Back Pain Exercises

Hi,

I am Dr. Sidharth Verma, Pain Management Specialist. Today I will talk about back pain exercises. What is the evidence and what should you do if you have back pain whether you should do the exercises or not? If somebody has back pain, the kind of response depends upon the particular patient. Som people if have back pain, they will just not pay attention. They will keep on moving. Some patients will pay attention, take pain killers, take rest, and some patients will also do exercises. So, if you are wondering whether exercise is the help for back pain, so this video is the answer. Now we have a lot of studies which have been done and most of the results point out the fact that there is moderate evidence. In fact, one of the recent papers, they go on recommend that exercise is the first line of treatment in the management of back pain. I do not mean back pain which is due to some injury.

If you have injury, trauma, or you got hit by something, when I say back pain, that means which has come on its own. There is no other disease which has found accountable and this back pain ranging from one day to less than 3 months. So, if you have acute or sub-acute which means between 1 day to 3 months of back pain, then probably you should start with the exercise as the first line of the treatment. Now in the recent paper, in 2019 April which is in general of exercise rehabilitation and it says that you should start it as a first line of the management. Now what kind of exercise you should do and what kind of benefits you will have? So, on this, a lot of research has been done. So, scientists have said that you can be benefitted with any of the techniques, whether you do the isometric exercise, flexion, or strengthening exercises. Whatever kind of exercise you will do, it will help you.

There is no superiority of any exercise over the other. You can do swimming, walking, strengthening exercises. You may get a similar kind of benefit from each one of them. Now there is something which is very common, what about massage? Massage is going to help or not? In this also, scientifically exercises which have been found to be helpful is a cutaneous massage. It is also known as CTM. This is known to give a good result. It is a very beneficial massage. It is thought to act by neuro mechanism. This is the only kind of massage which has been found to be helpful. All other kinds of massage have been found either ineffective or it is having no result. So, CTM massage is going to give you a good result. Next topic is what about mindfulness like yoga. This also has been found to be helpful. There is a good amount of evidence which supports. If you have back pain and it is a recent onset, no other cause, and you feel it is muscular, so yoga may help. If you are finding that back pain is still not going so you can combine exercises, massage, yoga before you go to your physician and before you start your medications.

And the evidence also suggests in addition, that the combination of these will result in better output as compared to one individual technique alone. So, if you combine all these techniques then it will give you a good result in the treatment of your back pain. Now if you have a reasonable time and you are making good efforts still your pain is not relieved, so you can visit you, pain specialist or your physician, pain physician for further treatment. Then he will try to find out the pain generator means where your pain is coming from like bones, muscles or joints then he can suggest remedial treatments and you can have good relief. So, you want to know more about back pain, why it occurs, what are the latest treatments, how can you avoid the back surgery, please visit us in our clinic, or you also can see my Lybrate website. To know more, you can reach put to us.

Thank You!