Take a Peek Inside of the Treating Low Back Pain during Exercise and Athletics Video Package

Did you know that an estimated $50 billion dollars is spent annually on back pain related issues?  It affects nearly 80% of the U.S. population at one time or another.  It’s one of the top reasons for physician and physical therapy visits and one of the most common reasons for missed work days.  The best training plan in the world won’t do us much good if we’re unable to implement that plan due to pain and/or injury.

WomanWithLowBackPain

When reviewing research or anecdotal evidence online, there is no shortage of articles, blogs, and opinions regarding low back pain (LBP).  But what about a specific resource for the athlete, the weightlifter, the CrossFitter or the runner who is experiencing low back pain during exercise?  How does an athletic population know how to handle episodes of LBP?  What specifically can an athlete or active person do to avoid low back pain to lessen the risk of injury and lost training days?  Is there a specific step-by-step plan that really works?

The prevention and rehabilitation strategies outlined in my rehabilitation guide, Treating Low Back Pain during Exercise and Athletics, answer those questions.  You will learn how to safely self-treat your low back pain and helpful methods for a speedy recovery.  (Not to mention, possibly saving you time and money by avoiding a physician visit!)

The good news is that participating in sports, running, CrossFit, and weightlifting doesn’t increase your risk of developing LBP.  On average, being in good health, physically fit, and active actually decreases your risk.

The Treating Low Back Pain (LBP) during Exercise and Athletics Video Package includes:

Treating Low Back Pain during Exercise and Athletics eBook

product-cover-lbp

In this eBook, you’ll learn why it is critically important to prevent the first episode of low back pain.  LBP has reoccurrence rates as high as 90%.  If you have already experienced an episode of LBP, you’ll learn why exercise is an important component to long term management.  Most importantly, you will understand how to avoid pain and injury in order to take your training to the next level.  Topics include:

  • Specific strategies for LBP prevention.
  • How to address specific causes of LBP.
  • Best practices on how to prevent and self-treat when you experience an episode of LBP.
  • A step-by-step LBP rehabilitation guide complete with photos and detailed exercise descriptions.
  • How to implement prevention and rehabilitation strategies.

7-part Series of Instructional Videos

Nearly 60 minutes of actionable advice to prevent and treat LBP as it relates to active individuals, sports, and athletics.  An in-depth look at treating LBP with a 7-part series of instructional videos in which I address the following:

  • Potential Risk Factors for Lower Back Pain
  • What are the Core Muscles?
  • Prevention during Exercise (Part 1 and 2)
  • Initial Treatment
  • Further Treatment and Taping
  • Long Term Management Strategies and Final Recap

Want to peek inside the video content? Watch now as I describe what really the “core” is and why it matters.

Preventing and Treating Overtraining Syndrome eBook

product-cover-ot

In this BONUS eBook, you’ll learn how to recognize the risk factors and symptoms of Overtraining Syndrome (OTS).  You’ll learn how to utilize prevention strategies to help you develop a personal training strategy that will allow you to push past your limits and prior plateau points in order to reach a state of what is known as overreaching (your body’s ability to “supercompensate”).  This will speed up your results, so that you can train harder and more effectively than ever before!  Topics include:

  • How to recognize the warning signs.
  • Specific strategies for OTS prevention.
  • How to self-treat OTS.
  • How to safely overreach.
  • A complete guide to Foam Roller Stretches and Mobilizations with photos and detailed exercise descriptions.

Is your low back hurting? Are you ready to take your training to a new level?  What are you waiting for?  Let’s get started! 

Use discount code LBP to receive 15% off now!

Purchase Package

Still on the fence about the Treating Low Back Pain during Exercise and Athletics Video Package? I understand that the full package may not be the right choice for you. You still have the option to purchase only the Treating Low Back Pain during Exercise and Athletics eBook.

Use discount code LBP to receive 15% off now!

Purchase eBook (Download)

Why You Keep Hurting Your Back

Low back pain (LBP) is one of the most prevalent medical conditions treated in the United States and the western world.  In fact, an estimated $50 billion dollars or more is spent annually on back pain related issues.  Nearly 80% of the U.S. population is affected by LBP at one time or another.  So why are we all hurting our backs?  Why does the pain seem to always reoccur?

2 Reasons Why Low Back Pain tends to Reoccur:

  1. The original risk factor(s) or precipitating actions that caused the initial low back pain (LBP) were never addressed.
  2. The inner core stabilizing muscles were never properly rehabilitated.  This makes the spine vulnerable to re-injury.

