‘The best movement is the next movement’: the secrets for caring for your lower back.

Rising from sleep. Lifting a teacup. Waving at a friend. Leaning over to stroke a canine. Rotating to use the facilities.

For many who have experienced “doing their back in”, the discrepancy between the innocence of the motion and the severity of the resulting pain is completely perplexing. How is it that a simple, everyday gesture set off such severe discomfort that lasts for weeks, months, years or, sometimes for a lifetime?

The reason is that the majority of lumbar pain episodes are not caused by injury to bone, muscle, or connective tissue. Often, they originate from something as simple as a muscular twitch, which then sets the lower back on a cascade of heightened nerve response and discomfort that is challenging to manage.

The absence of major underlying injury might be minimal reassurance to the significant portion of the population who will encounter lower back pain at some point. However, the encouraging fact is that warding off spinal discomfort is much more straightforward than managing it, and when it does occur, many cases resolve by themselves with time.

‘Movement is essential for joints’

At its core, the spine acts as a column that safeguards the nervous system and neural pathways and supports us to stand, but at the same time it permits us to flex and rotate and pivot, according to experts. This demands many mobile structures. “We have numerous elements that can get involved in the process of back pain; multiple connections, countless muscles – big muscles, small muscles – the disks,” a professional states.

However, we often underutilize these components sufficiently. “Connections must be exercised,” the professional asserts. “We’re putting a lot of weight, a lot of load, specifically on the lumbar spine, without enabling it to reposition and be mobile.”

Don’t ignore the triggers of back pain

Back problems are a significant contributor to global health challenges. At any one time, a substantial portion of the population is suffering with lumbar issues.

Why spinal discomfort remains so widespread stems from the fact that many people experience their first episode of back pain in teenage years, and it exhibits a frequent pattern of reoccurrence: nearly 33% of those who experience a period of spinal agony will face a subsequent episode in a year.

Yet, what sets it off in the first place? “Evidence shows there exist hereditary elements that increase susceptibility spinal issues, it is clear there are lifestyle factors, psychological components play a role,” a specialist in body mechanics notes.

Frequently, the primary reason for the initial muscle spasm is we’re simply run down. “The prevailing perspective is most cases – approximately 95% of back pain – typically arise at a time when you’re under stress, sleep-deprived, not as active, weary, and then you engage in an activity like just be bending over, grabbing an item, and then your lumbar region cramps,” the specialist explains. That acute pain then makes us freeze up, to become less mobile, to guard the region, which in turn causes modifications in the adjacent muscles and nerves so they become sensitised to the tiniest and most benign stimuli.

The pain is undeniable

Individuals familiar with lumbar discomfort may feel astonished to find out that it is seldom due to serious injury. Yet, investigations with scanning equipment including X-ray, CT and MRI scans show that in the bulk of cases, there exists no clear distinction between individuals with pain and people free from pain. “This outdated notion of, ‘Oh, you’ve done your back’ lacks backing from modern research,” the expert states.

This does not lessen the crippling effects of lumbar discomfort. The expert likens it to an intense charley horse or a migraine: the pain is real, even if medical technology can’t pinpoint what’s causing it.

Adopt a healthy lifestyle

Similar to numerous physical health problems, an ounce of prevention is more valuable than a heap of medication. A recent study showed just how important – revealing that habit modifications such as getting better rest, abandoning cigarettes, adopting a better diet and becoming more active might spare individuals significant expenses for medical treatments for lumbar issues.

An individual involved in the study was a woman who had lived with persistent lumbar discomfort for over four decades. “She transitioned from being greatly hindered by lumbar discomfort in her daily life, all the way to being free from back pain for the last 12 months,” the analyst explained. The only requirement was a steady rise in movement, starting with a short stroll through the local streets each day to a virtual workout program.

‘Mobilize the back through every plane’

The answer for most of back pain is to just keep moving, experts say. “The best movement is the following activity,” a therapist declares. Regarding particular exercises for the spine, the expert says yoga can help. “We encourage people to exercise the lumbar region multidirectionally … bend forward, arch backward, twist and lean sideways.”

Exercising with back pain does not involve disregarding the pain, but doing as much as you can alongside it. “You have to change your movement patterns, but you must continue being active – it’s almost like reassuring your nervous system that activity is permissible.”

Derek Warren
Derek Warren

Lena is a certified mountain guide with over a decade of experience leading expeditions across Europe's highest peaks.