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Simple Solutions For Chronic Low Back Pain

by Shin Ohtake on Thursday, February 25, 2010 • 21 Comments

About 75 million U.S. adults experience some sort of chronic pain, with low-back pain among the most common complaints. 

Although you can get temporary symptomatic relief from medications like Tylenol, Motrin and Aleve, it’s by no means a permanent solution…and taking too many meds can cause other serious health complications. 

So what’s the best remedy for chronic low back pain?  Well, the solution comes from understanding how the problem first came about. 

Modern conveniences have made us increasingly more sedentary and less active.  This has contributed to our ever expanding waist line, as well as, all of the health problems associated with it.

Although being overweight definitely adds to the problem.  Surprisingly, it’s not the most common cause.
 
You may be surprised to find out what causes most low back pains and the shockingly simple solutions for it.

As your weight goes up, so does the stress on your body and just the shear pressure on your spinal joints is enough to cause irritation and inflammation causing pain and discomfort in your low back. 

The obvious solution is to reduce body weight…right?  Well surprisingly, even after losing weight many people still complain of low back pain.  That being the case…weight can’t be the only issue.

Besides, there are plenty of people that aren’t overweight or obese that still suffer from chronic low back pain.  Even people that are in good shape can have low back pain. 

So what’s the most common cause of low back pain?

Sitting.

Yep…you heard it right.  Just think about it. 

You sit at work, at school, in your car, on the bus, in the theater, at home, on the toilet…wherever you are there’s a strong likelihood that you’re sitting.  And it you’re not sitting you’re walking to get to your next destination so you can sit again.  It’s the most common position people spend their lives in. 

Now let’s think about our basic anatomy.  If you looked at the way we’re built…it’s not to sit, but rather to walk, run, jump and move from one place to the next.  We’re supposed to be moving…not sitting still. 

Our ancestors had to move so they could hunt and gather food to survive.  Motion is key to our survival and lack of motion is detrimental. 

Just look at our sedentary society.  We have become fat, sick and fully dependent on modern conveniences and modern medicine. 

We have become unfit to survive.

I know what you’re thinking…but what about the people that are fit and don’t lead a sedentary lifestyle.  Well, there’a a few reasons why being active and fit may not solve all of the problems.

Spending prolonged time in a seated position causes the following detrimental effects:

  • It causes “creep” - a stretching of the ligaments and cartilages.  These soft tissue structures are supposed to keep your joints tight and in place.  As it gets stretched out, it weakens and deforms joints.
  •  
  • It causes muscle amnesia of your posterior chain.  The muscles that make up your posterior chain are your glutes, hamstrings and low back.  This means that the opposing anterior chain muscles become short and overactive.  This causes muscle imbalance which alters biomechanics and can affect even the simplest movements like walking and running.
  • It causes shortening of the hip flexor muscle (one of the anterior chain muscles).  The hip flexors are anchored onto your lumbar vertebrae (lower back bones), so when they’re shortened it pulls on the lower back causing the spine to extend (or arch).  This puts additional pressure on the vertebral joints and can cause pain and discomfort.
  • The altered biomechanics get carried over to normal movements.  These movements further enhances the imbalance.  For instance when you’re running you further strengthen the anterior chain muscles (hip flexors and quads), which weakens the posterior chain muscles (glutes, hamstrings and lower back) even more - setting up a vicious cycle of muscle imbalance.

So here’s what you need to do.

First and foremost, minimize sitting and increase moving. 

If you’re working at a desk, you may want to take a break every hour and walk around the office or go to the break room for a quick stretch.  Just 5 minutes of movement will do your low back wonders.

If you don’t exercises regularly, you need to start.  Even though weight isn’t the number one reason that causes low back pain, being lighter, leaner and more fit will undoubtedly help.

