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Back and neck pain relief through posture correction

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Good posture is key to good quality movement and proper joint function, and is therefore fundamental to remaining pain free.

Posture is the place from which movement begins and ends, and good posture means better quality movement, which in turn leads to less wear and tear on joint surfaces and therefore less pain. As we adopt a particular postural habit such as sitting slouched with our head forward to look at a computer screen, over many months and years our body tends to "harden" into that posture, and when we stand up, we wind up standing with a slouch and a forward head. Our bodies function best in good posture, so developing good postural habits can improve not only sports performance, but also the quality of our lives by reducing muscle and joint pain caused by poor posture.

Pain is frequently postural in nature. As Robin Mckenzie (famous for creating the McKenzie Method for treating back and neck pain) suggests in order to illustrate the point, pull a finger back as far as it will go, and hold it there for a while. Notice how the area where your finger joins your hand is becoming sore, and the longer you hold the finger in that position the more it hurts. As soon as you let go of the finger and it returns to its neutral position, the pain goes away completely. There is no damage to the tissue . This is postural pain. This happens all the time in necks and backs. Now if a non-neutral position is frequently held for long periods of time over months or years, tissue damage may occur as the area wears out, possibly leading to disk issues, facet joint issues etc.

In the past it was believed that we stabilized our spines through the compression of gravity. Now we know that if that were the case our sacrums (the triangular bone at the base of our spines) would be far larger than they actually are in order to be able to support the weight of our trunks. So how do we stabilize our vertebrae if not through compression? Through tension. Our muscles and fascial network are designed to dissipate forces away from the joints, so that the joints won't wear out as fast. But we need to actually use the tensegrity (tension + integrity) system for it to work! Ballet dancers are examples of people that move in tensegrity. So standing and sitting in compression wears out the intervertebral disks leading to degenerative disk disease and possibly nerve issues, and standing and sitting in tension protects them.

So, what does good tensegrity in posture feel like? Stand up, close your eyes, and notice where you feel the weight of your body. Is it even through both feet? Do you feel the weight going through the muscles at the front of the hips? Do you feel any compression in your low back? If someone were to push gently down on your shoulders, would you buckle anywhere, or would you be as steady as a post? Adjust yourself so that you feel the weight going directly through the leg bones rather than through any soft tissue. Most of you will probably have to bring your pelvis back over your heels a little more to get that feeling. If your pelvis is too far back the quads (muscles in the front of the thigh) will turn on, and if your pelvis is too far forward, you may find yourself tightening your buttocks. Can you find a place where the muscles feel relaxed? Now slightly lift your ribcage up off of your pelvis, and let your shoulders relax down on your heightened ribcage. Do not squeeze your shoulders together in the back - if anything, think about separating them slightly from each other while keeping the collar bones wide. Now, lift the base of the skull (top of the neck at the back) up as high as it will go without any strain. You should feel that you are as tall and as wide as you can be - that you are taking up as much space as you can. You may even feel the compression in the lower back is gone. Is the weight still going through your leg bones? Notice how long you feel, and how tension is supporting your body rather than compression.

Now try walking while maintaining this sense of height and tensegrity. Notice how your legs just float under you? Walking is effortless. Your arms should naturally swing in a relaxed manner. This may feel peculiar to you, but that is simply because your brain is not accustomed to you standing and moving this way.

Now sit down, making sure you are sitting on top of your sit bones rather than behind them, (constantly sitting behind the sit bones will eventually lead to low back pain) and feel the weight go through the sit bones as you go through the same exercise above. Sit as tall as possible. Now set your watch or your computer to beep at you every 10 minutes, and check your posture. If you follow through and heed the constant reminder for about 3 weeks, your posture will improve.

Related Posts:
Exercise - STRETCH and feel better
Think - Thank your brain for your pain, not the area that hurts!

Chek, Paul; Golf Biomechanic's Manual: Whole in One Golf Conditioning Chek Institute, San Diego, CA, 2001.

Chek, Paul; Movement That Matters Chek Institute, San Diego, CA, 2000.

