When faced with the throes of low back pain, many men find themselves resorting to enduring discomfort, applying a soothing cold pack, and patiently awaiting relief. A prevalent experience, as four out of five individuals grapple with low back pain at some point. Yet, within this common plight lies an opportunity.
Dr. Jeffrey N. Katz, a professor of orthopedic surgery and medicine at Harvard Medical School, emphasizes that an episode of acute low back pain serves as a catalyst for those not accustomed to regular exercise. Viewing it as an opportune moment to embrace a commitment to exercise, especially as the pain begins to alleviate, usually within a few weeks.
It’s crucial to recognize that while exercise may not offer a foolproof remedy for eliminating back pain, its consistent incorporation could mitigate its recurrence. Dr. Katz suggests that individuals engaging in regular exercise might experience a reduced risk of flare-ups in the subsequent year.
When is exercise appropriate?
When confronted with low back pain arising from muscle strain or spasm, exercise can be a beneficial approach. However, when the pain is attributed to a spinal issue, a cautious exercise regimen is advisable. Sciatica, characterized by pain radiating from the back into the leg, often accompanied by a tingling “pins and needles” sensation, is a common warning sign of a spine-related problem. Individuals experiencing sciatica should refrain from initiating a new exercise program without consulting a doctor.
In rare instances, low back pain may manifest as a serious concern warranting immediate medical attention if it manifests in any of the following ways:
1. Back pain accompanied by fever.
2. Pain that persists or worsens.
3. Numbness in the groin.
4. Loss of bladder or bowel control.
5. Leg weakness.
6. Inability to find a comfortable sitting or sleeping position during episodes of back pain.
When to start exercising
In cases of severe back pain, it is advisable to stay mobile to the extent possible. Prolonged bed rest is not recommended during an episode of severe back pain. However, it is also crucial not to hastily engage in stretching and strengthening exercises, as suggested by research.
Dr. Katz advises against attempting to start an exercise regimen the day after experiencing low back pain, as it may not be particularly beneficial. Instead, the recommendation is to resume normal activities at the earliest opportunity while refraining from lifting heavy weights and participating in physical activities that impose sudden stresses on the back, such as jogging or snow shoveling.
Getting started
Once the intensity of severe pain diminishes, it is advisable to gradually incorporate daily, gentle exercises aimed at stretching and strengthening the muscles supporting the lumbar spine. Building stronger and more flexible muscles can contribute to a reduced susceptibility to injury.
The provided exercises are fundamental starting points. Consulting with your doctor is recommended to receive guidance on the appropriate exercises and their frequency. Establishing a daily routine is considered ideal.
While existing studies haven’t pinpointed a specific type or intensity of exercise that proves superior in preventing low back pain, individuals who engage in regular exercise demonstrate fewer recurrences of back pain over time compared to those who don’t exercise regularly.
Exercise alternative: Yoga
Gentle yoga holds promise as an approach to alleviate low back pain. In yoga, individuals assume specific poses for short durations, promoting the relaxation of muscle tension, increased joint range of motion, and enhanced muscle strength. However, it is crucial to exercise caution, as pushing muscles and joints too aggressively can result in injury. Individuals with a history of low back pain should consult their doctor before starting yoga and collaborate with an experienced teacher familiar with their back condition.
Regardless of the chosen exercise for back pain, it is recommended to view it as a trial run with a specific endpoint, according to Dr. Katz. Establishing whether a particular exercise, such as yoga, is effective doesn’t require an extended timeframe, making it acceptable to give different approaches a try.