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Road to Fitness; Understanding the Stresses of Back Pain

By Marjie Gilliam

An estimated 8 out of 10 people will experience back pain at some point in their lifetime. More people seek medical attention for back pain than for any other ailment, with the possible exception of colds and upper - respiratory problems.

Chronic back pain can be serious, so it is recommended that you always check with your doctor before attempting to fix the problem yourself. Typical causes of back pain include overexertion, improper lifting technique or lifting too much, or muscle weakness because of inactivity. Other everyday causes of back pain are wearing high heels, being overweight and sleeping on your back or sleeping on a mattress that doesn't provide proper support. and regular exercise. * Posture: As we age, we carry ourselves differently and lose the ability to move as freely as we once did. For whatever reason, the older we get, the less active we seem to become, the slower we move, and not surprisingly, the worse our posture gets.

Whatever your age, if you take steps now to improve your level of fitness, you reap the rewards immediately. Poor posture throws the natural curves of the spine out of balance, putting strain on the muscles and ligaments in your back, making you feel tired, achy and stiff. With the spine in its proper alignment, stress is significantly reduced. Even if you don't suffer from back pain, it is important to pay attention to the way you stand and sit. With proper posture, the ears, shoulders and hips should be in line with one another.

Take a look at yourself right now: If you are sitting down, are your legs crossed, shoulders rounded and/or head forward? If you are standing, is your back straight and head held high, or are you slouching, standing with most of your weight on one leg?

If it feels unnatural to stand or sit with your back straight, head up and feet evenly on the floor, it's time to start changing bad habits. To get started, simply take in a deep breath. This automatically lifts your chest, head and shoulders gently back without straining the muscles in your neck and back. It is equally important to pay attention to how much sitting and standing you do each day. If your job requires you to stand all day, your back muscles will become fatigued. Here the tendency to slouch presents itself, which only compounds the problem. When you round or hunch forward, you change your body's center of gravity, increasing the weight your back has to bear.

Standing with your weight shifted to one leg creates an uneven side bending of the spine. Standing and walking on hard surfaces also takes its toll on your back. Make sure that the shoes you are wearing have enough support to counteract the impact

* Exercise: The prescription for chronic back pain used to be complete bed rest. Now we know that lack of movement actually encourages this type of pain. Spinal disks contain fluid, and if there isn't enough to keep them hydrated, pain can result.

Studies have shown that exercise helps pump fluid back into spinal disks to assist in overcoming pain. Don't attempt to strengthen your back muscles without first working on your flexibility. Without a good stretching program, you run the risk of straining or spraining your back.

Once you have increased your flexibility, work on strengthening the muscles and ligaments that support your back and trunk. A well- rounded program includes flexibility, strength and endurance exercises for the abdominal, back and leg muscles. Strong abdominal muscles work with the back muscles to support and stabilize your spine. The weaker your abs, the more likely you are to overwork the back.

Improper lifting still is a major cause of back pain. Keeping the leg muscles strong will allow them to do the work instead. Walking and resistance exercises such as squats and lunges are fantastic for developing strength and endurance in the legs. Activities such as running and weightlifting are more apt to cause damage to the lower back, while contact sports such as football puts the neck more at risk. No matter what the activity, remember to warm up and stretch before you begin.

* Marjie Gilliam is an International Sports Sciences Association and American Council on Exercise certified personal trainer and fitness consultant.


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