The Best Way To Treat Low Back Pain

The answer is prophylaxis (prevention)! What other things are best treated with prophylaxis? Cold, flu, heart attack, diabetes type 2, blood clot, stroke, HIV, lung cancer, etc.  Prevention is the easiest and best way to approach low back pain, so whether you have pain or not, this applies to you!

What factors put you at risk for low back pain (LBP)?
1. Prior episode of low back pain.
2. Repetitive lifting (with incorrect body mechanics).
3. Repetitive vibration at work or leisure (example: truck driving).
4. Repetitive forward bending and twisting of the low back.
5. Repetitive poor posture.

What are the components of low back pain prevention?
1. Staying fit/exercising consistently.
2. Progressing your fitness program slowly and with caution.
3. Keeping your back flexible.
4. Maintaining good POSTURE!
5. Changing positions frequently.
6. Standing frequently between longer bouts of sitting.
7. Standing and bending backwards (5-10 reps, 1-2x/day). (Note, this exercise is contraindicated for some individuals, so please consult your physician).

Reference: McKenzie, Robin. Mechanical Diagnosis & Therapy: Lumbar Spine. 2009: The McKenzie Institute International, Part A, pages 126-127.

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I am a Physical Therapist and Ergonomics Consultant, based out of Columbia, SC. My passion is to write about and speak about pain/injury prevention. I started Pain Talks as a consulting business in 2018.

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  1. I think my posture is the biggest culprit for my back pain. What do you do to train yourself to walk straight and to sit straight. I've always had a problem with those two things, and I'm quite tall which probably exacerbates the problem.


  2. Start from the top down: chin tucked (to avoid forward head posture), shoulders back, low back arched, and even abs contracted (for added core strength). My posts about neutral spine posture give more tips. Thanks for your comment!


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