Just imagine if you had a significant knee injury which required surgery.  The injured leg would be weak and require specific exercises to help it to rehabilitate.  In most cases, the muscles of the injured leg would be obviously smaller due to muscle atrophy.  This same atrophy happens deep within the muscles of the lumbar region (particularly, the muscles known as the multifidus shown below).MultifidusMuscles

These muscles are responsible for spinal stabilization and to prevent shearing between vertebrae to vertebrae.  Just like the muscles in the thigh (in the knee example above), these muscles will shrink and atrophy when injured.  The problem is that you cannot see or feel them easily, so most of us never know that the spine’s ability to stabilize during activity is compromised.  This is a critical factor as to why reoccurring LBP is so prevalent.

Low back pain is a serious and debilitating condition.  It will either most certainly affect you or someone close to you.  The good news is that you don’t have to be a statistic!  You don’t have to live in fear of your next episode of LBP.  First, you need to address the likely causes that lead to the initial episode of low back pain, and be mindful of your risk factors.  Please refer to 12 Risk Factors for Low Back Pain.

Next, by implementing the proper exercises for prevention and rehabilitation, you can live pain free, train pain free, and live the life you want without fear of reoccurring low back pain!  Treating Low Back Pain (LBP) during Exercise and Athletics is designed for individuals of all levels from weekend warriors to soccer moms to elite athletes.  These principles can help you live the pain free life that you desire!

Treating Low Back Pain during Exercise and Athletics

product-cover-lbp

In this complete self-treatment package, Treating Low Back Pain (LBP) during Exercise and Athletics, I share very specific strategies for LBP prevention among athletes such as sport enthusiasts, CrossFitters, weightlifters, and runners.  These principles are helpful for anyone participating in athletics as well as those implementing a healthy lifestyle.  You’ll learn how to address specific causes of LBP as well as the best practices on how to prevent and self-treat when you experience an episode of LBP.  In this step-by-step LBP rehabilitation guide (complete with photos and detailed exercise descriptions), you will discover how to implement prevention and rehabilitation strategies.

LBP_Video

In this package, you get an in-depth look at treating LBP with a 7-part series of instructional videos in which I address low back pain prevention during exercise; specific warm ups for exercise and activities; what really is the “core” and why it matters; treatment techniques (including how to apply Kinesiological tape); and long term management strategies.  This includes nearly 60 minutes of actionable advice to prevent and treat LBP as it relates to active individuals, sports (such as running), and athletics.

product-cover-ot

In this BONUS eBook, Preventing and Treating Overtraining Syndrome, I show you how to recognize the risk factors and symptoms of Overtraining Syndrome (OTS).  You’ll learn how to utilize prevention strategies to help you develop a personal training strategy that will allow you to push past your limits and prior plateau points in order to reach a state of what is known as overreaching (your body’s ability to “supercompensate”).  This will speed up your results, so that you can train harder and more effectively than ever before!  In addition, learn how to use the foam roller (complete with photos and detailed exercise descriptions) as part of a health optimization program, recovery program, rest day or treatment modality.

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12 Risk Factors for Low Back Pain

We all work hard exercising and training for the next race, game, and/or competition.  We invest hundreds and thousands of dollars and hours upon hours training for our sport or activity.  We learn everything we can about our sport.  We buy the newest gear and fitness apps.  We invest in the newest and greatest training plans and programs.  Yet, we often fail to address the obvious. The best training plan in the world won’t do us much good if we’re unable to implement that plan due to pain and/or injury.  Many of us just accept occasional episodes of low back pain (LBP) as a normal part of life, but these episodes of LBP can have both devastating monetary and training consequences.

Young woman out jogging suffers a muscle injury

What if you could prevent injury and the loss of training days?  What if you could prevent costly physician visits?  What if you could spend your money on the best fitness and training programs and gear instead of on pain relief gels, oils, and scams?

The following list of potential risk factors for LBP addresses how you can be proactive in maintaining a healthy back.  How many of the following 12 risk factors can you relate to?

