Relieve Low Back Pain | Reduce Low Back Pain | Canada's Leading Authority in Human Movement | Dev Chengkalath

The power of the internet can’t be doubted.

It has the ability to spread knowledge across the globe in real time. You have a problem, google it, and more than likely you’ll find a solution.

So what’s wrong with that?

As a physiotherapist in Toronto, these are the questions I ask myself: How good is the information you’re getting? Is it valid? Reliable? Can it be trusted? Will it help you? Or will it hurt you?

This holds even more weight when dealing with physical issues such as injuries or illness. Plug in your signs and symptoms and within seconds, hundreds, if not thousands of webpages will be returned for your perusal.

It’s no different with relieving low back pain. Plug in those search terms and instantly you’ll have at your disposal more information than you could possibly even use.

When looking at low back pain, a good portion of the information that’s returned discusses strengthening your abs to fix your back problems. At times, this is similar to the information many people are given by their medical and fitness professionals: “Build a strong core to protect your back”.

Unfortunately, abdominal training is typically considered the foundation of core training. In reality, abdominal training is only a small part of the bigger picture. And in some cases, poorly designed or applied abdominal training can actually be what’s keeping you in pain.

As I’ve already talked about six pack abs and low back pain, I’ll just stick to giving you some ideas on how to keep your back strong, safe and healthy. Without further ado, here’s my list of the 3 worst core exercises for people with low back pain:

The abdominal crunch or sit-up: These staples of most back rehab programs should be eliminated because of the tremendous compressive loading forces that they create through the discs of the spine. There are better ways to train the core!

Dr. Stuart McGill, one of the foremost spine researchers in the world, has measured compressive forces of approximately 3300N (730 lbs) in the spine with these types of exercises.

This is equal to the amount of force noted by some government health agencies as the amount of force needed to cause injury!

Abdominal machines (crunch and twist machines): So if crunches or sit-ups can cause as much damage to your spine, imagine what happens when you take the same exercise, restrict movement at certain joints, isolate movement at others (in this case the lumbar spine) and then add a load.

Doesn’t sound very good, does it?

Now take that same flexion movement add a loaded rotation component on the twisting abdominal machines and you’re well on your way to getting yourself sent off to the disabled list.

In fact, we’ve  dubbed these types of exercises “disc herniators” and inform our clients on continuing to do these only if they wish to help us finance our latest exotic car purchase.

www.madwhips.com

Take home message: save your spine and stop flexing and/or twisting through your low back!

Back Extension Machines: As described by Dr. McGill, the repeated spine flexion/extension movements used by these devices create the same conditions that were necessary in his lab to produce disc herniations.

Enough said.

Why would you want to do the same to your back at home?

So there you have it…The 3 worst core exercises for people with low back pain. If you love your back, stop doing them.

Let me know your thoughts. Do you agree? Disagree? Or just not care?

Yours in movement.

Dev Chengkalath

The buzzword with low back pain these days is “core” training. And I agree. 

The only problem is that most often people will do the wrong kind of core training. In most cases, the type of training is flexion based (sit-ups, crunches, twists etc) and uses just a small component of the so-called core. 

In this short post, I just want to re-visit what is one of the best foundational core exercises that will also help protect your spine.

Since a picture is worth a thousand words, here is a short clip on the birddog exercise and its variations, popularized by Dr. Stuart McGill.

What are your thoughts on this type of core training? 

Yours in movement.

Dev Chengkalath

Millions of people around the world have all reaped the benefits of a good push up. 

Photo courtesy Arlen Roche

Now you too can join in the fun.

For free.

With no pokey underwires, no skin-scarring straps and no constrictive constraints.

All in the comfort of your own home. Or even out at your local playground, if you so desire.

In keeping with the theme of body weight exercises, this post will discuss what is probably one of the most basic of human movements: the push up. 

LIke all other body weight exercises, no external load or vast amounts of space are required. 

In its simplicity, it will confer numerous benefits which include a buffed up bust, souped up shoulders and tantalizing triceps.

