Back Pain Relief Needs Upgrade

by Ryan Halvorson

Making News:

Many people suffer from back pain, but the most commonly used pain-relief methods come up short, suggests information from a recent study. The study, which was published in the April 1 issue of Spine (2009; 34 [7], 718–24), was designed to determine current approaches to management of low-back pain (LBP). According to data gathered from 732 respondents aged 21 and older, exercise was one of the most effective methods of relief, but also the most seldom employed. The authors stated that many patients opted for medications as opposed to such “research-proven” methods as exercise, physical therapy and structured rehabilitation. “Provider and treatment use for chronic LBP are both very common and varied,” added the authors. “Current treatment patterns are consistent with overutilization of some medications and treatments, and underutilization of exercise and depression treatment.”

Eric Beard, MS, senior master instructor for the National Academy of Sports Medicine, believes that a structured and thorough assessment process and exercise program can have a significant impact on LBP. “Specific corrective and core exercises can help to reverse the imbalances that result from prolonged sitting,” states Beard. “Restoring alignment of the skeleton and returning force production, reduction and stabilization to the muscular system can go a long way to preserve ligaments and discs.” Beard advises that when working with clients suffering from LBP, personal trainers administer thorough static and movement assessments prior to program design. “As personal trainers we can assess kinetic chain function holistically. It is common that a restriction in the ankle, a mobility problem in the hip or stability issue in the shoulder complex is contributing to back pain. Look at the body as a whole using movement assessments like the overhead squat.” Beard advocates taking a team approach when addressing individuals with LBP. “Working with licensed healthcare practitioners is always a plus,” he says, adding that it “can aid in treatment and rehabilitation of low-back pain to co-treat clients for a balanced approach.”