Effective Exercises for Strengthening and Relaxing Spinal Muscles - Neurology

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Thoracolumbar junction 3


I apologize for asking again, doctor.
The physician mentioned that for degenerative changes in the thoracic and lumbar spine, prevention focuses on improving posture and performing exercises to strengthen the muscles around the spine as well as relaxation exercises.
Could you please explain what these strengthening and relaxation exercises are and how to perform them? Additionally, do medications like Tofacitinib, muscle relaxants, and analgesics need to be taken continuously? Thank you for your patient responses, doctor.

BB, 20~29 year old female. Ask Date: 2012/10/04

Dr. Gao Chunde reply Neurology


These exercises are the most effective in rehabilitation, and there are some instructional videos available for reference.
You will need to check the television schedule for the daily broadcast times.
As for medication, the focus is on symptom improvement; if your symptoms improve after performing these rehabilitation exercises, then medication will naturally no longer be necessary.

Reply Date: 2012/10/04

More Info


To effectively strengthen and relax the muscles surrounding the spine, it is essential to incorporate a combination of exercises that target both the core and the back muscles. These exercises not only help in preventing spinal degeneration but also improve posture and overall spinal health. Below, I will outline some effective exercises for both strengthening and relaxation, along with guidance on how to perform them.


Strengthening Exercises
1. Plank:
- How to do it: Start in a push-up position with your arms straight and your body in a straight line from head to heels. Hold this position for 20-30 seconds, gradually increasing the duration as you get stronger.

- Benefits: This exercise engages the core, back, and shoulder muscles, promoting stability and strength in the spine.

2. Bridge:
- How to do it: Lie on your back with your knees bent and feet flat on the floor. Lift your hips towards the ceiling while squeezing your glutes. Hold for a few seconds before lowering back down.

- Benefits: This exercise strengthens the lower back, glutes, and hamstrings, which are crucial for spinal support.

3. Bird-Dog:
- How to do it: Start on all fours with your hands under your shoulders and knees under your hips. Extend one arm forward and the opposite leg back, keeping your body stable. Hold for a few seconds, then switch sides.

- Benefits: This exercise enhances core stability and coordination, which is essential for spinal health.

4. Dead Bug:
- How to do it: Lie on your back with your arms extended towards the ceiling and knees bent at 90 degrees. Slowly lower one arm and the opposite leg towards the floor while keeping your back flat. Return to the starting position and switch sides.

- Benefits: This exercise strengthens the core while minimizing strain on the spine.


Relaxation Exercises
1. Child’s Pose:
- How to do it: Kneel on the floor, sit back on your heels, and stretch your arms forward on the ground. Relax your forehead on the mat and breathe deeply.

- Benefits: This pose gently stretches the spine and relieves tension in the back muscles.

2. Cat-Cow Stretch:
- How to do it: Start on all fours. Inhale as you arch your back (Cow), and exhale as you round your back (Cat). Repeat for several breaths.

- Benefits: This dynamic stretch improves flexibility and helps relieve tension in the spine.

3. Seated Forward Bend:
- How to do it: Sit with your legs extended in front of you. Inhale and lengthen your spine, then exhale as you reach towards your toes. Hold the stretch for several breaths.

- Benefits: This stretch helps to lengthen the spine and relax the hamstrings, reducing tension in the lower back.

4. Torso Twist:
- How to do it: Sit cross-legged or on a chair. Place one hand on the opposite knee and gently twist your torso towards that side, holding for a few breaths before switching sides.

- Benefits: This exercise enhances spinal mobility and helps relieve tension in the back.


Medication Considerations
Regarding the use of medications such as muscle relaxants or analgesics, it is crucial to consult your healthcare provider. These medications can be beneficial for managing pain and muscle tension, but they are typically not intended for long-term use without medical supervision. Your doctor can provide guidance on the appropriate duration for taking these medications based on your specific condition and overall health.


Conclusion
Incorporating these strengthening and relaxation exercises into your routine can significantly improve your spinal health and alleviate discomfort associated with spinal degeneration. Always consult with a healthcare professional before starting any new exercise program, especially if you have existing health concerns. Regular physical activity, combined with proper posture and ergonomic practices, can lead to a healthier spine and improved quality of life.

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