
My lower back is aching ‐
Dear Satin Wellness,
My lower back has been bothering me on and off for years, what should I be doing to manage this
better? H.A., Concord, MA
Dear H.A.,
Thank you for your question. One of the most frequent issues new clients talk about is back problems. To answer this questions let’s go back over the four pillars of fitness from one of my earlier posts -
Pillar #1 Strength Training aids those over 50 in its role in reducing muscle loss, bone loss and opening joint spaces. Pillar #2 Flexibility reduces joint compression in vertebrae. Pillar #3 Cardiovascular Exercise brings nutrients to the body and removes waste products from muscles in lower back. Pillar #4 Balance helps reduce back, hip, knee and ankle injuries along with lowering risk of falling.
The four pillars of fitness give us information on how to allow the lower back to move correctly while building strength. The human body is amazing, with over 650 muscles and 206 bones, just think of the complexity when we sneeze, cough or walk and the impact those daily occurrences may have on your back. If there is a link that is challenged or needs strengthening like the back; there could be many things that need to be worked on to correct the lower back. It normally requires focusing on more than one area to lessen back issues, here is a simple way to start taking control of your back pain by building strength and flexibility in key areas.
- Strength and flexibility of the Lower Back Muscles. There are three layers of muscles and 33 bones in the back and if they are held together correctly it reduces the risk of lower back soreness and allows the bones in the back (vertebrae) to move easier.
- Strength and flexibility of Abdominals. There are two layers of abdominal muscles in the front, two from your side toward the middle and one on the side. If they are functioning correctly they not only act as a girdle for your internal organs, they also work in conjunction with your lower back muscles to give you good posture and reduce lower back issues.
- Strength and flexibility of the Hip Complex. The hips are made up of 4 bones and 17 muscles and if they function correctly they can also reduce lower back issues.
- Strength and flexibility of Hamstrings. The hamstrings are made up of long muscles in the back of the upper thigh and if they have been strengthened and are appropriately flexible they reduce the pull on the hips.
To see changes in one specific area you may need to look at multiple modalities such as: a physician,
exercise physiologist, physical therapist, acupuncturist, chiropractor, yoga practitioner, massage therapist or all of above to lessen the discomfort and stop it from recurring. We have seen individual approaches and a combination work for clients.
In most cases, not only do you not need to live with lower back pain, with strength and flexibility training you can manage your back pain, avoid further injury and in many cases resume all normal activities of the lifestyle you want.
As with any exercise program, please consult your doctor before you begin to make sure you are ready to begin. Carlisle resident Steve Satin, Exercise Physiologist, is the founder and owner of Satin Wellness an in home personal training company since 1991. Have a fitness question? Send it to
ssatin@satinwellness.com. For more information, visit www.satinwellness.com or call 978-369-3492.