12 Risk Factors for Low Back Pain:

  1. Smoking – Smoking is a major risk factor for low back pain (LBP).  The chemicals in cigarette smoke affect both the lung’s ability to exchange oxygen and the body’s normal healing response.  These chemicals alter the blood supply to the discs and other spinal structures which affects nutrient exchange and increases the risk of pain.  Healing time for all medical conditions worsen with smoking.  Although research is forthcoming, it’s likely that vaping also has a negative impact on healing and LBP.  Anything that negatively affects optimal health will increase your risk of LBP and recovery from injury.
  2. Gender – This is an interesting one.  It may relate to certain behaviors more than anatomical differences, but males have a higher risk of LBP.  Females tend to experience more cervical or neck pain.
  3. Pregnancy – Pregnancy increases your risk for LBP due to structural changes as the baby develops and hormones change.  The expectant mother releases relaxin, a hormone which loosens the whole body, to prepare for the baby’s delivery.  Again, a risk worth taking!  Most women can manage the pain by modifying posture and movements while learning techniques for self-management.
  4. Heredity – A family history of low back pain increases your risk.  In some cases, this may be due to actual structural deformities which may be genetically linked.  More commonly, it’s a learned behavior, such as chronic sitting and slouching (poor posture), that can lead to a higher risk of LBP.
  5. Prior Episodes of LBP – Once you have experienced LBP, you are more likely to have re-current episodes.  This is typically due to not addressing the precipitating factors that led to the first episode of LBP.  It’s also likely due to weakness in the deep multifidus muscles that help to support the spine and prevent shearing forces.  This weakness can be addressed with proper physical therapy intervention.  (Please refer to Why You Keep Hurting Your Back.)
  6. Lack of Exercise/Activity – A sedentary lifestyle will increase your risk for LBP.  The spine is designed to work and move.  In order for the spine to remain healthy, it requires exercise and movement.
  7. Too Much Sitting – Sitting for even a moderate amount of time not only affects your general health status in a negative way, but it also increases your risk for LBP.  Sitting for more than 30 minutes at a time can increase your risk.  Worse yet is sitting with poor posture or unsupported.  Sitting on vibrating surfaces such as a heavy equipment operator will increase your risk further.  Please refer to The #1 Way to Extend Your Life Span for the reasons why sitting has such a negative effect on your body.
  8. Poor Posture – In western culture, we spend most of our day sitting slouched or standing hunched over.  This is an excellent way to increase your risk for LBP.  It’s one of the major risk factors for disc herniation and development of spinal stenosis.  Please refer to How to Improve Posture & Eliminate Pain for exercises that can help you to develop better posture and strength to eliminate back pain.
  9. Lack of Warm Up Before Exercise – This is a common mistake which can lead to injury.  A proper warm up prior to an event or exercise session is critical for injury prevention and in order to achieve peak performance.  A poor warm up affects your ability to get the most out of each training session.  A warm up should consist of a cardiovascular component, a spine specific component, and a dynamic stretching routine of the actual exercises you will be performing to insure you’re ready for the movement.  This is pertinent for any training session regardless of sport including weightlifting and running.
  10. Training when Exhausted – Allowing yourself to become over fatigued will increase your risk of all types of injury including LBP.  This is a common problem among CrossFitters and anyone who trains at a very high intense level.  Typically, this results in poor technique which further increases your risk.  Combine poor technique with muscles which can no longer perform the proper movement pattern, and you’re likely to become injured.
  11. Poor Technique – Poor technique often occurs when performing exercises that are too advanced, with too much resistance, and/or when feeling exhausted.  Performing unfamiliar lifting techniques or lifting too much weight will likely result in poor technique.
  12. Training Volume – Overtraining syndrome (OTS) can occur when you train too hard for too long.  Your training plan should include scheduled rest and recovery cycles to allow your body the time to recover between competitions and high volume or intense training cycles. OTS definitely increases your risk of injury.

The key component to preventing reoccurring episodes of LBP is to address your risk factors.  Determine what initially caused your LBP.  If you are looking to finally prevent those reoccurring episodes of LBP that derail your training and/or are currently suffering from LBP, then Treating Low Back Pain (LBP) during Exercise and Athletics is the solution.  This complete guide and system will help you to prevent, treat, and manage LBP so that you don’t have to waste any training days because of ineffective treatment measures.

Treating Low Back Pain during Exercise and Athletics

product-cover-lbp

In this complete self-treatment package, Treating Low Back Pain (LBP) during Exercise and Athletics, I share very specific strategies for LBP prevention among athletes such as sport enthusiasts, CrossFitters, weightlifters, and runners.  These principles are helpful for anyone participating in athletics as well as those implementing a healthy lifestyle.  You’ll learn how to address specific causes of LBP as well as the best practices on how to prevent and self-treat when you experience an episode of LBP.  In this step-by-step LBP rehabilitation guide (complete with photos and detailed exercise descriptions), you will discover how to implement prevention and rehabilitation strategies.

LBP_Video

In this package, you get an in-depth look at treating LBP with a 7-part series of instructional videos in which I address low back pain prevention during exercise; specific warm ups for exercise and activities; what really is the “core” and why it matters; treatment techniques (including how to apply Kinesiological tape); and long term management strategies.  This includes nearly 60 minutes of actionable advice to prevent and treat LBP as it relates to active individuals, sports (such as running), and athletics.

product-cover-ot

In this BONUS eBook, Preventing and Treating Overtraining Syndrome, I show you how to recognize the risk factors and symptoms of Overtraining Syndrome (OTS).  You’ll learn how to utilize prevention strategies to help you develop a personal training strategy that will allow you to push past your limits and prior plateau points in order to reach a state of what is known as overreaching (your body’s ability to “supercompensate”).  This will speed up your results, so that you can train harder and more effectively than ever before!  In addition, learn how to use the foam roller (complete with photos and detailed exercise descriptions) as part of a health optimization program, recovery program, rest day or treatment modality.

