Have a Back Pain-Free Day

By Megan McMorris

When you think of epidemics, back pain probably doesn't come to mind-but maybe it should. Roughly 80 percent of us will experience it at some point, according to the American Academy of Orthopaedic Surgeons. It's a leading reason why people miss work (accounting for an estimated 83 million sick days each year), and it can be expensive: We spend more than $85 billion a year searching for relief, reports a study in The Journal of the American Medical Association.

Back pain is hardly a new problem, but it does seem to be more common these days. Incidence of lower back pain in particular, has increased over the past 40 years, according to a study published in the journal Rheumatology. It's not clear why it's on the rise, but some experts think obesity and a lack of activity may play a role. "They can certainly make recovery harder and recurrence more likely," says Hector Rodriguez, DO, an osteopath and associate professor at Pacific University in Pacific Grove, Oregon. Also, carrying excess pounds physically stresses your joints and muscles, and not moving around enough causes tension and stiffness.

While some back pain is acute- meaning it comes on suddenly, like when you move a heavy piece of furniture or play a demanding sport without adequately training-much of the time it's a series of smaller, everyday habits that add up to chronic aches and pains.

"Everything from sitting hunched over at your computer to wearing the wrong shoes can lead to discomfort," says Dr. Rodriguez. The encouraging news: Back pain can often be prevented with easy tweaks that you can make throughout the day.

7 a.m. Hinge, Don't Bend
Most of us wake up, grab a toothbrush and round our back as we lean over the sink. Stop right there! Instead of bending and curving your back, which puts pressure on the disks and spinal nerve roots, what you really want to do is hinge from your hips. That means keeping your back as flat as possible as you tilt forward, says Esther Gokhale, author of 8 Steps to a Pain-Free Back. Keep that in mind anytime you lean forward, whether you're putting on makeup or reaching for something in the back of your closet.

7:30 a.m. Put on an Invisible Corset
A strong spine is one that has support-and that comes from the deepest abdominal and back muscles in your core, which stabilize your torso. Exercises that strengthen your entire core can help, but it's also important to be conscious of using these muscles throughout the day. An easy way to do it: Pretend that you're wearing an invisible corset underneath your clothes, says Gokhale. In the morning, imagine that you're putting one on: Sit upright with vertebrae stacked (place the fingertips of your left hand on your lower back to check that your spine is not rounded or arched). Now reach upward with your right hand and a little forward, as if you're reaching for the top of a high shelf. Reach the left hand to meet the right, keeping arms parallel and stretched upward as far as you can. Hold for 10 seconds while you imagine someone lacing up the corset, then slowly lower your arms and relax your shoulders, making sure that you don't slouch. Repeat anytime you catch yourself slouching.

8 a.m. Choose the Right Shoes
For everyday, think low and wide (a thick, sturdy heel, ideally no higher than 2 inches). High heels can cause your back to arch, so save the stilettos for when you're not on your feet very much, like at a dinner party. Flats aren't a great pick for every day either, since they usually don't have adequate arch support. "The best type of shoe for your back is one whose sole curves on the inner side of the foot, like a kidney bean. It should also have pronounced arch support and a shock-absorbent sole," says Gokhale.

9 a.m. Don't Sit Up Straight
Pin-straight posture actually makes your lower back tense up; the best sitting position is one in which your lower back retains its natural curve, while your upper back stays straight. "Think of it as if you have a tail, and you want your tail to be behind you rather than sitting on it," says Gokhale. That means your bottom should stick out behind you very slightly; the small of your back should be curved but not arched.

Learn the ABCs of proper desk posture.

10 a.m. Stop Pressing Send
Get up and walk over to your coworker to ask about that report instead of sending another email, suggests Dr. Rodriguez. "Sitting in one position all day is the worst thing you can do because it puts pressure on the disks in your lower back," he says. Experts suggest getting out of your chair and walking around every hour.

Being on your feet all day isn't great for your back, either. Periodically shifting your body weight from one leg to the other can help. "Even a little bit of motion will help relieve the pressure," says Dr. Rodriguez.

12 p.m. Lighten Your Load
The average woman lugs around the equivalent of a 15-month-old toddler in her handbag, according to a recent survey. That can put a major strain on your shoulders and, in turn, your back. Ideally, you should tote no more than 10 percent of your body weight (so that's 15 pounds max if you weigh 150). But you can also be smarter about how you carry it: Start with a bag that has a relatively short strap so it fits just under your arm, which keeps the weight as close to your body as possible. Then use your elbow to nudge the bag slightly behind you. Keeping the weight close to your spine helps to ease the pressure, and it also settles your shoulders into a rolled-back and down position as you walk, says Gokhale. Another option: Switch to a cross-body bag or backpack to more evenly distribute the weight.

3 p.m. Learn to Glide
Turn your afternoon coffee break into a back-soother by "glidewalking" for 10 minutes. The idea is to train yourself to walk in a smooth, fluid motion, rather than plodding along heavily as so many of us do. Start by standing tall, then shift your weight onto your left leg. Bring your right knee up as if you were going to take a step forward and let the leg relax. Tighten the left buttock and press the left heel into the ground as you gently place the right foot on the ground, heel first, with knees slightly bent. Shift weight onto right leg and repeat on alternating sides as you move forward. This method strengthens the glutes while stretching the psoas muscle, which is part of the hip flexor, says Gokhale. With some practice, you'll eventually get used to this as your new way of walking.

6 p.m. Get Smart about Groceries
Reaching for high cupboards and bending over low refrigerator shelves can put your back out of whack, so if you find yourself doing that, it may be time to do a little reorganizing. To minimize strain, place the groceries and dishes that you use most often at hip- to shoulderheight. And when you lift grocery bags (or anything else that's heavy), bend at your knees. "That transfers the weight to your legs and prevents straining your back," says Dr. Rodriguez.

8 p.m. Tune in, Stretch Out
When relaxing on the couch in front of the TV, stretch your back by lying on your side with a pillow underneath your head, says Gokhale. Tip pelvis forward and bend knees about 120 degrees in a "zigzag" position. Elongate spine and lengthen neck onto pillow. Roll whichever shoulder is facing up backward once. After about 10 to 15 minutes, switch sides.

10 p.m. Sleep Right
During sleep, your back heals itself from the day's twists and turns; help it by starting out in a soothing, spine-lengthened position, suggests Gokhale. Lie on your back and bend your knees so your feet are flat on the mattress. Bend your arms at 90 degrees at your sides so you can come up onto your elbows, digging them into the mattress so you can stretch your back. Hold for 30 seconds, then release and lie down again, straightening legs. Can't fall asleep on your back? Turn on your side and place a pillow between your legs so your spine stays properly aligned.

Photo: © Shutterstock

Original article appeared on WomansDay.com.

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