The best way to deal with back pain
is to stay active and continue doing regular exercise.
The advice 20 years ago was to
rest, but research has shown that inactivity only makes things worse,”
says Dries Hettinga of BackCare, a charity that offers support and information
to people with back pain.
“When you’re in pain you may want to
stay in bed and not move around, but that results in further [loss of
mobility] and will only prolong the pain.”
Staying active means continuing with
regular day-to-day activities to avoid becoming sedentary. Examples
include walking to the shops rather than
taking the car, getting off the bus one stop early, gardening and taking
the dog for a walk.
If you experience moderate pain,
take painkillers that are available over the counter from your pharmacist
or supermarket. Your pharmacist or GP can advise you on how to use your
medication effectively.
Exercise program
In addition to maintaining an active
lifestyle, try to exercise. You can do any activity that gives your body a
good workout.
“It’s important to pick an exercise
you enjoy,” says Hettinga. “If you do something you enjoy, you’re more likely to
stick with it. There’s no quick fix for back pain so you need to work at it.”
Ideally, your choice of activities
should involve elements of endurance, strength and flexibility. Examples
include walking, running or jogging, cycling, dancing, swimming, hydrotherapy (exercising in
water) and aquarobics.
Consider a variety of exercises
as part of a weekly exercise program, which could include yoga, T’ai chi,
working out in a gym and sport in general.
Hettinga says exercise program are
most effective if performed regularly and over prolonged periods of time.
Aim for at least three to five
sessions a week (approximately 30 minutes each session). You may
want to build this up over a number of weeks.
Hettinga says an individually
designed exercise program gives the best results. A physiotherapist or
exercise professional can help you with this.
Manual therapy
Hettinga suggests combining an
exercise program with a course of manual therapy, especially when the pain is
persistent. Chiropractors, osteopaths and physiotherapists provide manual
therapy.
“Evidence suggests manual therapies
can be effective. Your back is examined to see if any joints need to be freed
up.
"They can do it with a gentle
massage, mobilization or manipulation. It’s especially helpful if your back is
stiff and flexibility is an issue," she says.
Manual therapists are also qualified to
advise you on the type of exercises that will be most effective at dealing with
your type of back pain.
“You should see improvements
after a few weeks,” says Hettinga. “If the pain hasn’t disappeared after a few
weeks of treatment, seek further medical advice to explore alternatives.
"There is always something that can be done about
back pain, but it requires some work and dedication from you.”
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