BUY NOW

Why Low Back Pain almost always Reoccurs

I had waited all year for the City of Trees half marathon.  My goal (as always) was to post a PR (personal record) for the event.  Since it was a fairly flat course, I figured it would be a good opportunity to run fast (at least, fast for me).  As part of my training protocol, I was squatting two days per week and working on general leg strength and cross training (practicing yoga) one day per week.

Group of people running.

My back had been sore off and on for almost five years.  Medical professionals didn’t offer me any specific reasons as to why.  Neither chiropractic nor physical therapy seemed to help much, so I just ignored it.  But not this day!

I had just completed my second work set of squatting at the gym.  At the time, I wasn’t experiencing any notable back pain.  I was on my second repetition and on my third set when my low back gave way.  The weight came down and hit the rack safety rails!  My back hurt, but worse, it felt unstable.  I decided to leave the gym in shame.  I picked up the weights I was using, but the pain began to worsen.

By the time I drove home, I could barely get out of my truck.  I decided I was tough, so I took some ibuprofen and still went to work.  By the time I made it to the office (about 10 minutes), I was in real trouble.  I walked around for a while, and I took some Tylenol before I decided to go home.  I got in my truck, but by then the pain was so bad that I couldn’t push in the clutch or hardly use the brakes.  I really don’t know how I make it home that morning, but I needed help from my wife to get out of my truck.

LowBackPainIt only got worse from there.  I went to lie on my bed.  Again, another bad plan!  An hour later when I needed to urinate, I realized I couldn’t even get out of bed!  The pain was worse than anything I had ever experienced.  After much struggle and help from my dad (who was called in to help), I was able to get upright, only to break out in a cold sweat, start shaking, and nearly pass out from the pain.  Still having to urinate, I experienced one of the more humbling things I have ever done.  I had to ask for help from my wife to urinate into a plastic bottle because I couldn’t get out of bed.

Long story short, I went to a doctor who diagnosed me with low back pain (LBP) from a lumbar strain and prescribed pain medication and a steroid pack.  After many more days of pain, I was finally upright again.

A month later, I was ready to start back into my training, but frankly, I was nervous!  My back felt weak, and I had no idea how much was too much.  The worst part of it all:  I’m a physical therapist!  Shouldn’t I known what to do?  It sure didn’t feel like it at the time.

The medication did mostly relieve the pain, but I had a chronically sore back that felt weak and unstable.  I was performing physical therapy exercises and stretches.  I was even using heat and electrical muscle stimulation (EMS).

My treatment wasn’t helping me that much.  At least, not to the point that I felt I could get resume my training for my upcoming half marathon.  All I wanted to do was to get back to training, but I was too scared to!

This experience started me down a path of study that changed my life.  I realized how incompetent I had been as a physical therapist who treated others experiencing severe low back pain.  I had new appreciation for those patients who wanted to get back to their sport and activity.  I also realized that my prior physical therapy interventions were not preparing people to get back to sport nor most high level activities.

What do you do when you’re past the worst of the pain and want to resume training, but you don’t feel physically, mentally or emotionally ready?  Your insurance money may be used up.  The pain may have dissipated, but you’re still not sure how to progress through the next steps.  What if it happens again?  Can I train as hard as before?  Am I really better?  I have lost so many days of training, should I even compete in my event?

Often after a severe case of low back pain, you may be too scared to train like you did prior to the injury, and it turns out you should be!  At least until you understand why low back pain almost always reoccurs and what you can do to prevent it. 

The most common treatment strategies for low back pain are too general for most active individuals, weekend warriors, sport enthusiasts, CrossFitters, weightlifters, and runners.  I have spent the past 11 years researching, studying, and refining best practices for treating LBP.  I have combined research with known anatomical and physiological principles in order to develop very specific strategies for LBP prevention among active individuals.  I have designed a complete guide and system to help you to prevent, treat, and manage LBP so that you don’t have to waste any training days because of ineffective treatment measures.

Treating Low Back Pain during Exercise and Athletics

product-cover-lbp

In this complete self-treatment package, Treating Low Back Pain (LBP) during Exercise and Athletics, I share very specific strategies for LBP prevention among athletes such as sport enthusiasts, CrossFitters, weightlifters, and runners.  These principles are helpful for anyone participating in athletics as well as those implementing a healthy lifestyle.  You’ll learn how to address specific causes of LBP as well as the best practices on how to prevent and self-treat when you experience an episode of LBP.  In this step-by-step LBP rehabilitation guide (complete with photos and detailed exercise descriptions), you will discover how to implement prevention and rehabilitation strategies.

