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Exercise and back pain 

                                                January 2005

 

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Exercise and back pain

The Whartons' Back Book: End Back Pain - With This Simple, Revolutionary Programme  The Arthritis Research Campaign (arc) is calling for a change in attitude to back pain. Get back to fitness through exercise, says the arthritis charity.

People with back pain should resist the urge to rest and take it easy, and instead exercise their way back to fitness.

The problem affects 2.5 million people in the UK and costs the country almost £10 billion in lost production, so there’s the economic spin-off to take into account. But for many people, it’s not a question of shirking, but a real fear about working through the pain and maybe causing damage. 

Current medical advice is backed up by research supported by doctors and physiotherapists. But it might not be enough to convince people with back pain that they should stay as mobile and active as possible. And there is still a belief among sufferers and even among some health professionals that exercise will make their back pain worse.



Dispelling the myth

"Although a bad back is painful, it usually doesn’t mean that it’s anything serious," says research physiotherapist at King's College London, Duncan Critchley. "There is a often a mismatch between how painful it is and how serious the condition is in most cases.

"And because your back hurts doesn’t mean that movement and exercise is doing further damage. In fact the opposite is true; the less exercise you do, the muscles in the back become weak and worse it will get, and so it spirals into a vicious circle." Keeping mobile will help to prevent an attack of back pain becoming chronic (long-term).


The vicious circle

If the condition does become chronic, people with back pain can often lose confidence, cut down on their usual activities, and become depressed and anxious. It's known that people who are depressed have a lower pain threshold, and are in particular need of support.


Which exercises work best?

Although research has shown that exercise and manipulation can be very helpful for people with back pain, it is not yet known which specific exercises work the best. arc is currently spending more than £2million on research into back pain, including several clinical trials around the UK aiming to establish the most effective types of exercise or manipulation, although probably different types of exercises will be shown to be effective for different people.
A free booklet on back pain, which includes advice on self-help and exercises is available free of charge from arc on 0870 8505000 or at info@arc.org.uk .


Top tips from arc for easing back pain:

  • Exercise! Join a keep fit class, start swimming, get an exercise bike, but make sure it’s something you enjoy and then stick to it regularly. It's worth making time for.

  • If your back pain persists, make sure you are referred to a physiotherapist, who will be able to recommend a programme of exercises to strengthen your back by building up muscle strength and regain flexibility.

  • Don't rest for too long after the start of the pain – no more than two to three days. Then gradually increase your normal activities, avoiding painful movements at first.

  • Don’t sit for too long in one position, especially bent over a computer screen or slumped in a chair.

  • Stay in work where possible. Go back as soon as you are able, part time at first. Seek an ergonomic assessment of your workstation.

  • Find out as much as you can about back pain. Education is the key to understanding why it happens and how to prevent it getting worse.

  • Try manipulation (performed by physiotherapists, osteopaths and chiropractors). It may offer short-term relief.

  • Take painkillers as and when you need to.

  • Try and maintain a positive attitude. Depression and anxiety are closely linked to back pain.
     


   

laterlife interest

The above article is part of the features section of laterlife.com called laterlife interest. laterlife interest contains a variety of articles of interest for visitors to laterlife.com written by a number of experienced and new journalists.

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