Low back pain
Hello Director Chen: I am a laborer who lifts heavy objects every day.
While rushing to meet deadlines, I strained my lower back and now I am in so much pain that I can't stand up straight, and my upper back is also hurting.
A friend of mine with a similar condition went to physical therapy and had some stretching for the lower back.
Can I also do stretching for my lower back? What can I do at work to avoid getting injured again? Thank you!
Junior, 30~39 year old female. Ask Date: 2007/06/04
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your question.
Here are my responses and recommendations: 1.
During the acute phase, you should avoid bending at the waist.
Only consider bending after the acute phase has passed.
2.
When lifting heavy objects, it is advisable to wear a supportive back belt (like the ones used by military personnel) and keep the items close to your body while lifting (to reduce the lever arm).
Take a deep breath before lifting to minimize injury.
Reply Date: 2007/06/04
More Info
Lower back pain is a common issue, especially among individuals who engage in physically demanding jobs, such as laborers who frequently lift heavy objects. Your situation, where you experience acute pain after straining your back, is not uncommon. Rehabilitation can indeed be an effective strategy for alleviating lower back pain and preventing future injuries.
Effective Rehabilitation Strategies
1. Physical Therapy: Engaging in physical therapy is one of the most effective ways to manage lower back pain. A physical therapist can design a personalized rehabilitation program that includes exercises to strengthen the core muscles, improve flexibility, and enhance overall body mechanics. This is crucial because a strong core supports the spine and reduces the risk of injury.
2. Manual Therapy: Techniques such as spinal manipulation or mobilization can be beneficial. These hands-on approaches can help relieve pain and improve function by addressing musculoskeletal issues.
3. Stretching and Strengthening Exercises: Specific exercises targeting the back, abdomen, and legs can help alleviate pain and prevent future injuries. For instance, gentle stretching of the hamstrings and hip flexors can relieve tension in the lower back. Strengthening exercises, particularly for the abdominal muscles, can provide better support for the spine.
4. Heat and Cold Therapy: Applying heat can help relax tense muscles and improve blood flow, while cold therapy can reduce inflammation and numb sharp pain. Alternating between heat and cold can be particularly effective in managing pain.
5. Education on Body Mechanics: Learning proper lifting techniques is essential. When lifting heavy objects, it’s important to bend at the knees, keep the object close to your body, and avoid twisting your torso. This reduces the strain on your back and minimizes the risk of injury.
6. Ergonomic Adjustments: If your job involves repetitive lifting or prolonged standing, consider ergonomic adjustments. This might include using tools that reduce strain, such as dollies or lifts, and ensuring that your workspace is set up to minimize awkward postures.
7. Gradual Return to Activity: After experiencing pain, it’s crucial to gradually return to your regular activities. Pushing yourself too hard too soon can lead to re-injury. A physical therapist can guide you on how to safely increase your activity level.
Preventive Measures
To avoid future injuries while working, consider the following strategies:
- Warm-Up: Before starting your workday, take a few minutes to warm up your muscles with light stretching or walking. This prepares your body for physical activity.
- Take Breaks: Regular breaks can help prevent fatigue and reduce the risk of injury. Use these breaks to stretch and move around.
- Stay Hydrated: Proper hydration is essential for muscle function and recovery. Ensure you drink enough water throughout the day.
- Listen to Your Body: If you feel pain or discomfort, don’t ignore it. Take a break and assess your condition. Pushing through pain can lead to more severe injuries.
Conclusion
In summary, rehabilitation can be highly effective for managing lower back pain, especially for individuals in physically demanding jobs. Engaging in physical therapy, practicing proper body mechanics, and making ergonomic adjustments can significantly reduce the risk of injury and improve overall function. If you are considering physical therapy, it’s advisable to consult with a healthcare professional who can tailor a rehabilitation program to your specific needs. Remember, taking proactive steps to care for your back is essential for long-term health and well-being.
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