Dealing with Low Back Pain

It's no surprise that sitting at a desk for 14 hours a day can cause a lot of us to develop some form of back pain. For me, my lower back on the sides of my spine gets extremely tight to the point where it's difficult for me to even bend over to put socks on. 

When I wake up in the morning, I have to set aside 10 minute to stretch out my back just so I can function and move around. As I walk around and during my commute, the back pain goes away, but once I start to sit down for a while it comes back and is just an unbearable burning sensation.

I have a standing desk at home which works wonders, but in the office there's really no solution. I used to get up often to walk around in order to get some relief but then my dick VP started to make comments about why I'm not at my screen. 

One of my favorite exercises that actually helps is squatting near a wall, leaning over and  putting your two hands outstretched against the wall, then with your knees bent, pushing against the wall and slowly pushing your head down. This usually takes a lot of pressure off the spine and helps stretch out the muscles. 

I wanted to know if anyone else has some low back pain tips or exercises that are helpful. Right now its becoming even difficult to sleep because it hurts so bad. I don't think I have any type of spine injury, I think this is largely due to just being stationary for most of the day and having weak or strained low back muscles. 

 

This is a basic reply but new pillow/bed + improved ergonomics (monitor height, chair height, etc... just look at an online guide) brought me 85% relief in two weeks after I went through a month+ of problems like yours.

 

Maybe swimming would help. Also, hanging could help - do some knee raises while hanging on the pull-up bar or that device where you put your elbows on it to hang. 

"If you always put limits on everything you do, physical or anything else, it will spread into your work and into your life. There are no limits. There are only plateaus, and you must not stay there, you must go beyond them." - Bruce Lee
 

Swimming and stretching regularly have done wonders for my back

“The three most harmful addictions are heroin, carbohydrates, and a monthly salary.” - Nassim Taleb
 
Most Helpful

dealt with back pain in my 20s for a while and have suffered grade 1 and 2 tears in my lower back muscles, this is what worked for me both in prevention, recovery, and maintenance

  1. lots of mobility, you should be able to do a full bodyweight squat where your ass is nearly on the ground at the same time your heels are, in other words full range of motion. you should be able to have your foot 4-6" away from the wall and touch your knee to it without your ankle lifting up, being able to touch the floor with straight legs without bouncing, full lizard lunge (look it up), and lots of the famous "runner's stretch" https://totalwomenscycling.com/fitness/yoga-for-cyclists-part-4-the-legs (it's the first one in this article). I don't stretch before I workout but I do it at least 3x a week and more if I've been hurting. once you're mobile, 10-20 minutes should do it, but initially it'll take more time
  2. work on stabilizer muscles like hip flexors, VUL, QL through things with bands around the knees, fire hydrants, single leg stuff, etc.
  3. foundation training (
    )
  4. deadlifts deadlifts deadlifts. focus on perfect form before really getting into it, and trap bar is always safer than straight bar
  5. ditto to isaiah on swimming and hanging. I think the theme is mixing it up, my back pain has never been bad when my exercise was varied, but when I would do push/pull/legs bro splits, that's when the problems inevitably crept back in
 
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Awesome advice. I was in physical therapy for 6 months following a back injury (a few years ago) and everything I’ve learned from that can be summed up in your comment.

“The three most harmful addictions are heroin, carbohydrates, and a monthly salary.” - Nassim Taleb
 

Competly understand how brtual it can bem I've been having lower back pain over the past 6 months to the point where I wasn't able to move.I've seen a bunch of specialists and tried physical therapy, but surprisingly acupuncture and massage therapy were the only treatments that worked. They have worked wonders for me. I'm able to move around now and should he back to my old self in a few weeks.

 

Am 57. have had lower back issues / pain (herniated L5) since my 30s. Stretching (hamstrings, glutes) is key. I do a 20 minute routine. Used to have to do it to function. Now I just do it to feel better. Also, strengthen your core. Pelvic tilt situps (so you don't put extra pressure on your lower back). Medicine ball extended arm lifts. All kinds of ab exercises. 