This movement is also a fantastic core control and stability exercise. 

It can modified to suit absolute beginners or progressed for even the most advanced trainee. 

As a physical therapist, I use these from shoulder rehab programs to relieving low back pain to general fitness and health.

With this list of positives, you have no reason NOT to be doing these often. 

The Basic Push Up:

Start in a plank position with your hands slightly wider than shoulder-width apart.

Keeping your head in line with your torso, hips and legs, lower your chest towards the ground, under control, as far as you can.

Don’t let your hips sag to the ground or arch up to the ceiling (always maintain that straight line).

When you’ve lowered yourself as far as you can, reverse the movement and push your body back up, using your arms and chest, to the starting plank position.

And there you have it, the basic push up!

If these are too easy or too boring for you, just use your imagination.

The variations are only limited by your imagination. These include close hand position, off-set hand position, feet raised, hands raised, one arm, one leg or any combination of the above. 

Long live push ups!

Dev Chengkalath

I realize I left off the last post with all of you yearning for those fantastic ab wheel exercises.

I’ve been extremely busy at the clinic doing my physical therapy thing this past month and I apologize for making you wait and for the dearth in posting.

I promise I will make it up to you!

But…

Before I get into the actual exercises I just wanted to list my top 6 reasons why the ab wheel is such a versatile core training device:

1. Simple and easy to use
2. Small, lightweight and portable
3. Needs only body weight
4. Very affordable
5. Effective and efficient
6. Can be used by anyone, from beginners to professionals

So without further ado, here are a few ab wheel exercises from easiest to incredibly challenging.

1. The basic roll out: Start in a kneeling position and just roll out as far as you can from your hips keeping your back and stomach tight and braced. Don’t let your low back arch up or sink down.

2. Angled roll outs: Start in the same position as the basic roll out, however, instead of rolling straight out, angle your direction of travel.

3. Full standing roll outs: Start in a standing position with the ab wheel at your feet. Roll out as far as you can and then roll back in to the original standing position.

Give these a try but do remember to work within your limits.

While the basic roll out, done with a shorter reach, is fairly simple and straight-forward, the other variations can be extremely challenging and do carry a greater degree of risk. The farther out you take your arms, the harder this exercise will be. 

To your ab rolling.

Dev Chengkalath

In keeping with the theme of body weight exercises, I just wanted to touch on what I consider one of the best tools to enhance your core: The Ab Wheel. 

I’m sure many of you are familiar with this simple yet powerful piece of exercise equipment.

It’s pretty much a wheel with small handles poking out of each side. 

Marvel of modern engineering

This elegant design allows the ab wheel to outperform all those fancy ab-training devices that you may have been tempted to buy during those nights where your insomnia met those compelling fitness infomercials.

Now you’re probably wondering why the ab wheel is so special?

Well, for starters, this little device lets you target the core appropriately.

The core, as I’ve written about before on this blog, is not specifically designed to flex the torso as most people think.

If it were, the muscles would look a lot different than they do.

This is one of the reasons why exercises like sit-ups and crunches are not the best types of core exercises to prevent or relieve low back pain.

In fact, if the main purpose of the abs were to flex the torso, the stomach muscles would look more like the hamstrings and not the typical six-pack.

Hamstrings: long, straight bands of muscle

Abdominals: sectioned and multidirectional

Looking at functional anatomy, the core is designed to resist movement and to act as an energy transfer link between the upper and lower body. It essentially acts like your body’s own internal corset which protects your spine and keeps your back healthy.

And that’s just what the ab wheel does.

It forces you to hold your core tight and neutral while moving through the hips. As an added bonus, you’ll work on your shoulder stability and control as well.

In my experience as a physical therapist, shoulder injuries are the second most common type of injury I see at the clinic. 

So why not do yourself a favour and protect the two most often injured areas at once?

If you don’t already have one of these marvels of modern fitness engineering at home, you can pick one up HERE.

In my next post, I’ll go over a few of the top ab roller movements and give you beginner to more advanced exercises. 

To your abdominal rolling.

Dev Chengkalath