Lower back pain?
Should a physician stop exercising when experiencing lower back pain? Is even walking at a slow pace not allowed? Thank you!
Shen Wei, 20~29 year old female. Ask Date: 2008/08/09
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry.
I would like to respond to your questions and provide the following suggestions: 1.
All activities should be suspended during the acute phase.
2.
For lower back pain, it is advisable to avoid excessive activities such as walking, jumping, and running; swimming (which provides buoyancy and less pressure) is recommended.
3.
Ice therapy is suitable during the acute phase, while heat therapy is appropriate during the recovery phase.
Lastly, I wish you safety and happiness!
Reply Date: 2008/08/09
More Info
When it comes to lower back pain, the decision to continue or stop exercising can be complex and should be approached with caution. While it is essential to listen to your body, it is also important to understand the underlying causes of your pain and the potential benefits of maintaining some level of physical activity.
Understanding Lower Back Pain
Lower back pain can arise from various factors, including muscle strain, ligament sprains, herniated discs, or degenerative conditions such as arthritis. The pain can range from mild discomfort to severe pain that limits mobility. It is crucial to identify the cause of your pain, as this will inform your approach to exercise.
Should You Stop Exercising?
1. Acute Pain vs. Chronic Pain: If you are experiencing acute pain (pain that comes on suddenly and is often severe), it may be wise to temporarily stop high-impact or strenuous activities. However, complete inactivity is not always recommended. Gentle movements and low-impact exercises can help maintain mobility and prevent stiffness.
2. Gentle Movements: Engaging in light activities, such as walking, can be beneficial. Walking helps to promote blood flow to the muscles and can aid in the healing process. It is essential to listen to your body; if walking exacerbates your pain, you should stop and rest.
3. Consult a Professional: If your pain persists or worsens, it is advisable to consult a healthcare professional, such as a physical therapist or a physician. They can provide a proper assessment and recommend specific exercises tailored to your condition.
4. Modify Your Routine: If you have been cleared to exercise, consider modifying your routine. Focus on low-impact activities that do not put excessive strain on your back. Swimming, stationary cycling, and gentle stretching can be excellent alternatives.
5. Core Strengthening: Strengthening your core muscles can provide better support for your lower back. Exercises such as pelvic tilts, bridges, and gentle abdominal exercises can be beneficial. However, avoid any movements that cause pain.
6. Rest and Recovery: It is essential to allow your body time to heal. If you experience significant pain during or after exercise, consider taking a break from your routine. Rest is crucial for recovery, but prolonged inactivity can lead to stiffness and weakness.
When to Seek Help
If your lower back pain is accompanied by other symptoms such as numbness, tingling, or weakness in your legs, or if the pain does not improve with rest and gentle activity, seek medical attention promptly. These could be signs of a more serious condition that requires intervention.
Conclusion
In summary, while it may be necessary to modify or temporarily stop certain exercises when experiencing lower back pain, complete inactivity is not always the best approach. Gentle movements, such as walking, can be beneficial, and focusing on low-impact exercises can help maintain your fitness level while allowing your back to heal. Always consult with a healthcare professional for personalized advice based on your specific condition. Remember, the goal is to find a balance between activity and rest that promotes healing and prevents further injury.
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