Apr 24 2009

3 Most Important Steps to Relieve Low Back Pain-Get Educated

“Give a man a fish and he will eat for a day. Teach a man to fish and he will eat for a lifetime.”

Chinese Proverb

Have you ever noticed that the first item on almost every list of anything related to health or wellness is “get educated”?

education

This is by far the most important aspect of any successful program, no matter what the program deals with.

This basic tenet can be found in effective weight-loss programs, injury rehab programs, heart-health programs and even nutritional systems such as my personal favourite “Precision Nutrition”.

The easiest way to reach a certain goal or achieve a certain outcome is usually to get educated.

Why get educated?

The answer is simple.

There are two items that are paramount for achieving success in relieving your low back pain: having a plan and taking action.

Getting an education will give you the foundation you need to decide what your plan is going to be.

Once you have a plan, all you have to do is take action.

This is a sure-fire recipe for success.

When it comes to low back pain, education can mean a whole bunch of things.

From my experience as a physical therapist, here’s my take on the 2 most important things getting an education with respect to your low back pain will give you:

1. The problem
2. The solution

Again, it’s that simple.

If you’ve followed my posts for any amount of time, you’ll recognize that I’m a simple man that believes strongly in the basics.

This goes back to my introduction to Occam’s Razor years ago.

When dealing with low back pain, almost everything we do can be summed up in that duology: we have a problem (low back pain) and we want a solution (stop the pain).

Getting educated will help you define your problem and will help you formulate your solution: The whos, the whats, the wheres, the whens and the whys.

Getting educated will let you figure out the steps you need to create your plan and then set you up to move on to the next stage: Taking Control.

In the next post, we’ll dig a little deeper into what taking control really means.

So until that time, poke around my blog to learn all you can about the causes, sources and solutions for your low back pain.

Yours in movement,

Dev Chengkalath


Apr 22 2009

The 3 Most Important Steps to Relieve Low Back Pain

As you may (or may not) have noticed, I’ve been a little lax on getting new posts up in the last little while.

And for all of my readers out there who missed me, I apologize.

I had the opportunity to take my first vacation in a couple years  (only 5 days-which was waaaay too short!) in the warm and sunny Mayan riviera. If you get a chance to go, I highly recommend it.

macaw-in-mexico

Beautiful beaches, friendly people and amazing food.

I have officially decided that nothing beats fresh Mexican salsa!!!

Now that my vacation is over, I’m back…More refreshed and energized than ever.

Over the course of my trip I had a chance to chat with some pretty amazing people from all over the world.

When they found out that I was a physical therapist from Toronto who happens to do a lot of work with low back pain, the conversation would eventually turn to back injury and back pain treatments.  

As you can see, back pain is a global issue and affects people from all sorts of backgrounds.

Anyway, once we began chatting away I noticed that everything I suggested  in terms of treatment options revolved around three major ideas. In fact I repeated them so often, you might say I almost sounded like a broken record.

And here they are, borne on the sunny beaches of Xcaret, Mexico:

  1. Get Educated
  2. Take Control
  3. Get fit

Over the next few days I’ll break each one of these down in greater detail so you too can relieve your low back pain. In the mean time, if you’re looking to see what I’ve said about the causes of low back pain before, you can check it out HERE.

Yours in movement,

Dev Chengkalath


Apr 15 2009

Feeling Stiff in the Mornings?

Mornings can be a tough time for people with low back pain. 

Often, this morning stiffness can make it challenging to start your day and get the ball rolling.  

So if you find your back pain acting up in the mornings when you wake up, try this quick physical therapist approved spinal mobilization movement to get things loosened up.

Just aim for 6-10 reps and always work in a pain free range of motion. 

For a written description of the Cat and Camel exercise, check out the Exercise Video section of the blog. 

Yours in movement, 

Dev Chengkalath


Mar 29 2009

Building ripped abs with a simple wheel…

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


Mar 20 2009

Simple yet effective…

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

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

Hamstrings: long, straight bands of muscle

Abdominals: sectioned and multi-directional

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