Stretches to Relieve Back Pain (Part Three)

Part three of a four-part series on getting rid of back pain for good

When dealing with back pain, it is easy to focus on the symptom without addressing a foundational cause. The truth is, one of the most influential factors in all injury but most especially in back pain is core strength. The core supports and stabilizes the spine, which becomes even more crucial as we age. If the larger muscle groups that are meant to be doing the hard work aren’t firing the way they should be, the job ends up getting dumped on connective tissue which is already weakening with age. We want our spine to be supported with strong, healthy core muscles for optimum function and minimal pain. These simple exercises will go a long way in improving stability, range of motion, and reducing lower back pain.

 

Curl Up

This exercise works the upper abdominals and the rectus-abdominis which are the superficial core muscles that get the most attention in core work. You’ve likely worked these before, but this time try to move mindfully rather than relying on momentum to do the work for you. Start by lying on your back with your feet flat on the floor. Engage your core muscles as you slowly lift your head and shoulders off the floor a few inches. The goal is not height here, but focusing on slow movement with effort in the core. If you feel gripping in your neck or shoulders, you have come up too high. Stay for a breath, and then roll down slowly and mindfully, keeping the core engaged until your head touches the ground. Repeat 5 times.

 

Extended Table Top

With this exercise, we are focusing on stabilization and keeping the core engaged through movement. This exercise begins on all fours in a position called table top. You may like to put a towel under your knees for extra support. You’ll begin with a deep engagement in your core, and slowly extend your right leg out behind you and slightly off the ground. When that feels stable, add the challenge of extending your left arm forward at the same time. Stay for 2 rounds of breath before returning to table top. Then you’ll move on to the other side, doing 3 reps on each side.

If this gets to be a lot on your wrists, take a break and stretch your wrists between each side. If you have yoga blocks, you can also use the block to bring the ground higher and rest your supporting forearm on the block for support rather than relying on your hands and wrists.

 

Leg Lifts

Leg lifts are a great way to engage your lower core, an area of the core that often gets less attention. Start lying on your back with your left leg bent and foot flat on the floor with your right leg extended out on the ground. Focus on keeping your lower back flat on the ground while you lift your right leg a few inches off the ground. Hold for a round of breath before slowly lowering your leg to the ground, being sure not to release your core or let your lower back lift from the ground until your leg touches the floor. Repeat five times before going on to the other side.

Once you’ve been practicing this exercise for awhile and have gotten some lower abdominal strength going, you can add to the challenge by turning this exercise into a leg lowering exercise. Starting on your back, with both legs up at ninety degrees and a slight bend in the knees. Slowly lower your right leg while keeping your lower back pressed down to the floor. At first, this may just be a lowering forty five degrees while you are focusing on keeping your hip flexors relaxed, core engaged and lower back on the floor. Slowly lift your leg back to meet the left leg before you switch sides. You can work your way up to lowering your leg a couple inches off the ground as long as your lower back doesn’t lift as you lower.

 

Seated Side Bends

Seated side bends focus on the obliques, which can be essential in helping with the stabilization of the spine. Start seated with your feet flat on the floor and your back straight. Find your core muscles engaged before you begin movement. Place your left hand behind your head while you lean to the right side, reaching your right arm down toward the floor. It doesn’t matter how far you go, you just want to be sure to focus on the left side body as you slowly contract your body back up to a seating position. Switch your arms and try on the other side. Repeat 3-5 times each side. Be sure to move with intention rather than allowing momentum to drive this exercise for maximum benefit.

 

While any of these exercises are great on their own, they each target a different part of the core and so work best when integrated together into a well-rounded workout routine. It is important to view core strength as the foundation of safe movement and it should be a non-negotiable in any workout regimen. The goal of this hard work is for your core strength to integrate into daily functional movement, which will be an essential part of preventing and reversing back pain and other injury.

Stretches to Relieve Back Pain (Part One)

Part one of a four-part series on getting rid of back pain for good

Back pain is extremely common amongst people from all walks of life. There are many contributing factors to this epidemic, everything from sitting too long to arthritis and cancer. That being said, the American Chiropractic Association voices that most cases of back pain are mechanical rather than caused by extreme illness or injury. This is great news for the average person with back pain, as this means there is something you can do to relieve your symptoms. While you should always check with a health practitioner before starting a new exercise regimen, this four-part series will give you tools to shift your back pain from the comfort of your own home.

 

Pelvic Tilt

You can do this while sitting or standing, but make sure you are practicing this one often as we will build upon it later in the series. Find a comfortable position seated either cross-legged on the floor, or with your feet flat on the floor sitting on a bed or chair. Keep your spine erect and your back unsupported if you are able. If you are standing, make sure the weight is even between your feet.

Slowly tilt your pelvis back, like you are trying to point your tailbone to the back of the room. Then reverse by bringing your tailbone toward the front of the room. Move within a range of motion that feels safe for you, and feel free to support yourself with your hands on your thighs while seated to move your hips freely. Take care not to tuck too far when bringing your tailbone forward, as shortening the hip flexors too much can have the reverse effect. Deepen the stretch by allowing the head to tilt slightly back as your curve your tailbone back, then release your head forward when you curve your tailbone forward.

Having trouble sitting? Try this lying in bed, with your knees bent up and your feet flat on your bed. You can practice your pelvic tilts in this position. You’ll even get the added benefit of a stretch through your lower back just by bringing your knees up to a bent position!

