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Did you know that back pain
costs the economy millions of
pounds a years? Low back
problems account for more lost
work hours than any other
occupational injury.
The spine or vertebral column is
make up of 33 individual bones
and looks like an S-curve. This
curve makes it 16 times stronger
than if it were straight. The
spine has a high degree of
flexibility forward and to the
sides, with a limited amount
backward. The neck and lower
back can rotate. Dense ligaments
and strong muscles groups
surround it and strengthen it,
however the abdominal muscles
may account for up to 40 percent
of torso support.
Of the millions of people who
have low back pain, 80 percent
probably have improper posture,
weak muscles, and inadequate
flexibility. Researchers call
low back pain a hypokinetic
disease: one that results from a
lack of movement. Sedentary
individuals are very susceptible
to back problems.
Obesity, which a sedentary
lifestyle produces, causes more
weight to be carried in the
abdominal muscles, resulting in
greater pressure on the back.
The lordosis, or swayback, is an
observer’s clue to identifying
someone who probably has back
pain.
Maintaining proper segmental
alignment of the body in all
activity is of utmost importance
for preventing and treating back
pain. In other words, GOOD
POSTURE is the key. Optimal
posture puts the least amount of
strain on the ligaments and
joints in the spine, pelvis, and
legs. Proper body posture while
walking, sitting and lifting are
essential in preventing and
controlling low back pain.
Here’s how to find a good
posture balance for yourself:
Stand with your pelvis titled in
a neutral position. This means
you pull in your abdominal
muscles and slightly tighten
your buttocks. This distributes
your weight evenly and protects
your lower back. Shoulders
should be relaxed, down and back
slightly. Keep your knees
slightly flexed, not locked.
Here’s a quick way to correct
your posture if you notice you
are slumping: Place your elbows
against the side of your waist
with the arms bent 90 degrees
and your hands in front of you.
Keeping your elbows in place,
rotate your hand and forearms to
the sides. Your shoulder blades
will move toward each other and
lift your chest, correcting your
posture. Then lower your
forearms and maintain the
improved posture! Walk with your
head, trunk and thighs aligned,
shoulders held back yet relaxed,
chest high, and your stomach
tucked in.
To help you maintain good
posture when sitting, your chair
should support your back with
your knees lower than the hips.
When lifting heavy objects,
focus the lifting action in the
hips, pulling with the upper
hamstrings in combination with
the buttocks. Contract the
spinal muscles to maintain a
straight back and tighten your
abdominal muscles. Lift with an
upward movement. Try to keep the
object you are lifting close to
you body. Don’t lift any object
when your trunk is twisted.
Many people don’t have the body
mechanics or strength to assume
desirable posture, however, help
is available. It’s exercise.
Exercises for abdominal muscles,
back strengthening and
stretching, and pelvic training
done gradually can correct
posture and relieve back pain.
Here are a few exercises that
may be used in a program to
prevent or alleviate low back
problems. Beginning exercisers
should consult a doctor before
starting any exercise program.
Pelvic Tilt: Lie with your knees
bent, feet flat on the floor.
Tighten your buttocks, pull in
your stomach and flatten your
lower back against the floor.
Hold 5-20 seconds, relax, and
repeat several times.
Curl-ups: Lie on your back,
knees bent, feet flat on the
floor. Keep your back against
the floor and your abdominal
muscles tightened. Lift only
your shoulders and head, with
your hands either across your
chest or lightly behind your
head. Move slowly. Do 10-25
curl-ups per set, working up to
3 sets. Avoid full sit-ups or
double leg lifts which can cause
more back pain.
Low Back Stretch: Lie on you
back and draw you knees toward
your chest. Clasp them with your
hands keeping your shoulders
flat on the floor. Pull the
knees closer to your chest and
hold several seconds.
Low Back and Hamstring Stretch:
Lie on your back, knees bent.
Bring one thigh toward your
chest, knee bent and hold the
stretch for 15 seconds. Then
straighten that leg toward the
ceiling to stretch down the back
of the leg. Support the leg with
your hands and hold for 15-30
seconds. Bend the knee, lower
the foot to the floor keeping
the knee bent, and repeat with
the other leg.
A posture program can have a
positive effect on the health of
you back and if you are
sedentary it may give you the
incentive to add even more
fitness activities to your life.
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