What Causes Lower Back Pain, How Do We Overcome It and How Do We Keep Our Backs Healthy – Pt2

Back Pain, Beach Haven, North Shore, Auckland Muscle Imbalance

When opposing muscles crossing joints are not at their normal lengths it is known as a muscle imbalance. Muscle imbalances cause joints to sit in an unnatural position. In other words, they lose their optimal axis of rotation.

Muscles that stabilize joints, also known as Tonic muscles, have a tendency to shorten under faulty loading. Muscles that move joints, also known as Phasic muscles, have a tendency to become long and weak under faulty loading. Often a joint will have phasic muscles on one side of a joint and tonic muscle on the other. The tonic muscle if held in a shortened position for long enough will develop a greater resting tone in the muscle than the opposing phasic muscle. This will pull the joint towards the tonic muscle and into an unnatural position.

Muscle imbalance results in undue stress and strain on bones, joints ligaments and muscles. The greater a person’s muscle imbalance, the more wear and tear their joints and connective tissues are likely to have over time.

Muscle imbalances in the body can cause the following in the lower back:

  • excess pressure or compression on the disks
  • shear and torsion on the vertebrae and vertebral disks.
  • disk degeneration
  • spinal instability
  • entrapment of spinal nerve roots
  • fracture of pars articularis
  • Sacro-Iliac Joint dysfunction
  • Scoliosis (unnatural lateral curvature of the spine)
  • abdominal wall dysfunction

Any of the above outcomes of muscle imbalance can potentially cause pain or injury.

Pain in the lower back can also radiate down one or both legs. Pain radiating down one or both legs may indicate that a dorsal root ganglia is compressed. This is known as Radicular Pain. The dorsal root ganglia in basic terms is one of two strands of nerves originating from the spinal cord and passing through the gap (or foramina) between vertebrae.

In addition to poor sitting and ergonomics, there are other possible causes of poor posture and muscle imbalance.

They include:

  • lack of physical activity and exercise leading to muscle weakness
  • poor breathing pattern
  • faulty jaw mechanics
  • faulty vision
  • Atlas subluxation (rotated first cervical vertebra)
  • Visceral (organ) stress
  • Emotional blockages.

As mentioned earlier, most therapists and exercise professionals are not trained to identify the aetiology of back pain. This can only be accurately found after a detailed assessment.

Unfortunately, most therapists are guessing. This is why many people do not overcome their back pain and have to keep going back for regular treatments. This is not to suggest therapists aren’t good at what they do. In fact, I refer many of my clients to therapists.

The human body is the most complex system we are aware of. It is unlikely you will ever find one person who will be able to do everything required to get you functioning optimally and pain-free. 

Faulty Lifting Technique Back Pain, Shoulder Pain, Auckland 

It has also been shown that many injuries occur due to faulty lifting technique. Injury occurrence has been shown to be high when an object is lifted far from the body, with straight knees or with the body in a twisted position.

When lifting objects, especially heavy objects, you should always ensure the object is close to your base of support. This is normally just in front of your feet. You should also ensure you bend your knees, do not twist your torso and keep your lower back from flattening (or rounding) as much as possible.

Quite often an injury caused by lifting can merely be ‘the straw that breaks the camel’s back’. In other words, the spine and surrounding tissues may have been progressively degenerating for some time without pain. A pain free back does not necessarily mean a healthy back.

Having a strong body with good muscle balance will reduce the likelihood of hurting your back whilst lifting objects.

Mothers with small children have to be particularly careful when picking up their children. Pregnancy and labour weakens the musculature that supports the lower back and can take up to two years to fully recover. It is possible for the musculature to never get back to pre-pregnancy levels, especially if the woman leads a sedentary lifestyle.

It is highly recommended that post-natal women seek the guidance of a C.H.E.K Practitioner to re-condition the abdominal wall musculature after pregnancy.

Back Pain Solutions Auckland Poor Abdominal Wall Function

The abdominal musculature helps to support the lower back. Muscles such as the Transverse Abdominus, Multifidus, Diaphragm, Pelvic Floor and Internal Oblique’s (3,4,5) along with the connective tissue called Thoraco-Lumbar Fascia (3) help to keep the lower back stable and strong.

This is believed to be partly achieved through three identified mechanisms, Intra-abdominal Pressure, Thoraco-lumbar Fascia Gain (3,4,5) and the Hydraulic Amplifier Mechanism (3). It is believed there are other mechanisms that play a role that we are not aware of yet.

If these abdominal muscles do not have adequate strength and endurance they leave the spine ‘exposed’ and more susceptible to injury.

The abdominal wall musculature can also be inhibited by gut inflammation which can be caused by Food Intolerance, Fungal Infection and Dysbiosis (more bad bacteria than good in the gut). This will also leave the spine exposed.

So it could also be the foods you eat that are causing your back pain. A C.H.E.K Holistic Lifestyle Coach or Metabolic Typing Advisor can help you identify if your foods are causing your back pain.

back pain, neck and shoulder pain Visceral-Somato Reflex

Back pain can also be caused by the visceral-somato reflex. This is where an internal organ is dysfunctional and because it is linked neurologically to a muscle or group of muscles, the pain is felt in the muscle and not the internal organ. Viscero-somato Reflex can cause spasm or inhibition (relaxation of muscles).

Dysfunction to the bladder, kidney, spleen or large intestine is known to sometimes cause lower back pain.