If you already exercise than you need to fix the muscle imbalance. Here’s a short protocol you can begin with:

     
  • Foam roll (you can use a PVC pipe) your quads and ITB.  Spend as long as you need on each leg.
  •  
  • After foam rolling, stretch out your hip flexors, quads (thighs) and ITB.  Hold each stretch for 30 seconds and repeat 2 - 3 times each side.
  • Strengthen your posterior chain muscles by doing the following exercises:
    • bridges on the floor
    • bridges on a swiss ball
    • one legged bridges on the floor
    • one legged bridges on a swiss ball
    • supine hamstring curl on a swiss ball
    • one legged supine hamstring curl on a swiss ball
    • one legged deadlifts (use light weights)
    • straight legged deadlifts (use light weights)
    • Perform 12 -15 reps for 2 - 3 sets each exercise
    • The most important thing to keep in mind is form and technique.


    You can do the stretches and various bridges on the floor (without using the swiss ball) at your office as well.  If you want, you can even bring and leave a foam roller at work so you can do it whenever you take a break.

    So there you have it.  Avoid sitting for longer then you need to.  Move as often as possible.  Include the stretches and exercises posted above as often as possible.

    If you haven’t gotten on a good fitness regimen, then definitely check out my Max Workouts program.  It’s a 90 day fully comprehensive workout program that’s designed to get the most out of your body’s own chemistry to help you burn fat, lose weight and build a lean body.

    The program is composed workouts with functional full body exercises so you can build a well balanced strong body with a strong core and avoid developing any muscle imbalance.

    If you’re a low back pain sufferer, what have you done to deal with it?

    Do you have any favorite stretches, exercises that you found particularly helpful for you?

    I’d love to find out what you think?  Share you thoughts below.

     

     

    Posted by Shin Ohtake on 02/25 at 01:00 AM

    About The Author

    Shin Ohtake is a widely recognized strength coach and fitness & fat-loss expert. His unconventional, no-nonsense approach to getting fit has made him the go-to source for fitness enthusiasts and trainers alike. Shin is also the author of the world famous, MAX Workouts book, which has transformed and reshaped the bodies of thousands of people across the globe - without requiring hours in the gym. To learn more about how MAX Workouts can help you achieve your fitness goals, visit maxworkouts.com.
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21 Comments

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Posted by carrie stuckey  on  02/25  at  11:11 AM

I am new at this…I havent even tried one workout yet… I keep watching your video to make sure i have my form correct. I know your workouts is going to be hard…But i am going to give it 110%...Everybody at work dont think I can do it…But i will show them…or i hope so

Posted by Darrin Walton  on  02/25  at  11:26 AM

Shin, Great idea using PVC pipe as a roller. You can pick that up at any home improvement store.

Keep the ideas rollin’

-Darrin Walton

Posted by Elisa  on  02/25  at  11:32 AM

I do gym and stretching every day in despite of I have a chronic pain in low back. Now a chiropractor is looking for to improve my back.I have the scoliosis too.

Posted by maureen mary collins  on  02/25  at  12:31 PM

i have lower back pain i have done some of your stetching exercises found them very good,thank you

Posted by lam  on  02/25  at  12:38 PM

top man Shin.as interesting and informative as always.however when it comes to backpain dont forget the worst culprit of them all,mind induced pain.check out the work of Dr.john Sarno for the connections between pain and the mind

Posted by Shin Ohtake  on  02/25  at  01:18 PM

Iam,

Great idea! I am a big fan of Dr. Sarno.  A real pioneer of mind body connection, which is way too often overlooked.  wink

Posted by jodi  on  02/25  at  01:20 PM

i had low back pain for years despite exercising and being in relatively good shape.  kept all of that up, but began to stretch my hip flexors and started working at a standing desk and reduced my sitting time severly, and no longer struggle with low back pain.

Posted by Steve Woods  on  02/25  at  05:39 PM

Hi,
I am 51 years old and have had back pain in varying degrees since I was in my 20’s in the British Army.
My experience has been that if I sit around “resting” after back pain, it takes longer to heal. I’ve found that the best thing to do is keep mobile. Go to work instead of “resting”. Of course, your range of movement will determine how much mobility you can stand.
Also I have found that there is always a correlation between my weight and my back pain…more weight/more pain etc.
I don’t think sitting by itself is a problem, but too much of it can be. I once read an old Indian article which said, “Don’t stand up when you can sit down, and don’t sit down when you can lie down”.
What do you think?
Keep up the good work.
Steve

Posted by Nicola  on  02/26  at  03:13 AM

Shin,

Thank you so much for all those great workouts.
I have been doing some of the exercises you showed us for about two weeks now, and i have experienced a significant improvement in my lower back pain. I no longer have to take pain killers.