 

You need to do pilates, preferably finding a place that has a licensed physical therapist as an instructor.  I previously ruptured my L4 & L5 and was laid up for over 6 months.  Sitting was the most painful position for me and I could only do it for a few minutes at a time w/out bracing against the arms of the chair to put the weight on my arms.  I tried every conceivable remedy short of surgery before finding pilates, and it was a game changer.  It really gets you in the habit of engaging your core constantly, aligning the lower & upper half of your body, and taking pressure off of your back.  The view in a pilates class is also not bad.

I come from down in the valley, where mister when you're young, they bring you up to do like your daddy done
 

Gotta get in motion to strengthen your midsection + get some blood flow to the region

Bodyweight KB swings or RDLs + ab exercises

Something for obliques (/rotational load)

Hanging is good if you have the means to do so. Swing your pelvis so you are going in and out of flexion

Lunges

The key is doing something everyday to get the bloodflow going. If you go to the gym for 1-2 hrs after work, it doesn't help you during the time you are actually at work. I am also a big fan of hot yoga but ymmv. Something as simple as burpees for 5-10 minutes (as a warm-up), followed by a yoga routine with challenging stretches/poses will benefit basically all your joints.

And when you're sitting in a chair, don't go crazy on the lordosis (instagram ass pose). Try to sit up reasonably straight

 

Highly suggest an inversion table if you have the room for it in your apartment. Seems whacky when you first look it up but it completely decompresses your spine. Mix this in with stretching your hamstrings and hips and you should feel some relief. I had chronic back pain and 6 months of the inversion table and 3X a week Yin yoga changed my life. Going on year 4 of no pain.

 

I’ve had back pain for the past 12 years but have basically defeated it in the past 6 months I’d say. 
 

backward leg extensions: lean forward facing a wall with your hands on it and keep one foot planted while bringing the other leg back and raising it. Do 3 sets of 20 each. It will help activate your glutes. This worked like a charm and typically would relieve 75% of any back pain I had immediately, even if it was only momentarily. 
 

do a hip flexor stretch. Prop up one foot behind you on a couch or chair and then lunge forward with the other. This helps relieve back pain as well.

and then lots of back exercises in the gym. Do not skip these. 

 

So aside from all the exercises to strengthen your back muscles, I'm surprised no one mentioned adding lumbar support to your chair. Since you can't really avoid sitting for hours at a stretch at work, you should make it the most comfortable and healthy place you can. I've done 5 cross country road trips and I tell you, a VW Jetta does not have good lumbar support and your lower back just ends up killing you. I got one of those seat support things (like this: https://goodforyourback.com/product/electric-massage-lumbar-cushion/) and it works wonders. I'd look into something like that for your work chair. 

 

Not sure if you're in NYC, but there are a lot of stretching studios where you lie down and someone literally stretches you for an hour, and then they can give you tips. Will mitigate your pain and improve your mobility.

If you're going to do lifts to improve / strengthen your back, I'd suggest investing in a personal trainer to make sure you're doing it right. You don't want to make the problem worse and easily can with bad form

 

For sure as others have mentioned back and leg exercises can be helpful to strengthen it. Curious though, how is your mattress? If it's too soft or old it might not be providing enough support for your back at night. I recently got a new mattress that is firm, and let me tell you my lower back is so much better. A lot of the pain has gone away even on days when i don't do back exercises. I realize its not super easy to replace a mattress and not cheap either, so maybe try and finding something firmer that you can sleep on for a few nights and see if that helps your back. I haven't personally used a mattress topper, but I'm sure there are ones you could find that could help firm up the mattress?

 

95% of the time, back pain is due to tight hips & glutes from sitting all day. Incorporating some hip mobility work a couple times a day should work wonders. Some of my favorites for loosing up the hips (and thus the back) are:

  • hip flexor stretch
  • 90-90 stretch
  • pretzel stretch
  • pigeon stretch
  • frog posture (personal favorite, iykyk)
  • seal stretch

If you don’t know how to do any of these, they should all be pretty easy to look up. Hope this helps someone!

 

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