Dr. Phil Shares: 14 Exercises for Lower Back Pain

14 Exercises for Lower Back Pain

As with bedbugs and the national deficit, the source of lower back pain can be hard to trace. Sometimes it’s a sudden, jarring injury. Other times it’s due to long-term over- or underuse. Often the simple act of sitting (which most office workers do for an estimated 10 hours a day) is to blame for lower back pain, particularly if it emanates from around L1-L5, the vertebrae between your rib cage and your pelvis.

Unfortunately, strength and flexibility only do so much to prevent it.

“There are people who can twist themselves into a pretzel who have back pain because they lack endurance,” says neurophysiologist Chad Waterbury, author of Huge In a Hurry. “And there are people who are very strong who get back pain because they lack mobility, especially in the hamstrings, core, glutes, and hip muscles.”

The key to preventing lower back pain, says Waterbury, is building a combination of moves that improve your mobility and endurance so you can get some relief from the lower back pain you have—and avoid more of it in the future. That’s exactly what the moves below—broken into three escalating levels of intensity—are designed to do.

A few quick caveats: If your pain is intense (read: getting out of bed feels like you’re going one circle deeper into Dante’s Inferno), get cleared by a doctor before doing any type of exercise—these moves included.

If given the OK, avoid anything that causes or exacerbates pain in your lower back. This includes twisting or bending forcefully and sitting for hours on end. If you can, get up from your chair every 20 minutes, or better still, get a desk with a stand-up option.

If you feel pain doing the exercises below, shorten the range of motion or perform the moves more slowly. Still hurting? Follow the “if it hurts” modifications alongside each move. And if none of these changes help, save that move for another day. Remember you’re trying to alleviate your lower back pain… not make it worse!

14 Exercises to Help Relieve Lower Back Pain

LEVEL I: When your pain is acute, use these easy moves to gently mobilize — increase the pain-free range of motion — in your back.

Child’s Pose

Gently relieves tension in the lower back.

Source: 21 Day Fix, Yoga Fix

To Do This Exercise:
1. On a mat or blanket, kneel down, and, if possible, sit on your heels.
2. Lean forward, extending your arms in front of you, and rest your head on the floor in front of you.
3. Hold the position for 30 seconds to two minutes.

If It Hurts:
Cross your arms on the floor and rest on your forearms.

 

Cat/Cow

Easy stretch for forward and backward movement along the entire spine.

Source: 21 Day Fix, Pilates Fix

To Do This Exercise:
1. Assume an all-fours position, hands under shoulders, knees under hips, back in a natural arch, head in alignment with your spine.
2. On an exhale, slowly round your back towards the ceiling, lowering your head fully towards the floor.
3. Reverse the movement.
4. Keeping your arms straight, inhale as you arch your back, bringing your chest and belly towards the floor, your shoulder blades together, and your head up.

If It Hurts:
Reduce the range of motion and move more slowly.

 

Front-to-Back-Shoulder Squeeze

Increases range of motion in shoulder blades, helps reduce slouching.

Source: Ho’Ala ke Kino

To Do This Exercise:
1. Assume an athletic posture with your feet in a shoulder-width-and-a-half stance.
2. Keeping your back straight throughout the movement, cross your left hand over your right, press your palms together, straighten your arms, and point your fingertips towards the floor.
3. Press your palms together and round your upper back as if trying to touch the fronts of your shoulders together in front of you.
4. Hold for ten seconds.
5. Unclasp your hands, then interlace your fingers behind your back, straighten your arms and lift your chest high.
6. Hold for 10 seconds.
7. Alternate these two positions a total of 3-4 times.

If It Hurts:
Don’t stretch as deeply.

 

Clam

Supports healthy hip movement, which takes pressure off the lower back during everyday activities.

Source: Total Body Solution, Lower Back

To Do This Exercise:
1. Lie on your left side with your knees bent 90 degrees in front of you and your feet stacked.
2. Keeping your feet together and your hips vertical, lift your right knee as far away from your left as possible.
3. Hold for a moment, return to the starting position, and repeat for 15 reps.
4. Turn onto your right side and perform 15 reps.

If It Hurts:
Make sure your lower back doesn’t twist throughout the movement and limit the move to a pain-free range of motion.

