In article <
[email protected]>,
[email protected] says...
> David Kerber wrote:
>
> >
[email protected] says...
> >> David Kerber wrote:
> >> >
> >> > Speaking strictly from personal experience (from which your mileage may vary enormously), I
> >> > have found that stretching, setups and leg lifts helped the most;
> >>
> >> What are setups?
> >
> > A misspelling of sit-ups <GG>.
>
> Oh. Heh: I never considered that, perhaps because I thought you might mean step-ups.
>
> >> > in the absence of structural damage (which only a physician can diagnose),
> >>
> >> but not reliably or necessarily correctly,
> >
> > Then who can if not a physician? Are you saying nobody can diagnose structural damage in the
> > lower back? Because it normally requires x- rays or MRI's to detect.
>
> This is really a big problem. It is said that you can't tell from an autopsy whether someone's
> back hurt. If you take an X-ray or MRI of an adult walking down the street without symptoms or
> history of back pain, there's something like a 20% chance that they'll show a disk bulge or
> outright herniation (with the probability increasing with age, IIRC). If you take an X-ray or MRI
> of someone with severe LBP, it may or may not reflect such an abnormality.
Definitely true. However, I'm talking about people who have both LBP *and* detectable damage, such
as a herniated disk, cracked vertebra, etc. I am well aware that most of the time there is no
detectable cause for pain, and I've also seen the info about people who show indications of bulging
disks with no symptoms.
> >> > strengthing the abdominals is generally considered to be important in preventing chronic
> >> > lower back pain.
> >>
> >> Perhaps this is considered generally, but it is incorrect.
> >
> > Why do you say that? Physical and occupational therapists routinely tell people with lower back
> > pain without any detectable damage to work on strengthening their abdominal muscles, and it
> > works for most of them.
>
> It's difficult to say what actually works for people with LBP. Studies show that LBP tends to
> clear up with time, regardless of the nature of the intervention (chiro, massage, weights, cardio,
> accupuncture, shamanism, aromatherapy, you name it). Thus, it's difficult to say that ab exercises
> work on LBP.
True, but from what I've read, and from my own experience, continuing the exercises frequently keeps
it from coming back. I.E., people who used to have bouts of pain every couple of months might go a
year or more between bouts after they start doing stretching and abdominal exercises.
> With that said, the likelihood of long-term freedom from back pain, or of performing the tasks of
> life in the presence of back pain, is maximized by performing activities that strengthen the trunk
> musculature, particularly the back muscles.
I think the key is to strengthen all of the muscles which hold your upper body in position, which
would include both the back muscles and the abdominals.
> I hurt my back a couple of years ago with an unfortunate motion in deadlifting. After hobbling
> around for a while, I found the best therapy was using it, gingerly at first, but with
> astonishingly heavy exercise in short order. I'm not saying that this is the answer for everyone,
> but if you suffer from occasional LBP you owe it to yourself to do what you can to strengthen your
> back when you can.
I've never had a traumatic injury to my back, just occasional pain from (for example) too much
digging in the yard, etc. The heat (from working up a good sweat), stretching and movement of
fencing does wonders for me.