Posted by Peter Kirstein  on  02/26  at  04:41 AM

I used to suffer from back pain in various positions on my back - upper, mid & lower back from time to time. I have found that when I’m exercising I have no back problems. As soon as I stop my workout routine for a while (various reasons) I start having back problems! I guess it is directly linked to muscle weakness and muscle strength in the back?!:)

Posted by aida  on  02/26  at  05:56 AM

I learn english so I will just try to sey: THANK YOU FOR EXERCISES FOR LOW BACK PAIN
It helps me so much

Posted by cecile  on  02/26  at  12:20 PM

Thanks Shin—Can’t wait to get going on your back stretching routine, it is something I really need to incorprate into my daily routine. I have been struggling with a sore hip/low back problem for almost 2 years now and I think these exercises are what I need. I am living proof that you can have back pain even if you are very active and are not overweight. The thing we also have to remember is that our past injuries and/or physiology/genetics of our body is also a big factor in lower back pain. I am guilty of not always doing the propper stretching and In my case, when you combine that with previous injury your end result is back pain. Hopefully I can get back on track with the help of your advise Shin.

Posted by Shin Ohtake  on  02/26  at  07:39 PM

Carrie,

I think it’s a great idea to watch the videos and learn the proper way to perform each exercise first.  This way you’ll get much more per exercise and workouts!  Everyone on the program is very supportive.  We’re all rooting for you!  grin

Posted by Shin Ohtake  on  02/26  at  08:00 PM

Steve,

I completely agree with you, mobility is key when it comes to healing and managing your low back pain.  Sitting around for long periods will almost always exacerbate it.


Nicola,

That’s wonderful to hear!  Keep it up! grin


Peter,

Exercise can definitely help you keep your back muscles functionally activate and help alleviate pain and stiffness.


Cecile,

We are all guilty of forgetting and slipping back into our old bad habits.  Hope you get relief soon, when you start including these exercises back into your daily regimen. wink

Posted by hannah  on  02/27  at  01:34 AM

I don’t know if you’ve covered this, but every ab exercise I’ve ever done—even standing ones, even just pulling it in—aggravates my back pain. What can I do?

Posted by dave  on  02/27  at  09:52 PM

what does itp stand for

Posted by Cynthia Griffin  on  03/02  at  09:05 AM

Love your article on Low back pain. It’s simple and understandable.

Posted by Sally  on  03/09  at  12:54 PM

Hi,
I have a question about neck and shoulder problems.  I have had TMJ for years - grind my teeth, wear a night guard, etc.  I also have an injury in the c6-7 where I have some bone spurs that have developed.  My problem is that I can’t keep the muscles relaxed.  They feel not too bad and then one day they just spas and my head is tight, my scalp feels too tight, my eyes pull and I feel like I am in a fog; it is hard to think and work.  I know my curve in my neck is not good, but I am a fitness trainer and am wondering if some exercises may be making it worse.  I find anything over my head, seems to aggravate it.  Any ideas, I really want to make this better.  I love your workouts and how they make me feel, but need help with this issue.
Thanks

Posted by Nic  on  03/09  at  04:03 PM

thanks exercises came just a the right time.
Just came back from 3 weeks holiday with a lower back ache… too much sitting for sure.  Will try these tonight…thanks again!

Posted by Shin Ohtake  on  03/10  at  06:41 PM

Hi Sally,

Sounds like your trapezius, scalenes and levator scapulae are all very tight.  The tightness can be caused by many things such as bad posture, repetitive stress injuries, stress…and so on.  One thing you may want to look into is getting some kind of soft tissue treatment on that area and combine that with strengthening your lower traps to help you even out the tight upper traps.  Also, at this time you may need to avoid overhead activities until this situation calms down.  smile

Posted by Craig  on  03/26  at  06:01 AM

Every time I start going to the gym I get pain in my lower back and hip on the left side.  From experience this keeps getting worse.  Should I keep on excercising.  My gym includes :-

10 minutes walking on the treadmill with inclune.
20 minutes bike.
A range of weights abs, back etc.

Cheers

Craig

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