 

Kneeling Hip Flexor Stretch

Restores proper positioning of the hips, taking tension off the lower back.

Source: The Master’s Hammer and Chisel, Hammer Conditioning

To Do This Exercise:
1. Kneel on a mat or pad and step your right foot flat on the floor in front of you.
2. Keeping your torso upright and your back in its natural arch, lunge forward towards your right foot.
3. Press the top of your left foot into the floor behind you.
4. Hold the stretched position for 30–45 seconds, then switch sides and repeat.

If It Hurts:
Contract your abs and flatten the lower back as much as possible throughout the stretch. Also try shifting your hips back and coming out of the stretch a bit.

Downward Facing Dog with Alternating Heel March

Extends and loosens hamstrings, calves, and upper back.

Source: Ho’Ala ke Kino

To Do This Exercise:
1. Assume a push-up position: facedown, hands and balls of your feet on the floor, body straight from your heels to the top of your head.
2. Keeping your arms and legs straight and your lower back in its natural arch, fold at the hips and press your hips into the air.
3. With your feet parallel, slowly bend your right knee until you feel a deep stretch in your left calf, then hold for ten seconds.
4. Straighten your right knee, then repeat on the other side.
5. Continue alternating sides for a total of three reps per side.

If It Hurts:
Hold the downdog position without the heel march.

 

LEVEL II: Use these moves when your lower back pain is less severe. They can help strengthen and stabilize the core.

Bird Dog

Tones extensor muscles of the upper back, shoulders, and glutes, while teaching back musculature to work with greater coordination and ease.

Source: Tai Cheng, Function Test

To Do This Exercise:
1. Assume an all-fours position on the floor, hands directly below your shoulders, knees directly below your hips.
2. Slowly extend your right leg behind you as if kicking something with your heel.
3. Simultaneously extend your left arm forward, straight and parallel to the floor.
4. Hold for 10 seconds, slowly lower your right left and left arm, then repeat the sequence using your left leg and right arm.
5. Perform 3–6 reps per side.

If It Hurts:
Contract your abs and flatten your back as much as possible throughout the move.

 

Glute Bridge

Increases tone in the glute muscles.

Source: INSANITY: THE ASYLUM, Back to Core

To Do This Exercise:
1. Lie on your back with your knees bent and your feet flat on the floor.
2. Flex your feet so the balls of your feet lift off the floor.
3. Drive your heels into the floor, squeeze your glutes and lift your hips as high as you can.
4. Pause for a one-count, return to the starting position, and repeat for 20 reps.

If It Hurts:
Limit the movement to a pain-free range of motion.

 

Plank with Forearm Run

Tones the six-pack muscles, relieving lower-back pressure.

Source: The Master’s Hammer and Chisel, 10 Minute Ab Hammer

To Do This Exercise:
1. Assume a plank position: facedown, forearms and balls of the feet on the floor, body straight from your heels to the top of your head.
2. Keeping your hips down, bring your right knee towards your chest.
3. Reverse the move and repeat on the other side.
4. Alternate sides for 15–30 seconds.

If It Hurts:
Slow the movement down. Perform the move from the push-up position (arms extended). Perform a static plank position (no movement in the legs).

 

Side Plank and Knee Up

Tones the core muscles on the sides of your torso, which help you to bend and twist more easily.

Source: The Master’s Hammer and Chisel, 10 Minute Ab Hammer

To Do This Exercise:
1. Assume a right-side plank position: right elbow and forearm on the floor, feet stacked with the outside edge of your right foot on the floor, body straight from your heels to the top of your head.
2. Place your left hand behind your head and point your left elbow towards the ceiling.
3 Draw your left knee up and towards your chest.
4. Reverse the movement, then repeat for 12–15 reps.
5. Turn over and repeat the movement on your other side.

If It Hurts:
Hold the side plank position without movement.

 

LEVEL III: Use these moves when you’re feeling good to develop more spine-sparing mobility and endurance and help prevent future lower back pain.

Front Fold

Relaxes and increases range of motion in your hamstrings, calves, lower and upper back.

Source: 21 Day Fix, Yoga Fix

To Do This Exercise:
1. Assume an athletic posture with your feet in a shoulder-width-and-a-half stance.
2. Inhaling deeply, slowly extend your arms directly out to the side.
3. Keeping your back flat and your knees slightly bent, slowly hinge forward at the hip joints as far as you can.
4. Cross your arms in front of you, slowly round your back forward.
5. Hold the rounded-forward position for 20–30 seconds.