 

Gentle Twist

Find yourself in the same seated position, or if you are standing move to a chair or to the floor. Leaving your legs where they are, gently turn your body to the right side of the room. You can hold onto your right knee with your left hand and reach your right hand back as far as you can. Challenge yourself by trying to look all the way to the back wall of the room over your right shoulder. Stay for three rounds of breathing, using the exhale to relax deeper into the position. If you feel a straining feeling in your neck or back, ease out of the position a little. This should be a pleasant stretch and should be felt mostly on the left side of your body and across your lower back. When you’ve finished your three rounds of breathing, do the same thing on the other side.

Still joining us from your bed? With your knees in that same bent position, drop the knees gently to the right. If it is causing you strain to hold them there, prop a pillow under your knees to allow for a gentle stretch of your lower back. After three rounds of breathing, gently drop your knees to the other side. If you are feeling at all unstable in your sacroiliac joint, use your hands to bring your knees back to the center before you twist, focus on engaging your core as you move, and be sure to support your knees with the pillow while in the twist.

 

Hip Flexor Stretch

This stretch is essential for releasing lower back pain, but it can also be very challenging to actually accomplish, especially if you have limited mobility. If you are able to stand and balance easily, shift your weight on to your left leg and support yourself with your hands on a wall or the back of your chair. Gently extend your right leg behind you as far as feels safe or until you feel a stretch in your hip flexor. Repeat on the other side. Challenge yourself by bending your back leg and bringing your heel toward your buttocks. You can grab that back foot with your hand to deepen the stretch.

You can also do this stretch laying in bed. Lay on your left side and bend your left leg to help stabilize you. Gently extend your right leg behind you to stretch your hip flexor. If you can safely try bending your right knee and bringing your heel toward your buttock, you can get a deeper stretch. Take care to transition safely between sides as you switch to your right side to stretch your left hip flexor.

 

*Bonus: Tennis Ball Release

This feels amazing but can also be quite strong if your back is tender. Standing up with your back against the wall, place a tennis ball between the wall and your back on a knot or a sore spot you’d like to release. Lean back against the wall to apply pressure, and breathe deeply into the place you are releasing. This feels fantastic for the upper back between the shoulder blades as well as the lower back. If you’d like to try this sitting down, depending on the type of chair you have you can apply a similar principle using the back of the chair as your “wall” or sitting on the ground up against the wall.

This can also feel great laying down, although you do end up with much more body weight adding pressure to the ball so it is actually stronger laying down than standing up. If laying on the floor, place the ball underneath your lower back, the spot right above your buttock on either the right or left side feels fantastic for a release. If you are on a bed, place a book under the ball so the ball doesn’t sink into the mattress.

Here are some precautions with this one, as this can be a very deep release. Be sure that you are focusing on one side of the body at a time rather than placing the ball directly on the spine. Also, if you know you suffer from sacroiliac instability, place a pillow under the opposite hip as you release each side to support the sacroiliac joint.

The most important note: be sure to breathe. We can release so much tension with a good exhale.

Use these stretches any time you are feeling stiff, but also try to incorporate them into your daily routine. We will expand upon these exercises in the next installments of the series, so do your homework and enjoy the lower back release.

Preventing Senior Falls in Winter

Steps to promote safety during a potentially hazardous season

While winter can be full of cheer and charm, this season also comes with its challenges and potential dangers. Snow, ice, and cold temperatures make it harder for everyone to get around reliably and safely. This is especially concerning for seniors as falls can cause hip and wrist injuries or even head trauma. The CDC states that every two days, an older adult has a fall. Fortunately, with the proper care and attention, you can help set yourself up for safety during the winter season.

 

Prepare Your Home

Taking the time to prepare your surroundings can make a world of difference.

• Check your outdoor steps and walkways for snow and obstructions. Take your time if you notice wet pavement which could be icy.

• Hire someone to shovel and salt your driveway.

• Have slip mats inside the door of your home to help keep you from slipping when entering your house.

• Make sure you have steady handrails to help support you, especially around hazardous areas like steps

 

Prepare Yourself

Little risks can snowball quickly during these cold months. Make sure you are taking all the right precautions.

• Ask your doctor to check for orthostatic hypotension. Light-headedness can easily lead to a dangerous fall in these elements, so move positions slowly from sitting or reclining to standing.

• Wear shoes with non-skid soles and pop a cane tip with good traction on the end of your cane to keep walking easy and safe. You could try an ice pick-like attachment on your cane for even more support.

• Check the weather before making plans to leave the house.

• Take all of your vitamins and supplements. Staying as healthy as possible is vital for your reflexes and also to bounce back should an injury occur.

• Watch your alcohol intake, both to keep your body healthy and to keep your senses sharp when walking around.

• Stay fit! If your morning walk isn’t appealing in this weather, find an indoor activity to keep your body in good working condition. This helps prevent falls and helps a speedy recovery should they occur.

• If you have vision problems or degenerative disease, take extra care and perhaps have someone else around for additional aid.

 

Have A Plan

If something should go wrong, a plan can keep a bad situation from turning worse.

• Make sure you know who you will call and how you will get to a phone should an emergency occur.

• Set up an alert system in your home for emergencies.

• Have someone check in on you at certain times when the weather is potentially hazardous.

• Create an emergency kit to prepare for power outages and keep it easily accessible. Fumbling in the dark looking for emergency items can be dangerous, and a little preparation can keep you inside and safe during a bad storm. In addition to the usual storm supplies (water, food, batteries, first aid kit), don’t forget to have a seven-day supply of your medications.

• Use your support system! Your friends and family want you safe and happy so reach out for help keeping safe this winter.