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Posts Tagged ‘back pain’

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Photo: Jean Couch
A man in Rajasthan, India, sits at his loom, weaving for hours each day with exemplary posture. He untucks his pelvis and elongates his spine. Check out the gif showing how people elsewhere sit differently from Americans.

I have had back pain off and on for decades. I do physical therapy exercises every day to keep it in check, and in recent years I have focused on not sitting too much. Sitting is bad, doctors say. “Get up and walk around at least every 20 minutes.”

But come to find out, it isn’t sitting that is bad, it’s the way Americans sit. Other countries have very little back pain.

Michaeleen Doucleff writes at National Public Radio, “My back hurts when I sit down. It’s been going on for 10 years. It really doesn’t matter where I am — at work, at a restaurant, even on our couch at home. My lower back screams, ‘Stop sitting!’

“To try to reduce the pain, I bought a kneeling chair at work. Then I got a standing desk. Then I went back to a regular chair because standing became painful. I’ve seen physical therapists, orthopedic surgeons and pain specialists. I’ve mastered Pilates, increased flexibility and strengthened muscles. …

“Then back in November, I walked into the studio of Jenn Sherer in Palo Alto, Calif. She is part of a growing movement on the West Coast to teach people to move and sit and stand as they did in the past — and as they still do in other parts of the world. For the past 8 years, Sherer has been helping people reduce their back pain.

“I was interviewing Sherer for a story about bending. But she could tell I was in pain. So I told her my story.

“Her response left me speechless: ‘Sitting is a place where you can find heaven in your joints and in your back,’ she says. ‘It’s not sitting that’s causing the pain, it’s how you’re sitting. …

“Anthropologist David Raichlen at the University of Arizona says [of the Hazda in Tanzania], ‘They do a lot of upper body work, [and] they spend quite a bit of time walking — at a pretty high rate of speed.’ ,,,

“But do the Hadza actually sit less than we do? A few years ago, Raichlen and colleagues decided to find out. They strapped heart-rate monitors onto nearly 50 Hadza adults for eight weeks and measured how often each day, they were just, well … sitting around. The results shocked Raichlen. ‘ The Hadza are in resting postures about as much as we Americans are,’ he says. …

“But here’s the thing: The Hadza don’t seem to have the back issues that we Americans have, even as they age. …

“Over the past century or so, many Americans have lost the art of sitting, [Orthopedic surgeon Nomi Khan] says. Most people in the U.S. — even children — are sitting in one particular way that’s stressing their backs. You might not realize you’re doing it. But it’s super easy to see in other people.

“Here’s how: Take a look at people who are sitting down – not face-on but rather from the side, in profile, so you can see the shape of their spine. There’s a high probability their back is curving like the letter C — or some version of C. …

“Sitting in a C-shape, over time, can cause disk degeneration. Or one side of a disk can start to bulge. …

“At Sherer’s studio, she pulls a up a photo of gray-haired man sitting at a loom. He must be at least in his 60s.

” ‘This is taken in Rajasthan, India,’ Sherer says. ‘The man sits at the loom weaving, for hours and hours every day, just like we do at a computer,’ she says. ‘And yet his spine is still elongated.’

“Elongated is an understatement. This man’s spine is straight as an exclamation point. His shoulders are rolled back. His muscles looked relaxed and flexible. …

“One of the problems, Sherer says, is our culture focuses on trying to fix the upper body. ‘Sit up straight,’ parents and teachers say, and most of us immediately stick our chests out. …

“Instead of focusing on the chest or shoulders, Sherer says, we need to turn our attention to a body part that is lower down, below the waist: the pelvis. ‘It’s like a stack of toy blocks. If the blocks at the bottom aren’t sturdy, then the top has no chance.’ …

“To figure out how to shift your pelvis into a healthier position, Sherer says to imagine for a minute you have a tail. If we were designed like dogs, the tail would be right at the base of your spine. … In other words, we need to untuck our tails. To do that, Sherer says, you need to bend over properly when you go to sit down. …

“If you bend at the waist, which many Americans do, then you will likely sit with a C or cashew shape. If you bend at the hips … you’re more likely to sit correctly with your tail untucked. …

‘” ‘Stand up and spread your heels about 12 inches apart,’ she says. Now, put your hand on your pubic bone — like a fig leaf covering up Adam in the Bible, she explains.

” ‘When you bend over, you want to let this fig leaf — your pubic bone — move through your legs,’ she says. ‘This creates a crease between your pelvis and legs.’

