Lancet - How to beat back pain: take a stroll five times a week

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How to beat back pain: take a stroll five times a week


Regular walking can have a ‘profound impact’ on a condition that affects as many as 60 per cent of people at some point


June 20 2024, The Times


Walking for 30 minutes five days a week could help to fend off back pain, according to new research.


A trial has found that people with lower back pain who were asked to take regular strolls remained pain-free for nearly twice as long as a control group who did not follow the same schedule. Their quality of life improved while the amount of time they took off work almost halved.


The researchers said that their findings, published in The Lancet, showed that walking could have a “profound impact” on a condition that affects as many as six in ten people at some time in their lives.

The study, run by Macquarie University in Sydney, involved 701 patients seen at private clinics who had recently experienced an episode of lower back pain.


Those involved were split, at random, into two groups. Members of the first group were asked to take regular walks. They also saw or had video consultations with physiotherapists, who advised them on how to increase exercise, and were asked to fill out diaries to record their strolls and were given pedometers to count their steps. The second group, which acted as a control, did not get any advice or instructions to walk.


On average, it was 208 days before the walkers reported a repeat of their back pain, compared with 112 days for the control group.


Professor Mark Hancock of Macquarie University, senior author of the study, said: “We don’t know exactly why walking is so good for preventing back pain, but it is likely to include the combination of the gentle oscillatory movements, loading and strengthening the spinal structures and muscles, relaxation and stress relief, and release of feelgood endorphins.

“And of course, we also know that walking comes with many other health benefits, including cardiovascular health, bone density, healthy weight, and improved mental health.”


About 800 million people around the world have back pain, and seven in ten who recover from an episode have flare-ups within a year. The NHS website advises sufferers to stay active and to avoid long periods of inactivity.


Dr Natasha Pocovi of Macquarie University, lead author of the study, said: “It [walking] not only improved people’s quality of life, but it reduced their need both to seek healthcare support and the amount of time taken off work by approximately half.


“The exercise-based interventions to prevent back pain that have been explored previously are typically group-based and need close clinical supervision and expensive equipment, so they are much less accessible to the majority of patients.


“Our study has shown that this effective and accessible means of exercise has the potential to be successfully implemented at a much larger scale than other forms of exercise.”
 
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Movement is good for your back. In high school I ended up lying across one of those vaulting 'horses' in the gym, looking up at the ceiling. It didn't hurt at the time, but have had back pain to a greater or lesser degree ever since. Age of course has not improved matters.

My understanding is that exercising your core muscles (abdomen, sides, and lower back) will strengthen them, and they in turn will be better placed to stabilise and support the lower back.

I can't read your link without subscribing, but here's one on back pain and exercises: https://www.webmd.com/back-pain/exercises-lower-back-pain

The really weird thing with my back ... about 20 years ago I could put on a seriously heavy rucksack filled with climbing gear. Drive to an area, hike to the crag, and spend hours climbing, and my back was fine.
Go into town with a light bag doing xmas shopping (for example), and my back would end up in agony! o_O
 
Movement is good for your back. In high school I ended up lying across one of those vaulting 'horses' in the gym, looking up at the ceiling. It didn't hurt at the time, but have had back pain to a greater or lesser degree ever since. Age of course has not improved matters.

My understanding is that exercising your core muscles (abdomen, sides, and lower back) will strengthen them, and they in turn will be better placed to stabilise and support the lower back.

I can't read your link without subscribing, but here's one on back pain and exercises: https://www.webmd.com/back-pain/exercises-lower-back-pain

The really weird thing with my back ... about 20 years ago I could put on a seriously heavy rucksack filled with climbing gear. Drive to an area, hike to the crag, and spend hours climbing, and my back was fine.
Go into town with a light bag doing xmas shopping (for example), and my back would end up in agony! o_O
Don’t worry about the link. It was just embedded in the story I cut and pasted.
 
I never suffered from back pain (being active during my childhood and at Uni, playing a range of sports - and walking.)

When I had children I stopped practicing Aikido (lack of time/being knackered/too much work at that point/grumbling about going out in the evening to train) and then I developed a sore back. I'd never bother going to the doctor about it, it was enough to do some stretches (flat back, rotate legs across body type stuff) and it would go away for the rest of the day.

All the above is probably a given and not very exciting, the interesting thing is that when I started riding a bike (as an adult) I no longer had a sore back at all. This has held true for the ~4 years I've been riding now until I had a month or so off after COVID + lots of work and rubbish weather, and my back started grumbling again. Once I got back on the bike and it's all good.

I would naively assume that the reasonably static position on a bike, and the angle (as I use curly bars), might not be good for it, but my n=1 sample says otherwise! 🙂

I do play badminton too, but had a recent stretch of not doing that with a broken toe (I could still ride) and still no sore back, so it's actually riding the bike though I'm sure playing badminton helps/would be sufficient on its own.
 
@SimonP you could try one legged badminton!
 
I’ve never had back pain. But it’s funny how a “30 minute walk” also resolves BG levels. I’m not convinced I’m on my feet & strutting my funky stuff all day?
 
I find walking realigns my body and I am pretty sure it helps to remove any fluid build up in joints which can cause pain, especially as we get older, so if my back, shoulders, neck, knees or ankles are starting to give me grief, I know I need to get out for a good walk and whilst it can be painful at first, it never fails to fix the problem for me now, so I am a big advocate for walking and of course it also helps with BG levels too and if you put a bit of effort into it, it can also improve lung function. I haven't needed an asthma inhaler since I started walking more regularly apart from a couple of weeks after I got Covid last year, so lots and lots of benefits and no real draw backs that I can see provided you have the mobility to do it.
 
I trapped a nerve at one point which was very trying. And occasionally, ever since going to the gym, my back gets it into its head to go into a sort of 2 week spasm which visibly pulls my hips out of alignment and makes things pretty sore.

Hasn’t happened for a while, thankfully. i’ve got a bunch of stretches (sound similar to @SimonP ‘s) that will eventually free it up. Ironically one of the triggers for my twinges can be doing exercise like crunches.

And I already walk the dog twice a day, so I can’t really add any more walks in!
 
I start every day by walking 2000 brisk steps, just to kick start my body. By the time I get back any niggles have sorted themselves out and I have booted my body into needing a poo which keeps me regular!

Having said that, when I walk with my partner (who is very slow due to having a really bad back) going slowly actually causes me back pain, so when we have finished our walk together I go for a quick trot round the block on my own to sort out my own back!
 
My back ache comes & goes, remember one time drs would tell you to have bed rest as treatment, as we know now it's best to keep moving & walking is great way of doing so.

Tend to walk on average 2 hours a day.
 
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