LBP_Video

In this package, you get an in-depth look at treating LBP with a 7-part series of instructional videos in which I address low back pain prevention during exercise; specific warm ups for exercise and activities; what really is the “core” and why it matters; treatment techniques (including how to apply Kinesiological tape); and long term management strategies.  This includes nearly 60 minutes of actionable advice to prevent and treat LBP as it relates to active individuals, sports (such as running), and athletics.

product-cover-ot

In this BONUS eBook, Preventing and Treating Overtraining Syndrome, I show you how to recognize the risk factors and symptoms of Overtraining Syndrome (OTS).  You’ll learn how to utilize prevention strategies to help you develop a personal training strategy that will allow you to push past your limits and prior plateau points in order to reach a state of what is known as overreaching (your body’s ability to “supercompensate”).  This will speed up your results, so that you can train harder and more effectively than ever before!  In addition, learn how to use the foam roller (complete with photos and detailed exercise descriptions) as part of a health optimization program, recovery program, rest day or treatment modality.

BUY NOW

Q & A: Running Injuries

MTA_RunningInjuries

http://marathontrainingacademy.com/running-injuries

Marathon Training Academy

February 11, 2016

Do you want to meet your fitness goals? Avoiding injury is critical! In this podcast interview with Marathon Training Academy, I discuss common running injuries and self-treatment strategies.

RunningInjuryOnCalfRunning injuries! In this episode we invite Dr. Ben Shatto on the podcast and fire away with injury related questions sent in by Academy members.

You will learn when to self-treat an injury versus visiting a physical therapist, how to pick a PT, and great questions and answers about glutes, hamstrings, and muscle imbalances. Lots to love!  Listen to the podcast

Disclaimer: This blog post and podcast are not meant to replace the advice of your doctor/health care provider, or speak to the condition of one particular person but rather give general advice.

How to Avoid Upper Back Pain when Running

MTA_UpperBackPain

http://marathontrainingacademy.com/upper-back-pain

Marathon Training Academy

January 24, 2016

In this guest post for Marathon Training Academy, you will learn how to improve your posture and thoracic (upper back) mobility while strengthening your upper back postural muscles in order to eliminate pain when running.

Young woman out jogging suffers a muscle injuryImagine how much the average person actually slouches during a day. Slouching during breakfast, then hunched over the kitchen sink to wash dishes, slouching while driving a car, and then slouching while sitting at work or at a school desk. Don’t forget about slouching while texting, watching TV or using the computer. When you are not slouching, you’re bending over to clean or pick up children and/or pets. The list of slouching possibilities is endless!

Now envision your running posture. Does it look any different? Many of us run in a forward head and rounded shoulders position–a slouched posture! Runners experience many of the same aches and pains as their sedentary counter parts. Upper back and neck pain is a common occurrence. The most typical cause is almost always poor posture.  Continue Reading

12 Sure Fire Ways to Injure Your Back

You caught me red-handed! A physical therapist with a lapse in judgment which lead to an injury that I could have avoided had I followed my own advice.  During an early morning workout, I recently tweaked my low back.  I’m guilty of being exhausted, using poor technique, and not taking a rest day.  Sound familiar?

LowBackPain

In the following days (as I was forced to rest although I would rather have been at the gym), I drafted a rather cheeky list of risk factors and how to maintain a healthy back.

12 Sure Fire Ways to Injure Your Back:

  1. Start Smoking – Smoking is a major risk factor for low back pain (LBP). The chemicals in cigarette smoke affect both the lunges’ ability to exchange oxygen and the body’s normal healing response. These chemicals alter the blood supply to the discs and other spinal structures which affects nutrient exchange and increases the risk of pain. Healing time for all medical conditions worsen with smoking.
  2. Be Male – Males have a higher risk of LBP. Females tend to experience more cervical or neck pain. (Obviously, you have very little control over this factor other than the knowledge that you’re at an increased risk if you are a male.)
  3. Choose Parents Who have Experienced LBP – A family history of low back pain increases your risk. In some cases, this may be due to actual structural deformities which may be genetically linked. More commonly, it’s a learned behavior, such as chronic sitting and slouching (poor posture), that can lead to a higher risk of LBP.
  4. Prior Episodes of LBP – Once you have experienced LBP, you are more likely to have re-current episodes. This is partially due to weakness in the deep multifidus muscles that help support the spine and prevent shearing forces. This weakness can be addressed with proper physical therapy intervention.
  5. Have a Baby – Pregnancy increases your risk for LBP due to structural changes as the baby develops and hormones change. The expectant mother releases relaxin, a hormone which loosens the whole body, to prepare for the baby’s delivery. Again, a risk worth taking! Most women can manage the pain by modifying posture and movements while learning techniques for self-management.
  6. Don’t Exercise – A sedentary lifestyle will increase your risk for LBP. The spine is designed to work and move. In order for the spine to remain healthy, it requires exercise and movement.
  7. Sit for more than 2 Hours a Day – Sitting for a long period of time not only affects your general health status in a negative way, but it also increases your risk for LBP. To increase your risk further, be a heavy equipment operator who sits on a vibrating surface! Please refer to The #1 Way to Extend Your Life Span for the reasons why sitting has such a negative effect on your body.
  8. Practice Poor Posture – In western culture, we spend most of our day sitting slouched or standing hunched over. This is an excellent way to increase your risk for LBP. It’s one of the major risk factors for disc herniation and development of spinal stenosis. Please refer to How to Improve Posture & Eliminate Pain for exercises that can help you to develop better posture and strength to eliminate back pain.
  9. Don’t Warm Up Before Exercise – This is a common mistake which can lead to injury. Jump out of your bed in the morning without warming up, and then start your exercise routine. (Please don’t!) Instead, prepare your body for challenging activities in order to avoid injury. A warm up should consist of a cardiovascular component and a dynamic stretching routine of the actual exercises you will be performing to insure you’re ready for the movement. This is also pertinent for weightlifting and running.
  10. Keep Moving even when Exhausted – This is a common problem among CrossFitters (including myself). Just keep pushing yourself even when you can’t see straight. Typically, this results in poor technique which further increases your risk. Combine poor technique with muscles which can no longer perform the proper movement pattern, and you are likely to become injured. High Intensity Training (HIT) is a wonderful form of exercise and has many health benefits as long as you’re able to properly perform the exercise.
  11. Use Poor Technique – Poor technique, along with feeling exhausted, often occurs when performing exercises that are too advanced. Performing unfamiliar lifting techniques or lifting too much weight will likely result in poor technique. Please see your coach, athletic trainer, or physical therapist for the proper technique for your activity of choice.
  12. Keep the Training Volume High – Who needs a rest day? All of us can benefit from taking a break. Training every day without regard to rest is an excellent way to cause over training syndrome and injury.

