Walking to combat back pain
A study by Macquarie University's Spinal Pain Research Group reveals regular walking reduces low back pain recurrence. Combining walking with education sessions proves effective and cost-efficient in preventing back pain long-term.
Read original articleA world-first study conducted by Macquarie University's Spinal Pain Research Group has shown that adults with a history of low back pain who walked regularly experienced nearly twice as long without a recurrence of pain. The study, led by Professor Mark Hancock and Dr. Natasha Pocovi, aimed to shift the focus from treating back pain to preventing it. The research found that a combination of walking and education sessions significantly reduced the recurrence of low back pain, with participants in the intervention group experiencing longer pain-free periods compared to the control group. Walking was highlighted as a low-cost, widely accessible, and effective exercise for preventing back pain, offering various health benefits beyond pain management. The study also demonstrated the cost-effectiveness of the intervention, reducing the need for healthcare support and work absenteeism. Participants were encouraged to gradually increase their walking duration over a six-month period, tailored to individual factors. The findings were published in The Lancet, suggesting a promising approach to managing and preventing low back pain on a larger scale.
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Now, I know people have all kinds of opinions on this stuff, but what helped me is not super well known, probably because it doesn't make anyone any money, really.
What got me over it finally was reading and buying into Dr. John Sarno's books. Sarno was this mild mannered doctor in New York who stuck to a philosophy for many years and wrote a series of books. The basic idea of his work is that when our brain wants to distract us from something emotionally painful, it has a number of tricks, including the generation of real physical pain. Not imagined pain... but real pain. I don't want to oversimplify how you get over the pain, but it's a mental/emotional approach.
There was a quote in one of his books that I found really compelling. It said that a study did MRIs of a collection of adults and found that there was little correlation between back pain and condition of the actual spine. Many people had bulges in their discs and felt no pain. Some had nothing wrong physically, but were in terrible pain.
My takeaway from the above walking study is that walking is psychologically beneficial. It's distracting. It's physically active. It's routine. It's many things that help our minds as well as our bodies.
Ultimately to get better, you need to really figure out if you're physically hurt or not. A bulging disc may not qualify as truly hurt. If you work with a doctor to rule out a physical injury (which do tend to heal on their own given enough time), then you might consider a mindbody approach.
This video from years ago is pretty good, and the comments are quite something: https://www.youtube.com/watch?v=7qwFjKYlbf4
But also: hamstring stretches. YMMV, but whenever I feel the “twinge” that used to precipitate sciatica and a too-long stint of sleeping on the floor, I do some hamstring stretches and it dissipates. I haven’t had “back pain down to the knee” since I figured this “one simple trick!” out…
And back stretches. It really helped me to think about spinal stenosis and to realize and envision that massive cabling of nerves at the base of the spine, and then to remember to stretch several times a day to give that “wiring” some more room (especially after compressing and scrunching them for twelve hours straight hunched over a laptop on the couch!).
1. Not sitting on the couch while working on my laptop (...as I write this on my laptop from the couch)
2. Regular yoga—especially when I begin experiencing symptoms. If you're intimidated by the idea of going to an in-person yoga class, look up Yoga with Adriene on YouTube.
3. Lifting weights - Building strength has been incredibly effective at preventing relapses for me.
4. Walking or running - Any kind of movement is great. Go buy new shoes, though. Yours are probably worn out. You should be buying new shoes every 500 - 1,000 miles.
Yes, walking is protective and beneficial, but if your posture is bad enough, your body is going to engage in the same compensations and it can worsen your pain and hurt you. See a physiotherapist, or at the absolute least watch some postural restoration content on YouTube - most often, people have weak deep abdominal muscles, glutes, and hip internal rotation.
Those wheels with handles on the axel where you kneel down and roll out in front of you.
They always advertised then as “ab” workouts but the effect is more strongly felt for me in my lower back.
Making even a light habitual practice of it had huge effects.
My lower back feels stronger than ever and if I do something that triggers pain I can “roll it out”.
I now use the roller as a source of relief.
Fixed my back pain as well as my short-sightedness and hay-fever. I swear by it.
On the other hand, one can not mention this enough!
To me, aches in my back are the indicator to stop spending all my time behind a desk, and do some (light) exercise.
About an hour of swift walking or cycling is all it takes to resolve the pain. If I manage to do this on a regular basis - i.e. daily or every other day - I never experience back issues, but it also improves my general well-being.
Mens sana in corpore sano!
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