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TREATMENT FOR SELF-HELP IN BACK PAIN: EXERCISE
Yes, exercise can help end back pain. Most of our patients are surprised when exercises are suggested for back pain. We get this reaction because the traditional guidelines have often included prolonged rest and inactivity. But once the exercise program is begun, a majority of people experience improvement in pain and stiffness and a quicker return to activity and work.
Exercise is one of the most important parts of the treatment of acute and chronic back pain. Every day, we see patients who improve with a regular exercise program. Exercises should be done properly-carefully and slowly at first, then gradually growing in number and speed. This will increase the flexibility and strength of the back muscles. The support for the back is improved in turn.
One way to think about acute back pain is to compare the situation to that of an injured athlete. For an athlete to be prepared to return to the same activity as before, the area of an injured muscle or a strain must be stronger and more flexible than before. The only way to improve muscle strength is with exercise.
Studies support our statement that an exercise program usually improves acute back pain more quickly. In our clinic, the results of exercises begun early in cases of acute back pain are impressive. As part of the overall treatment program, proper exercise will allow an earlier return to work. Less cost and much less disability result.
It is important to start exercising very slowly with acute back pain. At first, when the pain is severe, the use of heat may make it easier to begin exercises. Using heat in combination with exercises helps reduce the pain and stiffness in the back. The use of moist heat for a few minutes just before or during exercise may make the exercises less painful and more effective.
It is best to strengthen all the muscles that support the back, including the back muscles and the muscles in the legs, ankles, and feet. The muscles of the upper body are also important for their support to the back. The stronger the muscles of the upper body, the easier walking, lifting, and other activities will become.
It may take you a few weeks to learn the exercises effectively and to be able to perform the correct number of repetitions twice daily. This perseverance requires your commitment to follow through with the program. The longer you do the exercises, the more benefit you will get; however, the benefits may not be obvious to you at first. Try to allow a few weeks of exercise before you expect to feel a difference in strength and flexibility.
You may need to begin with only one performance of the first exercise. Even then, there may be some discomfort in the back as you begin. (If you have severe pain while exercising, then stop immediately and call your physician for an evaluation.) After you have succeeded at one performance, at the next session try one or two repetitions. When you have mastered this number, try three or four repetitions and continue gradually increasing the number of exercises and repetitions. The goal is to eventually be able to do up to 20 of each exercise twice daily. For most patients, this is the level of exercise that seems to work well to maintain the highest level of strength and flexibility.
On some days, the exercises will be more painful than on others. Try to begin a regular program of exercise twice daily – on every day, good or bad. If you still have severe pain and can’t do the exercises, then you should talk to your doctor.
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