Live Now, Thrive Later

Why your back hurts, and how to fix it - Part II

This is an old post - for a more up to date article on back pain/chronic pain please check out this post here.

In Part I of this series we looked at how modern lifestyle factors such as prolonged sitting and wearing shoes can lead to back pain.

While avoiding becoming desk bound, and going barefoot/wearing minimalist footwear are probably the most important steps you can take to avoid/help cure back pain, there are a few other pro-active measures you can take in order to help speed the process of recovery and bullet proof your back.

Understanding joint function:

Different joints have different functions.  Some joints are intended to be very mobile, others are designed for stability.  Your joints tend to be arranged in an alternating fashion, mobile/stable/mobile etc.

Starting from the ground up, the ankle should be mobile, knee stable, hip mobile, lumbar spine stable, thoracic spine mobile, scapula stable, gleno-humeral joint mobile, elbow stable, wrist mobile.

Prolonged sitting and wearing unsuitable shoes causes the ankle, hip and thoracic spine to become tight and lose range of motion.  This loss of movement in what are supposed to be mobile joints, can result in compensation from the stable joints, typically manifesting in dysfunction and pain.

When it comes to tackling lower back pain, rather than focusing on exercises that work the lower back directly, a more broad reaching approach is needed.  Instead of trying to make what are supposed to be relatively weak postural muscles stronger, it is better to restore proper function to the ankle, hip and thoracic spine, thus reducing the demand in the low back.

The first step to restoring lost function at these joints is to increase their range of motion.

In order to do this, I would recommend two main approaches:

1) Employ some soft tissue work:

Specifically some Myofacial Release, either performed by a masseur, and or by performing self-myofacial release using a ball and a roller.

Check out this video on the benefits of SMR, and our recommended roller series:

2) Perform the following mobility drills on a daily basis:

Ankle Mobility Drills:

Hip Mobility Drills:

Thoracic Mobility Drills:

That's it for now.  Stay tuned for the final instalment next month!