Low back pain is a serious and debilitating condition. It will either most certainly affect you or someone close to you. Be mindful of your risk factors and be pro-active in maintaining a healthy back!  Don’t let LBP affect your ability to stay active and keep enjoying your favorite activities!

AVAILABLE NOW ON AMAZON!

In my book, Treating Low Back Pain during Exercise and Athletics, you will learn how to address specific causes of LBP as well as the best practices on how to prevent and self-treat when you experience an episode of LBP. In this step-by-step LBP rehabilitation guide (complete with photos and detailed exercise descriptions), you will discover how to implement prevention and rehabilitation strategies to eliminate pain and get back to training and exercise sooner.

Learn how to prevent, self-treat, and manage LBP so you can get back to your daily life and exercise goals more quickly without additional unnecessary and costly medical bills!

BUY NOW

How to Improve Posture & Eliminate Pain

Imagine how much the average person actually slouches during a day. One may slouch as she sits in a chair for breakfast, then she may hunch over the kitchen sink to wash dishes. She slouches while driving a car, then she slouches while sitting at work or at a school desk. She slouches while texting, watching TV, or using the computer. If she isn’t slouching, she’s bending over to clean or pick up children and/or pets. The list of slouching possibilities is endless!

Our bodies are designed to move both forward and backward. The problem is that we spend most of our times in a slouch, hunched over (flexed) position. Slouching is having a forward head and a rounded shoulders posture. It can also involve a posterior pelvic tilt which causes a reduction in the normal lumbar curve. This position tends to be even worse in people who are taller than average or in teenage girls and women (as many will slouch to modestly hide their chests). Over time, this constant flexed position causes excessive strain on posterior muscles, and it begins to overload the vertebral discs and ligaments which can lead to pain and injury.

PoorSittingPosture

Poor posture causes improper spinal positioning and affects the neck, shoulders, low back, mid back/thoracic, and ultimately, the entire body. This flexed (slouched) posture leads to postural muscle weakness which causes us to slouch more as well as predisposing us to injury. The lumbar spine is the most common area for injury (followed by the neck, mid back, and shoulders). Injuries can include: disc herniation, spinal degeneration, and shoulder impingements.

How to improve posture and eliminate pain? As simple as it sounds, first work on your posture!  Sit and stand up straight.  Initially, it may be difficult because the posterior chain, which includes the hamstrings, glutes, and back extensor muscles, is weak. Correcting your posture may actually cause some pain as the muscles will be utilized in a way that they aren’t used to. Persistence is crucial if you want to eliminate pain and decrease your risk of injury.  The following exercises can help you to develop better posture and strength to eliminate neck, shoulder, and back pain.

  • Increase Your Postural (Extensor) Muscle Strength – Refer to Prone Superman Exercises for instructions and photos of exercises that can be performed while lying on the floor or bed. The purpose of these exercises is to improve your back extensor strength, so it will be easier to maintain good posture. Move slowly and only raise the leg as far as you can without twisting.
  • Perform Foam Roller (Towel Roll) StretchesA foam roller is the best option, but you could substitute one by tightly rolling up a beach towel or by rolling a beach towel over a water noodle. Make sure to keep your knees bent and your head supported. Subscribe to my e-mail list to gain immediate access to My Top 8 Stretches to Eliminate Neck, Upper Back, and Shoulder Pain for step by step exercise instructions and photos.
  • Start Squatting – The squat is a critical exercise to maintain mobility and function as we age. It is also the most beneficial exercise to develop your posterior chain. Please refer to 7 Reasons Why the Squat is Fundamental to Life.

