and administer individualized physical therapy treatment for chronic low back pain.

Physical therapy treatment for chronic low back pain starts with educating the patient about correct movement and posture. Some physical therapists use methods of therapy that apply heat, electric stimulation and ultrasound to the affected area. Physical therapy treatment for chronic low back pain involves specific exercises to improve flexibility and strengthen back muscles especially those that support the spine.

Physical therapy treatment for chronic low back pain may include one or a combination of any of these exercises: low-impact aerobics, swimming, biking, walking, strength training exercises on the lumbar extension, regular flexibility exercises, contraction exercises that retrains back muscles, and yoga, tai chi, or Pilates exercise programs.

According to some studies, the exercises above are some of the effective ways to treat chronic low back pain. Again, theories and approach as to what is the best treatment varies but exercise and physical therapy done with consistency and professional guidance definitely play an important role.

Low Back Pain When Leaning Backwards


There are many, many diagnoses available for those suffering with low back pain, and they can all present with very similar signs & symptoms. One such symptom is pain when leaning backwards. Two typical examples for this type of pain, which would dictate completely different treatment procedures, would be facet joint pain and a disc bulge.

If facet joint pain is your problem, this would be due to the joints in your back being 'forced against' one another as you lean backwards. The aim of treatment here would be to elicit any muscle imbalance about your lower back and look to stretch and strengthen as appropriate. In addition to this, gently mobilising the joints will also help to take some stress from them, therefore encouraging the healing process. A simple exercise to get you started may be lying on you back and then gently hugging your knees to your chest.

Alternatively, if it is a disc bulge which is causing your pain, this is likely to be a result of the disc being 'pinched' as you lean backwards, therefore causing you pain. The irony of it is, if this is the case, some kind of extension (leaning backwards) exercise will form the basis of your treatment. This is likely to begin with you simply lying on your stomach little and often throughout the day. From here, you may well progress to gentle extension exercises while lying on your front.

The important thing to note here is, what may appear to be similar problems due to them both causing pain when leaning backwards, will actually need completely different treatment techniques to resolve the problem.

If you were to perform the exercises intended for a facet joint problem on a disc bulge, or vice versa for that matter, you will only succeed in making your pain worse.

No treatment or exercise programme should make your pain worse, if it does, something needs to be changed. It maybe you are performing the correct exercises, but are just being a bit to vigorous to begin with. However, it may also be that you are simply performing the incorrect exercises for your problem.

Either way, if things are making your pain worse, you need to change what you are doing, either by easing off or trying a different exercise altogether.

Sharp Lower Back Pain - How to Stop the Agony


If your looking for the causes of sharp lower back pain and how to eliminate this pain from your daily life then you are going to want to read this article. First I'm going to show you how to determine the causes that have brought on this condition. Then you are going to learn how this can become a chronic condition if you don't take action NOW. Finally I'm going to introduce you to the steps you can start taking today to begin the healing process.

The most common lower back back pain causes are sudden exertion while carrying a heavy load, bending or twisting in a thoughtless jerking manner, or a prior medical condition. When you are lifting weights or just doing common household chores involving something heavy you need to make sure to always use proper form and lift slowly with the legs. You don't even have to be carrying anything at all to cause damage, sometimes all it takes is a quick jerking movement to pull your back. Sometimes, however, this pain is a warning sign of a serious medical condition.

Sharp lower back pain can become a chronic condition if you don't catch it early enough. It may start off as something that you barely notice and can easily ignore. But when this warning sign is ignored oftentimes people aggravate this mild condition into something much worse. Ignoring the initial signs and carrying on with the very same activities that caused the pain in the first place is a HUGE mistake, you need to immediately start taking action! This is the key to avoiding more severe lower back pain from developing.

In order to prevent sharp lower back pain you need more than just good back posture, you need flexibility and strength. I'm going to quickly introduce you into a couple of exercises that will help to prevent you from further damage. For every muscle their is a complementary muscle, biceps and triceps for example. In the case of the lower back it is the core, or abdomen. Strengthening your core is incredibly important if you are currently suffering from sharp lower back pain. The two exercises that I have found to be the most helpful are chest raisers and leg extensions.

What Can You RIGHT NOW To Stop The Pain?
This condition is the worst pain I've ever experienced and can negatively affect every aspect of your life. In order to prevent and treat it you first need to understand the causes. If you don't immediately take action using exercises, stretches, and other effective methods it can turn into a chronic condition that will be even more difficult to treat.

Lower Back Pain Exercise


Lower back pain exercise is very essential to relieve the lower back pain. Lower back pain can result from many conditions and causes. Sometime the cause is obvious, when a person has had a fall or has lifted a heavy load. Often the lower back pain comes on gradually and the cause is not easy to find. Regular lower back pain exercise with the advice of a doctor who can diagnose the cause and the severity of the pain is recommended. Those who remain active with regular exercises, walking, running, and swimming etc, are less likely to suffer from lower back pain then those people who are not exercising at all.

Lower back pain is caused due to inadequate exercise of some of the muscles [extensors (back and gluteal muscles), Flexors (abdominal and Iiopsoas muscles), Obliques or Rotators (side muscles)] that support the spine. Some of these muscles get enough exercise due to daily activities but majority of them are not exercised and become weak as the age catches up. You can relax your muscles and relieve yourself of the lower back pain by lower back pain exercise consisting of stretching, strengthening and aerobics which are recommended to be done as per advice of a doctor.

Lower back pain exercise recommended by orthopedic surgeon and physical therapist for 10 to 30 minutes for two three times a day may bring you much wanted relief from pain. Following Lower back pain exercises to relieve the stress and pain are recommended.

Lying on back

Moving ankles up and down slowly, bending and straightening knee at least 10 times

With both the knees bent and hands resting below the ribs tighten abdominal muscles to press the ribs down towards the back at least 10 times without holding your breadth. Relax at the same time.

With one knee bent, lift leg straight above about 6 to 12 inches above the ground and holding this position for 1 to 1.5 second and then lower the leg slowly repeating it for about 10 times,

Pull the leg up, straighten up and stretch one leg at a time by holding on to a towel wrapped behind the foot

Standing

While leaning against a wall with both feet at least 12 inches away from the wall keeping abdominal muscles tight slowly bend both the knees 450 for 5 seconds and returning them slowly in to upright position and repeating it 10 times.

Standing on both the feet and slowly raising heels up and down at least 10 times,

Hamstring exercise also relieves the lower back pain, but the commonest lower back pain exercise is to bend forward with legs kept straight trying to touch the toes and remaining in that position for sometime.

Aerobic

Exercise on a stationary bike and a tread mill for 20 to 30 minutes.

Sitting

Sitting on a chair and placing both the legs straight on to another chair in front try to touch your toes while bending forward.