In research published by Brent Anderson, P.T., 90 per cent of us will experience at least one episode of lower back pain in our lives. It’s also likely that many of us will hear this: “Back pain? You should try Pilates.” The incidence of back pain is rising because of our sedentary lifestyles and increased dependence on technology, combined with a “Weekend Warrior” mentality when it comes to exercising. For people in their 30s and beyond, back pain can be a chronic or constant problem, especially if one is overweight and/or inactive. Conditions such as arthritis and even depression and anxiety can predispose someone to back pain. Read on to discover how Pilates can help if you or someone you know that is experiencing back pain.
Many people are already discovering the benefits of Pilates for back pain. Pilates strengthens the core, a corset-like group of muscles that stabilize the trunk and pelvis much like a weightlifter’s belt. Equally important, Pilates increases awareness for proper posture and healthy body mechanics. When we stand or sit with a tall spine, we create space between the vertebral discs, relieving pressure. These two actions, pulling in the abdominal muscles and lengthening the spine work in tandem to create a stronger, more supple back.
Sometimes the cause of back pain isn’t the back at all but rather an imbalance in the hips or pelvis. Over time, our unconscious habits like sinking into one hip while standing or crossing one leg over the other while seated can cause back pain.
Pilates exercises are designed to counteract and address these postural imbalances. For example, exercises such as Footwork on the Reformer or the Leg Springs Series on the Cadillac provide a vivid illustration of the differences between the two sides of our bodies.
A good instructor can spot potential problems such as one leg that works harder or one side of the hip that sits higher than the other.
The instructor can then help you work on aligning and stabilizing the pelvis and legs, thereby lessening the strain on the back muscles.
Think of a Pilates practice as an antidote to our modern lifestyles. Lots of driving or sitting at a desk lead to tight hamstring muscles and weak gluteal muscles. This pulls the lumbar spine (lower back) into an undesirable anterior tilt, creating strain. Similarly, hunching over our phones and desktop computers creates a kyphotic (rounded forward) posture.
Pilates exercises emphasize the “neutral spine,” an ideal posture that respects the natural, healthy curves of the lower, mid and upper back.
If you suffer from back pain, check with your physician before beginning Pilates or any exercise program. There may be certain movements or positions that you should avoid, depending upon your particular issue.
A single Pilates workout can sometimes improve back pain in the same way that a massage can bring relief to tight muscles. But for more lasting results and to prevent future flare-ups, it is recommended to get in two or three Pilates workouts per week. Give yourself at least four to six weeks to feel the results.
Note that these workouts don’t have to be gruelling hour-long sessions at a studio or physical therapy office. Even a short series of simple exercises and stretches, done consistently, can create lasting improvement.
Once you begin to practice Pilates, you will automatically begin to implement healthier movement patterns into your daily activities such as unloading groceries from the car or picking up a toddler.
Over time, we will realize that Pilates increases awareness of proper spinal alignment and good posture, so if you feel yourself starting to slump, hunch or dump into one hip, you can correct it at the moment.
In short, Pilates will help you fix the problem (harmful movement patterns) while also relieving the symptoms (back pain and discomfort).
Not every Pilates exercise is suitable for those suffering from back pain. In general, avoid rolling (“Rolling Like a Ball” and other rolling exercises), twisting (“Saw”) and extreme flexion (“Neck Pull”) or extension (“Swan Dive”) of the spine. Not only can these movements be jarring to the delicate spinal muscles, and they also just don’t feel good if you are suffering from a back pain flare-up.
We offer Pilates classes for beginners and improvers. Get in contact with us for more information on how can we help you with a combination of exercises and physical therapies.