For a comprehensive look at pain management, I recommend Robin McKenzie’s Treat Your Own Back and Treat Your Own Neck. He offers very easy and practical advice on how to treat and manage back or neck pain.

What are some different ways to raise awareness of your posture? How can you incorporate them into your daily tasks?  Feel free to leave your comments below.

If you have additional questions or comments, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com. Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

My Top 3 Household Items For Self-Mobilization

Many household items can be used to perform self-myofascial release.  Why is self-mobilization and fascial release so important? Mobilization has effects on the musculoskeletal system, the vascular system, and the fascial system. Having good mobility (free of adhesions) can positively improve performance or recovery, and it’s important in maintaining a healthy body. With common household items, you can manage muscle spasms and cramping as well as those painful areas due to training (or more commonly, poor posture and sitting).

Muscle spasms and cramps can be terribly painful.  They tend to occur at the most inopportune time and place.  In a pinch, many household items can be used to assist in eliminating muscle spasms, cramps, tightness, and pain.  When available, my first choice is almost always the foam roller.  It is versatile and can be used to mobilize tissue as well as boney articulations.  The foam roller also works great to increase spinal extension mobility.  For more information on foam rolling, please refer to Foam Rolling for Rehabilitation and 5 Ways to Improve Range-of-Motion (ROM).

My Top 3 Household Items for Self-Mobilization:

1. PVC Pipe – This works great for sore forearms (including “tennis elbow”) as well as tight hamstrings or shin splints. You can use one hand or both to press or rub the PVC pipe over sore or tender areas. The amount of pressure shouldn’t be painful. Avoid pressing on especially boney areas.

PVCPipeForTennisElbow

2. Tennis Ball* – This is perfect to pinpoint those hard to reach places on the back or in the buttock region. Hold pressure over the sore area or spasming muscle until the spasm releases. This could take a couple of minutes depending on the severity of the spasm. (*A tennis ball may be substituted with another firmer and smaller rubber ball as shown below.)

TennisBallForSpasms

3. Racquetball – This is perfect for self-foot mobilization or if you need to provide more pressure using a firmer ball. If you suffer from plantar fasciitis or poor mobility in your feet, I highly recommend performing this daily for a couple of minutes on each foot. Be sure to work the entire foot, not just the arch.

RaquetballForFootMobilization

Muscle spasms, cramps, tightness, and muscle soreness are often quite painful!  These three common household items can be used to help mobilize, minimize, and/or eliminate muscle pain.  For more helpful ideas, please refer to Muscle Cramping & Spasms – Treatment Options, in which I discuss specific treatment options for managing pain including: massage, self-mobilization tools, topical agents, and supplements.

What are your top household items for dealing with muscle cramping and spasms?  Please post your comments below as we could all use a few more tricks to eliminate pain!

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

Muscle Cramping & Spasms – Treatment Options

The list of potential reasons for developing a muscle cramp or spasm is quite long and somewhat arduous.  Once the cramp or spasms begin, it’s often quite painful!  Therefore, we’re highly motivated to act quickly to eliminate the spasm.  What can you do to prevent muscle cramps and spasms? More importantly, how can you recover from experiencing one?  I will provide simple treatment options to quickly help aid in your recovery.

For discussion purposes, I will address a spasm which isn’t caused by a serious medical condition such as a fracture, muscle tear and/or injury, or other medical conditions which would require the immediate attention of a healthcare practitioner.  If you believe that the spasm is from a serious medical condition, please do not attempt to self-treat the condition–immediately seek competent medical advice.

Over training or overexertion is a common issue experienced by many of the clients who I work with.  It remains a very sensitive topic as no one wants to admit that he/she was physically unprepared for an event or activity in which he/she participated in.  Don’t worry!  The point of participating in competition and other difficult activities is to test your body and to have fun!  During a race or sporting event, you will likely overreach from your training plan.  The hope is that your body is physically prepared to handle this overreaching without injury.  If you experience muscle cramps or spasms before or during an event, modify your training routine for the next event.