Finch, Mark; Kinesis Myofascial Integration massage therapist; personal communication, May and September 2005.

Lee, Diane: Online at Understanding Your Back Pain An interesting article about the value in figuring out WHY your back hurts as opposed to figuring out which tissue is painful. A great explanation of compression vs. tensegrity.

Lee, Diane; Post Partum Health for Moms; An Instructional and Exercise Class for Restoring the Core Video; Diane G Lee Physiotherapy Corp.; Surrey BC, Canada.

McKenzie, Robin, and May, Stephen, The Cervical and Thoracic Spine: Mechanical Diagnosis & Therapy, Volume 1 Spinal Publications New Zealand, 2006.

McKenzie, Robin, Treat Your Own Back Orthopedic Physical Therapy Product, 2006

McKenzie, Robin, Treat Your Own Neck Othopedic Physical Therapy Product, 2007

Myers, Thomas; Anatomy Trains; Myofascial Meridians for Manual and Movement Therapies Churchill Livingstone, 2001.

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Comments (10)

Submitted by fire damage restoration (not verified) on Mon, 04/14/2008 - 6:43am.

Thank you for this post. While reading it I realized my position is exactly as you described it. I'm not sitting straight in my chair and this because I tend to keep my head tilted to the monitor. I can see even if I'm not close to the monitor but without realizing it, I'm always getting closer, ruining my sight as well.

Submitted by Vreni Gurd on Mon, 04/14/2008 - 8:13am.

:)

Vreni Gurd

Health and Vitality Coach
BPHE, CHEK 3, HLC 2
www.wellnesstips.ca

Submitted by Schüchternheit (not verified) on Fri, 04/18/2008 - 6:49am.

You are totally right. I actually teach the same stuff. Good Posture is not only healthy it makes you more successful in life. Your appearance is just better

Submitted by tennis camp (not verified) on Tue, 04/29/2008 - 12:00pm.

That's why I think sitting on a Yoga ball is a great way to engage all the small muscle groups that are around the mid torso.

Submitted by Vreni Gurd on Tue, 04/29/2008 - 10:06pm.

Often one can get sore sitting on a yoga ball for a long time if one is not used to it though. So I would suggest sitting on one until tired, then switch to the chair, and gradually build up yoga ball sitting times.

 

Vreni Gurd
Health and Vitality Coach
Corrective Exercise Specialist
BPHE, CHEK 3, HLC 2
www.wellnesstips.ca

Submitted by gret on Mon, 11/10/2008 - 10:46pm.

The problem I have is my feet will become slightly numb if I catch myself sitting in a bad position. It's very hard trying not to sit in a bad posture. An hour can go by and bam!...your sore everywhere.

 

HDTV Antenna

Submitted by water damage restoration (not verified) on Tue, 11/25/2008 - 6:09pm.

I am guilty of having poor posture, and if I don't rectify it now  then I will have big problems later on. Thanks for the information! Good read!

Submitted by water damage (not verified) on Fri, 01/02/2009 - 7:29pm.

...as I age, I am starting to experience certain "ailments" that were unbeknown to me in my teenage years. I find that I can no longer sit Indian style on the floor and enjoy a good card game with friends without having to adjust my legs every few minutes because they fall "asleep" quickly. I also find that I have to correct my posture when I'm driving because I fall into the habit of slouching.

 

Anyway, great and informative article! Thanks for posting!

Submitted by Tim Brennan (not verified) on Mon, 01/05/2009 - 1:44pm.

I like your article - nice one.

The chances are that anyone reading that article most likely had a perfect posture when they were in their pre-school years.  Before we understand the meaning of the word posture, we know how to sit, stand, and walk with perfect poise and grace.

 So what went wrong? Good question!! That is the question people ought to ask.

 I blame our sedentary lifestyles and poorly designed school furniture.

Tim Brennan

http://www.posturecorrectionblog.com/

Submitted by Detroit HD television (not verified) on Fri, 01/09/2009 - 7:37pm.

Don't it all go back to what our mothers told us a long , long time ago?  "Sit up straight and keep your mouth shut!"

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