Spinal Fractures, Tumours, and Infections

Spinal fractures, tumours and infections are uncommon, even in older people.

I have seen a number of cricketers and dancers with a fracture of the spine, known as Spondylolisis. Careful assessment and a precise corrective exercise programme helped them become pain-free and in some instances get them back performing.  

How Do We Reduce or Eliminate Back Pain?

“Correction of the existing conditions depends upon understanding the underlying influences and implementing a program of positive and preventive educational measures. Both of the foregoing requires an understanding of the mechanics of the body and its response to the stresses and strains imposed upon it”. (1)

Therefore, for an optimally functional and pain-free body, you should receive an assessment from a C.H.E.K Practitioner

A C.H.E.K Practitioner can give you the tools to reduce or eliminate your back pain. This is normally done through a stretching and strengthening corrective exercise program, advice on ergonomics, nutrition and lifestyle and referrals to appropriate allied health practitioners to ensure no stone is unturned.

As Paul Chek, the founder of The C.H.E.K Institute would say “If you’re not assessing your guessing”. Without assessing the whole body thoroughly, you really are guessing what the aetiology might be.

Also, just treating the affected area might only bring short-term relief. This normally results in having to make frequent visits to your therapist. If you cannot afford multiple treatments with your therapist, then you might have a problem relieving yourself from the pain.

You may then take medication for the pain that then lead to unwanted side-effects and the downward spiral continues.

If there is not a C.H.E.K Practitioner near to your home or workplace, a good Osteopath, Chiropractor or Physiotherapist would be the next best choice if you currently have back pain or even if you don’t. These therapists can identify faulty joint alignment. They can manipulate joints and stretch muscles as required as well as providing home exercises.

Even if you don’t have back pain, C.H.E.K Practitioners can help to prevent future injury.

Preventing injuries is a little like regularly changing the oil in your car and not waiting for the warning light to flash on your dashboard. If you think what would happen to your car if your oil ran out, compare to what you think might happen if you do not look after your body by using preventative measures.

In addition to visiting a health professional, you can do the following to help prevent back problems:

  1. Sit up straight and do not slouch, especially if you spend long hours seated. Set an alarm to remind you to sit straight every 15 minutes.
  2. If you use a computer at work, take breaks regularly. Get up and walk around before returning to your desk.
  3. If you have a choice between standing and sitting, standing exerts 4 times less pressure on your back (7).
  4. Use a Swiss Ball to sit on at home or at work. Do not sit on it for too long, however. Switch between a Swiss Ball and normal chair every 10 minutes or so.
  5. If you use a computer at home or work, set up the ergonomics so you do not have to look downwards at the monitor. The centre of the monitor should be at eye level. Also, the keyboard should be low enough so you do not have to hunch your shoulders.
  6. When using the telephone, try to keep your head straight and not tilt it to one side. If you use the telephone a lot, it would be wise to use a headset.
  7. Exercise regularly to avoid weakening of muscles. Whether you go jogging, lift weights at the gym, go for a walk, do the gardening or wash the car, it is important to keep active and strong. An ideal exercise regime would consist of stretching, lifting weights and cardiovascular exercise. Cardiovascular exercise consists of exercise such as walking, jogging, cycling, swimming etc. However, if you have an existing injury, receive advice before exercising.
  8. When picking up objects, keep your back straight, keep the weight close to your base of support and do not twist as you pick it up.
  9. Eat non-processed foods and eat organic wherever possible. Find out your metabolic type so you can eat the right foods for your unique body chemistry.
  10. Avoid cigarette smoke and keep alcohol consumption to a minimum.
  11. Take time out to relax and quieten the mind. Yoga, Qi Gong, meditation, relaxing baths and listening to relaxation tapes are just a few methods you can use.
  12. Get eight hours of sleep per night and get to bed by 10.30pm. 

Summary:

  • Back pain is very common today, from July 2017-June 2018 there were 273,289 back claims with ACC.
  • There are many different types of back pain.
  • Each individual category of back pain can have a number of different causes. It is vital to find the cause to ensure successful rehabilitation.
  • Any rehabilitation program should be client centred and not symptom centred.
  • Poor posture and muscle imbalance are common amongst those with back pain.
  • For a full assessment and to find the aetiology a C.H.E.K Practitioner is best placed to help you. “If you’re not assessing your guessing”.
  • Following the assessment, a C.H.E.K Practitioner can give you a corrective exercise program and advise you on nutrition and lifestyle factors. They can also refer you to appropriate allied health practitioners to ensure you are successful in reducing or eliminating your back pain.
  • There are a number of lifestyle factors you can adopt on your own to help prevent back pain.

Call us today and lets take charge of your pain! 027 660 4623

 

References:

  1. Kendall F et al, “ Muscles, Testing & Function”, Williams & Wilkins, 1993.
  2. Bogduk N, “ Clinical Anatomy of the Lumbar Spine”, Churchill Livingstone, 1997.
  3. H.E.K P, “ Scientific Core Conditioning”, Correspondence Course, C.H.E.K Institute, 1998
  4. Richardson C, et al, “ Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain”, Churchill Livingstone, 1999
  5. Lee D, “The Pelvic Girdle”, Churchill Livingstone, 1999.
  6. H.E.K P, “ C.H.E.K Certification Program Level 1”, Course Manual, C.H.E.K Institute, 2001
  7. H.E.K P, “ Scientific Back Training”, Correspondence Course, C.H.E.K Institute, 1998.