Maya Chen is an HR consultant with over 10 years of experience in performance management and organizational development.
Rising from sleep. Picking up a coffee mug. Waving at a friend. Stooping to pet a pup. Rotating to use the facilities.
Those who have ever experienced “doing their back in”, the contrast between the simplicity of the movement and the severity of the resulting pain is utterly baffling. Why would a small, innocent movement cause such disabling agony that lasts for weeks, months, years or, in some cases, decades?
The explanation lies in the fact that the majority of lumbar pain episodes are not caused by injury to tendons, muscles, or bones. Often, they originate from something as benign as a muscle spasm, which then sets the lower back on a process of neural sensitization and agony that proves difficult to alleviate.
This dearth of significant structural damage may offer little solace for the many individuals who are destined to experience lower back pain at some point. Fortunately, the positive aspect is that warding off spinal discomfort is much more straightforward than managing it, and should it arise, many cases resolve by themselves over time.
Fundamentally, the spine is a support that shields the nervous system and neural pathways and enables us to stand upright, but concurrently, it allows us to bend and rotate and pivot, according to experts. This requires a lot of mobile structures. “There are so many elements that can get implicated in the occurrence of back pain; multiple connections, so many muscles – big muscles, small muscles – the intervertebral discs,” one expert explains.
And we don’t move these parts adequately. “Joints need to be moved,” the professional asserts. “We impose a great deal of stress and burden, specifically on the lumbar spine, without allowing it to adapt and mobilize.”
Back problems are a significant contributor to global health challenges. At any one time, a notable percentage of the population is suffering with back problems.
The cause for the prevalence of back pain is so common is because the fact that a lot of folks have their premier lumbar issue in teenage years, and it exhibits a strong tendency to return: approximately a third of individuals who suffer a bout of lumbar discomfort will encounter another one within a year.
Yet, what sets it off originally? “We know there are genetic factors that predispose back pain, we know that there are lifestyle factors, psychological components play a role,” a musculoskeletal therapist explains.
Often, the most likely reason for the initial muscle spasm is we’re simply run down. “Modern understanding suggests the majority – and this is like 95% of back pain – typically arise at a time when experiencing stress, not sleeping, not as active, weary, and then you perform an action like just be bending over, lifting an object, and then your spine seizes up,” the specialist explains. That acute pain then causes us to seize up, to move less, to guard the region, which subsequently leads to modifications in the adjacent muscles and nerves so they develop a hypersensitivity to the tiniest and most benign stimuli.
Anyone who’s experienced lumbar discomfort may feel taken aback to discover that it’s rarely caused by significant damage. But studies using diagnostic tools like X-ray, CT and MRI scans reveal that for the majority of causes, there is no obvious distinction between individuals experiencing pain and those free from pain. “This outdated notion of, ‘Oh, you’ve done your back’ finds no support in modern research,” the expert states.
That doesn’t diminish the paralyzing consequences of spinal agony. The expert likens it to an intense charley horse or a migraine: the discomfort is genuine, despite the fact diagnostic tools fails to locate its precise origin.
In line with various physical health problems, an ounce of prevention is better than a mountain of analgesics. A recent study highlighted the crucial role – finding that lifestyle changes such as getting better rest, abandoning cigarettes, adopting a better diet and becoming more active could save people thousands of dollars on healthcare for low back pain.
One participant in the study was a female who had endured with chronic low back pain for in excess of 40 years. “Her journey took her from being greatly hindered by lumbar discomfort during her everyday activities, all the way to being free from back pain for the last 12 months,” the investigator stated. All it took was a slow progression of physical activity, from a 15-minute walk through the local streets each day to an online workout program.
The answer for most of back pain is to just keep moving, experts say. “The optimal action is the following activity,” a specialist emphasizes. Regarding particular exercises for the spine, the professional suggests yoga can help. “We encourage people to move the spine in all directions … flex, extension, rotate and side-bend.”
Being active despite spinal discomfort does not involve disregarding the pain, but performing what is possible with it. “You must modify your movement patterns, but you have to keep moving – it is somewhat akin to signaling to your mind that movement is safe.”
Maya Chen is an HR consultant with over 10 years of experience in performance management and organizational development.