“This action also pretty much pokes your butt out, behind your spine. “Now go ahead, sit down,” Sherer says. …

“The next step is to relax the muscles in your back and chest. ‘Stop sticking out your chest,’ Sherer says. Then the rest of the spinal vertebrae can stack up in one straight line, like an I instead of a C.” More at NPR, here.

I’m really going to work on this.

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If sitting at work is bad for you, try walking at work. That’s what I did today, and I think I’m hooked. I love the “walk station.”

I’ve been to physical therapists for my back off and on for years, and they tell me to get up from the computer every 45 minutes and move. I try to remember. After all, I’ve always known I think better if I walk.

Turns out it’s not just me that shouldn’t sit too long. Lately the news has been full of warnings.

Here, for example, is what Olivia Judson, at the NY Times blog The Opinionator, has to say.

“It doesn’t matter if you go running every morning, or you’re a regular at the gym. If you spend most of the rest of the day sitting — in your car, your office chair, on your sofa at home — you are putting yourself at increased risk …

“You may think you have no choice about how much you sit. But this isn’t true. Suppose you sleep for eight hours each day, and exercise for one. That still leaves 15 hours of activities. Even if you exercise, most of the energy you burn will be burnt during these 15 hours, so weight gain is often the cumulative effect of a series of small decisions: Do you take the stairs or the elevator? Do you e-mail your colleague down the hall, or get up and go and see her? When you get home, do you potter about in the garden or sit in front of the television? Do you walk to the corner store, or drive?” Etc.

Getting back to my workplace: we have three walk stations that we can reserve by sending them an invitation through our e-mail system. I was lucky when I went to the walk station today, because two experienced colleagues were walking and working on the other machines. They explained how you clear the speed setting from the last person, how you raise and lower the work table, how you set your walk speed.

At first I kept slipping backwards, but I think I’ll improve with time, and I’m already signed up to go back there with my laptop on Monday. Too bad we can’t have one all the time.

Photos: Zack Canepari for The New York Times, left; Chris Machian for The New York Times, right
Sitting at a cubicle vs. walking while clicking and talking.

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Back when my sister was teaching tai chi and before she decided to go to medical school, I was skeptical of Eastern health practices.

I should have taken lessons then, but I’ve learned the error of my ways and am more open to trying new things. I told John I’d been trying to find a weekend tai chi class that might be good for back pain.

Last week, he called about a sign he saw in Arlington:  Zhen Ren Chuan, a martial arts studio, had begun to offer tai chi.

Saturday I went.

Tai chi is not as easy as I thought watching ladies in San Francisco and Boston parks. So many things to think about at once! In that sense alone it is a great way to clear your mind of everything else. I will go again.

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The Boston Medical Center, whose patients are mostly poor, has been a pathbreaker in treating the whole person. Its volunteers and staff help patients find services for life issues that may be exacerbating health problems. BMC works with lawyers to get landlords to make building-code-required changes that affect asthma and other conditions.

Now it is doing an experiment with yoga.

On Monday, the Boston Globe wrote, a “yoga class, held in a Boston Medical Center lobby for staff and patients, features postures vetted for people with back pain. It was a prototype for an ongoing study exploring the use of yoga in the city’s poorer neighborhoods.

“A survey of 5,050 people who practice yoga, conducted for Yoga Journal in 2008, found that 44 percent — almost half — reported annual incomes of $75,000 or more, and 24 percent said their income was higher than $100,000. Chronic low-back pain annually affects between 5 and 10 percent of all income levels of the population …

“Because many yoga postures stretch and strengthen the muscles affecting the back, at least 10 published studies have been done on yoga and chronic low-back pain, says [BMC’s Dr. Robert B.] Saper. But though the majority have shown yoga to be promising as a low-cost treatment, all have been done on predominantly white, educated, affluent populations, he says.

“ ‘In our patient population, it’s unusual to have back pain alone as a single problem,’ Saper says, noting that many patients also suffer from hypertension, diabetes, obesity, depression, and anxiety. And while he emphasizes that he doesn’t consider yoga a ‘panacea for everything,’ he says that ‘because of the mind-body component of yoga, we’re aware that [it] may be helpful for a variety of patients with co-morbidities. And that it may help with depression, anxiety, and resilience.’ …

“The yoga group received one 75-minute class each week that included postures, deep breathing, and meditation. They were also given an instructional CD and equipment to practice 30 minutes a day at home. After 12 weeks, the yoga group reported one-third less pain and an 80 percent decrease in pain medications. The control group reported a decrease in pain of 5 percent and no change in medication use.”

Read more here.

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