If It Hurts:
Avoid the rounded-forward position: hinge forward at the hips and return to the starting position for 3–5 reps.

Trunk Twist

Increases rotational range in rib cage, allowing you to turn and twist more comfortably.

Source: P90X3, Eccentric Lower

To Do This Exercise:
1. Lie on your left side with your bottom (left) leg extended and your right knee bent towards your chest, inside of your right knee on the floor.
2. Extend your arms straight out in front of your chest, left arm on the floor and palms together.
3. Keeping both arms straight, your right knee and your left arm and shoulder blade on the floor, lift your right arm up towards the ceiling.
4. With your eyes on your right hand, rotate your right arm back towards the floor behind you as far as you can without pain.
5. Slowly return to the starting position and repeat for 15 repetitions.
6. Lie on your right side and repeat.

If It Hurts:
Place a pillow or block underneath the knee of your top leg and always rotate only as far back as you can without pain.

C-Sit Tap:

Increases strength and endurance in your six-pack muscles and improves rotation in your upper back.

Source: 21 Day Fix, Pilates Fix

To Do This Exercise:
1. Sit on the floor with your knees bent, feet flat.
2. Lean back so that your torso forms a 45-degree angle to the floor and extend your arms in front of you, palms together.
3. Keeping your torso long, lean back slightly, rotate your right arm and shoulder back, and tap your right hand to the floor.
4. Reverse the movement, return to the starting position, and repeat the movement, this time turning to your left.
5. Alternate sides for 15 reps on each side.

If It Hurts:
Hold the “up” position without moving.

Lunge to Hip Extension

Strengthens glutes and lengthens hip flexors to improve posture and lower body strength and stamina.

Source: Active Maternity, Get Stable

To Do This Exercise:
1. Assume an athletic posture: feet shoulder width and parallel, knees slightly bent, shoulders square.
2. Step your right leg about two feet directly back.
3. Keeping your torso upright, bend both knees until your right knee comes close to the floor.
4. Reverse the move and return to the starting position.
5. Shift your weight onto your left foot, contract your right glute, and lift your right foot off the floor behind you.
6. Lower your right foot back to the floor and repeat the movement for 10-12 reps.
7. Switch your legs and repeat on the other side.

If It Hurts:
Lower your back knee only about halfway to the floor and keep your back foot on the floor throughout the movement.

BY:  @ Beachbody.com

Shared by Dr. Phil McAllister @ Forward Health Guelph

Dr. Phil Shares: Why The Tight Hamstrings, and What Can We Do About Them

 

Why1-do-you-have-tight-hamstrings-header

Why Do our Hamstring muscles tend to tighten up  And more importantly, exactly how do you plan to loosen them up?

Well, you may be able to sprint 100 meters in under 12 seconds, or stay on cadence in 22 Minute Hard Corps without missing a beat, but there’s one movement that will humble even the fittest of fanatics: bending at the waist and reaching for the ground.

You want your fingers to reach the floor, but frustratingly, they probably stop short around your ankles, your shins, or even your knees. One reason for this may be tight hamstrings.

First things first. “Hamstrings” refers to the three muscles on the back of your thigh: the semitendinosus, semimembranosus, and biceps femoris. Physiologically speaking, tight hamstrings refers to the anatomical shortening of the muscle belly — the center or “meat” of the muscle, explains physical therapist Rob Ziegelbaum, D.P.T., clinical director of Wall Street Physical Therapy in Manhattan.

Because the muscle belly has been shortened, there’s increased tension on the tendons, he says. This leads to less flexibility in your hamstrings, and less range of motion in the surrounding joints — the hip and the knee.

How Do Your Muscles and Tendons Shorten?

Think of them like rubber bands. Like rubber bands, tendons and muscles come with different levels of elasticity, and this is mainly thanks to genetics. “Some people are born with limited elasticity in their muscles and are, therefore, naturally less flexible,” says Ziegelbaum.

Women, incidentally, tend to be more flexible in general than men, and young children are more flexible than most adults, he says. But everyone can train to improve their flexibility as part of a well-balanced training regimen, according to the American College of Sports Medicine.

