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Back pain from the front?

When your pain is in the back, it is usually because of a problem in the front.

This statement sounds completely backwards. Let me explain. When you are in pain, it is easy to assume that the problem is wherever you feel the pain. So you take a Tylenol and put the heating pad where the pain is and you feel better. But then a few days later, you are in pain again. Why is that?

I have an experiment for you. Take a thick rubber band. Put it over your thumb and forefinger. Now with a paperclip, shorten the front side by folding the band on top of itself, but only on the front side. The opposite side gets pulled and the tension it feels becomes visible. That tension is the pain. It is simply the symptom. The reason for the tension is the shortening of the band in the front. Now remove the paperclip from the front. The tension on the rubber band evens itself out again.

Your muscles work in a similar manner. When you sit, your abdominal muscles and hip flexors are shortened, and your low back muscles are lengthened. Now think about how often you are in that seated position; in the car, at your desk, on the couch, while you are eating, etc. That is a lot of time that for your body to be in a flexed position! That whole time, your low back muscles are working over time trying to hold you upright.

Similarly, think about all the times your arms and head are in front of your shoulders; using a computer, texting, driving in the car, etc. Your upper back and neck are working so hard to pull you back into a homeostatic position that they get over worked and begin to hurt. By lengthening your pectoralis muscles and the Sternocleidomastoid, you are allowing your neck and shoulders to return to the proper position.

Massage therapy uses a combination of gliding and compression movements to lengthen the muscles that have become shortened and increase blood flow to the areas that are in pain, allowing for the body to heal. Regular massage therapy appointments ensure that the clients’ muscles stay hydrated and pliable to help reduce the risk of new and recurring injury.

“I am so busy I just can’t find any time to exercise!”

I wish I had $1 for every time I heard this excuse- yes I said excuse, not reason. Everyone is guilty of using this – even us trainers.

The most important thing about working out is to realize that it does not require a large amount of time out of your day; here are some guidelines from the American College of Sports Medicine (ACSM) for cardio training:

1. Adults should get at least 150 minutes of moderate-intensity exercise per week
2. 30-60 minutes of moderate-intensity exercise (five times a week) or 20-60 minutes of vigorous- intense exercise (three times a week) is recommended
a. One continuous session or multiple shorter sessions (at least 10 minutes) are both acceptable to accumulate amount of daily exercise
3. People unable to meet these minimums can still benefit from some activity.

Lets delve a little deeper into what these recommendations are saying (the proof you have time for exercise)-
1. 150 minutes per week breaks down into around 20 minutes a day
a. 20 minutes a day is spent hitting the snooze button, waiting in line for lunch, watching reality TV shows, waiting for dinner to cook, etc.
2. Minimum of 10-minute sessions can be used to accumulate daily exercise recommendations.
a. 10 minutes of power walking with your dog in the morning or at night, climbing the stairs at work for 10 minutes during your lunch hour, playing with your kids at the playground, walking them around the block in their stroller, etc.
3. Any activity no matter how little is better than nothing!

Instead of thinking about how busy you are doing other things make a time in your day that is blocked off for working out. I did this in college; my gym time was blocked off as if it was a class that I had to attend. That way when my friends wanted to go to lunch or do whatever college life activities we could do I had an excuse. Your health is way too important to put on the back burner, you make everything else in your life a priority why should exercise fall by the wayside?