Top Tips for Treating Muscle Cramping & Spasms:

  • Massage – Contact a masseuse, physical therapist, athletic trainer, or friend who is skillful in body work and massage to relieve the area in spasm. The specific massage technique to use will vary according to your preference. Massage techniques range from a light relaxing massage to a deep tissue massage or utilization of acupressure points.
  • Foam Roller – The foam roller allows you to perform self-massage and tissue mobilization. The foam roller is a wonderful tool to prevent muscle cramping and spasms. Please refer to the following posts for more information: Foam Rolling For Rehabilitation and 5 Ways to Improve Range-Of-Motion. I highly recommend a High Density Foam Roller to help aid in your recovery.
  • Other Self-Mobilization Tools – Many times, a friend or masseuse isn’t available to assist when you need the help the most. A foam roller cannot effective reach places in the upper back or arms, so other self-mobilization tools may be necessary. You can get creative and use a tennis ball or golf ball, but I like a specific tool called a Thera Cane Massager. This tool allows you to apply direct pressure to a spasming muscle. When held for a long enough period of time, the Thera Cane Massager will usually cause the muscle spasms to release and provide much needed pain relief! I am also a big fan of the Thera-Band Standard Roller Massager. I particularly like that its firmness allows for a deep amount of pressure. If you prefer something similar (but more flexible, for the boney regions of the thigh or lower leg), I recommend The Stick Self Roller Massager.
  • Topical Agents – Many topical agents can help decrease and eliminate muscle spasms. The method of action varies greatly according to the product used. You may find that one product works better than another. Some of my favorite products in my medicine cabinet include: Biofreeze Pain Relieving Gel; Arnica Rub (Arnica Montana, an herbal rub); and topical magnesium.
  • Magnesium Bath – The combination of warm water with magnesium is very soothing and relaxing. Options include: Epsoak Epson Salt or Ancient Minerals Magnesium Bath Flakes. I find that the magnesium flakes work better, but they are significantly more expensive than Epson salt.
  • Oral Magnesium – You can take Mag Glycinate in pill form or by eating foods higher in magnesium such as spinach, artichokes, and dates. Taking additional magnesium (particularly at night) can help to reduce muscle cramps and spasming. It is also very helpful in reducing overall muscle soreness and aiding in a better night’s rest. I recommend beginning with a dose of 200 mg (before bedtime) and increasing the dose as needed. I would caution you that taking too much magnesium can lead to diarrhea. Mag Glycinate in its oral form is the most highly absorbable. Although not as absorbable, Thorne Research Magnesium Citrate and magnesium oxide can also be beneficial.
  • Increase your Electrolyte Intake – You may need to increase your potassium, sodium, or calcium intake to your diet or consider supplementation. Sherpa Pink Gourmet Himalayan Salt contains the electrolytes you would expect as well as a host of other trace minerals. I have found this to be highly effective for cramps and muscle soreness. It also helps me to sleep more soundly. I highly recommend it to anyone who is suffering from chronic cramping or after participating in an athletic event. Drink a small glass of warm water, mixing in a teaspoon full of pink Himalayan sea salt, before bedtime.
  • Fix Your Posture – Poor posture is one of the most common causes of muscle cramping and spasming as well as pain. This is particularly true if you spend a good portion of your day sitting. Sign up to receive my weekly blog posts via e-mail, and I will share with you My Top 8 Stretches to Eliminate Neck, Upper Back, and Shoulder Pain. These simple exercises, with complete instructions and photos, will help you to improve poor posture and can be performed at home.
  • Move More – Not only has research proven that sitting for more than two hours at a time decreases your expected life span, but extended sitting also leads to increased muscle tension, cramping, and pain. If you sit most of the day, get up and walk. If you stand most of the day, frequently change your standing posture. To optimize health and joint function, you should take each joint in your body through a least one full range-of-motion (ROM) every day.
  • Stretch – Stretching is a wonderful way to help eliminate a muscle spasm. We instinctively stretch when we feel a spasm begin. Try gently stretching (lengthening) the muscle which is in spasm. I recommend beginning with a short 30-60 seconds stretch, then repeating as needed. If the spasm or cramp is severe, you will likely need to continue stretching several times in a row, multiple times throughout the day. Stretching should always be part of a general fitness and lifestyle program. As we age, muscle and tendons tend to lose elasticity so stretching becomes even more important. I highly recommend a daily stretching routine or participation in a group class, such as yoga, which incorporates full body stretching.
  • Acupuncture – I am personally a big fan of acupuncture. It is very useful in treating all kinds of medical conditions. It can be particularly effective in treating muscle cramps and spasms as it addresses the issues on multiple layers. Acupuncture directly stimulates the muscle by affecting the nervous system response to the muscle while producing a general sense of well-being and relaxation.
  • Speak with your Physical Therapist (PT) or Physician (MD) – If the above techniques are not helping or if the muscle cramps and spasms continue to come back regularly, speak to your medical provider to determine if other causes are contributing to the problem. The American Physical Therapy Association (APTA) offers a wonderful resource to help find a physical therapist in your area. In most states, you can seek physical therapy advice without a medical doctor’s referral (although it may be a good idea to hear your physician’s opinion as well).

What are your top tips for dealing with muscle cramping and spasms?  Please post your comments below as we could all use a few more tricks to eliminate pain!

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!