Showing posts with label back extension. Show all posts
Showing posts with label back extension. Show all posts

Wednesday, September 24, 2014

Does The Weather Really Increase Joint Pain?

Clouds approaching Sand Key Lighthouse - Key West, Florida
Photo: Dale McDonald, State Archives of Florida

Almost all my older patients report they feel more pain when the weather is cold and/or rainy. But is it really true? Here is an example of someone who told me: "I woke up with a lot of leg and back pain, and I think it is just because of the weather." So my goal was to show that her pain could be improved, regardless of the present weather conditions.

On a scale of 0-10, pain was 7/10 at the start of our session. Her first exercise was the same one she had been doing for homework: lie face down on the mat and press up onto her hands. Doing this for a few sets decreased her pain from 7/10 to 5/10 and made her leg feel better. With a few more exercises in the same direction of movement (backwards or back extension), her pain further decreased to 1/10 and was located in the center of her low back and not her leg. Objectively, her baseline movements improved and became less stiff and less painful.

So, how much of her pain was weather-related? Some of it may have been caused or aggravated by the climate change, but most of it was movement-related. So within one hour of treatment with the proper movements, her pain decreased from 7/10 to 1/10, and the weather was still cold and wet when she left.

Thursday, September 12, 2013

Reading Position That Decreases Back Pain

Photo: Rachel Sian
Do you read every night before going to bed? Next time you do, lie on your tummy and prop up onto your forearms as you read. This is an ideal position because it arches your back, which is a very healthy movement that most of us rarely do. Our backs do a ton of forward bending each day, as we sit, slump, bend, stoop, and recline. But how often do we stretch our spines backwards? This is one reason why so many elderly folks, or even younger individuals, are hunched forward and cannot stand tall or even sit up straight.

If you do not achieve any backward movement of your spine in daily life, you will progressively lose the ability to fully bend backwards as a normal spine should. So lying face-down and propping on your forearms is one easy way to start moving your spine in the right direction. At first it may be a little uncomfortable, but soon you will grow to like it. Start with 3-5 minutes, and if it feels fine, increase your time up to 10-15 minutes or even more.

Not only is this healthy for your back, but it has good potential to decrease your low back pain! 70% of patients with low back pain need backward movements to get better!

Lastly, this position is the perfect adjunct to reading your Bible every night. That way you are promoting both your physical and spiritual health.

Monday, April 29, 2013

Low Back Pain: Treat With One Exercise

Photo: Chakra-Jnana Yoga/Facebook
Backbends. Stand up, put your hands on your hips or low back, and bend backwards (obviously not beyond a comfortable stretch), likely around 30 degrees. Hold 1 second, then return to upright. Repeat 5-10 times. This is the single best exercise for the majority of patients with low back pain, and the following explains why.

1. Convenience. You can do this exercise anywhere to treat or prevent low back pain. It does not require equipment or even lying down. While there are various forms of back extension (lying on your tummy and pressing up onto forearms or hands, lying on your back and lifting your hips into a bridging position, various yoga poses, etc), this exercise is the easiest one to perform no matter where you are.

2. Back Extension Exercise helps 70% of patients with Low Back Pain. Moving your lower spine into a backward-bent position (arched) is one of the most effective ways to undo the force of continual forward bending and slumping that we all perform excessively every day.

3. Back Extension treats Low Back Injury which occurred in a flexed (forward bent) position. If you have Low Back Pain which began with a specific injury or traumatic event, think about the position of your back at that time. Were you lifting something? Bending forward to pick up an object? If forward movement caused your injury, back extension may be the direction of exercise to treat it. Even if you were injured in another way, this still is the direction of force that the majority of patients with low back pain need in order to minimize symptoms.


Caution: This exercise is not safe or appropriate for all individuals, so consult your physician first, especially if you have low back problems, painful medical conditions, balance problems, or anything else that may inhibit your safety. If performed in a gentle way, it is likely safe for most individuals without low back pain. No one should perform this forcefully or into an excessively far backwards position.

If you have low back issues and have not seen a Physical Therapist, ask your doctor for a referral/prescription, and find a spine PT near you!


ReferenceMcKenzie, Robin. Mechanical Diagnosis & Therapy: Lumbar Spine. 2009: The McKenzie Institute International, Part A.

Further reading: McKenzie, Robin. Treat Your Own Back, 9th ed. 2011: OPTP.