Genetically speaking, muscle length, tendon length, relative muscle and tendon length, tendon attachment points, and skeletal segment length all can play a role [in how flexible you are], says exercise physiologist Janet Hamilton, C.S.C.S., owner of Running Strong Professional Coaching in Atlanta.

All muscles and tendons have the potential to become more elastic and supple. The key to any stretching program is regularity. “For example, a gymnast who constantly does splits on a balance beam will adapt in such a way as to have relatively more flexibility than a long distance runner who works at a desk for a living,” says Hamilton.

why do you have tight hamstrings-run-impost

How Can Running Cause So Much Muscular Tension?

One of the most common culprits for tightening those hamstrings? Running. “I often see long-distance runners who gradually lose flexibility in hamstrings and calves,” says Hamilton.

Why is running so rough? Well, researchers aren’t actually entirely sure. Hamilton’s guess is that it stems from weak gluteal muscles, since the glutes and hamstrings work in synergy to propel you forward over the ground. “If one member of the team isn’t contributing as much as they should, then the other member of that team has to contribute more,” she adds. “This potentially leads to overuse and might be to blame for what we interpret as tightness.”

However, tight hamstrings and their attachments are not limited to runners. Pretty much every athlete (amateur or elite) that trains for athletic performance but doesn’t stretch thoroughly and effectively post-workout probably has tight hamstrings. “During and after a workout, our muscles tighten up in part to protect our joints and in part because of the depletion of water since dehydration tightens muscles,” Ziegelbaum says.

It’s not just the type of physical activity you do that determines how tight or loose your hamstrings will be; it’s also what you do throughout the day. “Tight hamstrings are a result of this adaptive shortening. If someone sits at a desk for prolonged periods, knees bent, hamstrings contracted, the muscle effectively changes to the required length, which is shorter than that of a person who is standing or stretching regularly,” Ziegelbaum explains.

Tight Hamstrings Often Lead to Lower Back Pain

Well, the obvious scaremongering answer is that it increases your risk of an incredibly painful partial or full tear of the hamstrings. But the bigger problem, Ziegelbaum says, isn’t actually in your hamstrings, but in those surrounding muscles.

Hamilton agrees. “Things in the human body are intricately related to one another. Movement at one segment often depends on something happening at another segment. If your hamstrings are tight, that’s going to affect the biomechanics of the two connecting joints, the knee and the hip (knee pain and tight hips). Tight hamstrings are often associated with a whole host of injuries, including various low back pain syndromes, knee injuries, and even plantar fasciitis,” Hamilton says.

why do you have tight hamstrings-stretch-inpost

In fact, a study published in the journal Foot & Ankle Specialist, researchers found found that having tight hamstrings makes you nearly nine times as likely to suffer from plantar fasciitis. Yikes!

Plus, tight hammies can actually hurt your athletic performance. “Muscles that are ‘tight’ are often weak as well,” Hamilton says. “If a muscle is weak, you’ll have to recruit more motor units to accomplish a task, which may increase fatigue… and a fatigued muscle cannot produce force as well as one that is not,” she adds.

How to Tend to Your Tight Hamstrings

You can increase your flexibility by standing up and stretching more often. Even better, upgrade to a standing desk if possible — but make sure it’s set up ergonomically or you risk adding posture problems and neck pain to your ailments, Ziegelbaum warns.

Exploring more formal and lengthy mobility work like yoga or Pilates classes is always a good idea. At the very least, though, you need to be stretching pre- and post-workout, say these experts. A dynamic (moving) stretch routine before you start sweating can help maintain muscle elasticity during the workout, and a longer stretch afterward can help counteract the activity-induced tightening, Ziegelbaum explains.

“I often encourage my athletes to do a variety of drills in their warm ups, similar to what you might see the Olympic track and field athletes doing prior to competitions: skips, hops, high-knees — anything that mimics the motion you’re about to do — but at lower intensity,” Hamilton says.

The most effective stretches otherwise? Studies from the National Institutes of Health found that active stretches (long-held postures through full range of motion) can help increase hamstring length in just 6-8 weeks.

There are dozens of safe, do-anywhere hamstring stretches in many Beachbody programs. Try them after every workout or before bedtime. Try a few after your next big workout!

Shared by Dr. Phil McAllister @ Forward Health

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