I have back pain, most days. Or tension, or ache, or sometimes I feel quite comfortable. I have a Homedics Percussion Massager that works wonders on tense and tender spots. I keep a bottle of Absorbine Veterinary Mint Gel Liniment at my bedside, a little dab can help warm and relieve a bit of tension and maybe even take a bit of discomfort off a spasmed muscle.
Massage
The healing touch - laying on of hands - makes massage a pleasure and a comfort in need. One book I have enjoyed is The Complete Book of Massage, available from Amazon.com. Their are many benefits, from spiritual to emotional connection - to experienced attention to tender and sore muscles and problems with warming hands and manipulation.
Stretch
A lot of tension and stress and hurt can be avoided, or carefully gentled toward healing, by a considered and systematic series of stretches. I learned a few in grade school and in high school sports, and again in Navy boot camp. These are relatively brutal, apply mostly to people already physically fit and very active, and prone to make things worse - often permanently, if there are any musculature or skeletal imbalances.
A book that introduces a sequence of graduated general and specific stretches - a mild tension applied to a muscle or muscle group to encourage flexibility, gentle warming and function of the muscle, and either prepare a muscle for exercise or gently restore flexibility and comfort after exercise - is “Stretching: 20th Anniversary (Stretching)“.
Exercise
When I hurt my back (mild spasms) while in the US Navy, one of the base doctors gave me a half-sheet list of four exercises for back ache. Each exercise featured a silhouette to illustrate the exercise. They were all pregnant lady silhouettes. Being Navy-type exercises, they are uncomfortable, they repeat a boring and irritating number of times, they are often uncomfortable (I said that once, didn’t I?) and I find them annoying. And they can work wonders once spasms and tightness and soreness appears. Dang it. They are also, apparently, wonderful “backache preventative”.
I don’t know about whether they work the same for pregnant ladies. I imagine they are just as annoying and uncomfortable. Or maybe pregnant ladies are more resigned and thoughtful and wise.
- Pregnant Lady Back Exercises
Each of the four exercises starts in the same position. Lie on the floor (a rug can make the floor warmer and more comfortable). Flex your knees and lie flat on your back. Your knees should be pretty much together, drawn up so the feet lie flat on the floor. The knees being drawn up is crucial. If you lie flat with the knees flat to the floor, there is a tremendous amount of leverage applied to the lower back as the hips rotate with any attempt to raise or lower the torso or legs. So - Knees bent.
1) Pelvic tilt. From the starting position, rotate hips and chest, to press the small of your back firmly down to the floor. Hold a count of five. Relax. Repeat 25 times.
2) Leg hug. From the starting position, raise one leg toward your chest. Grab the knee with both hands, and gently hug it upward toward your chest. Hold for a count of five. Release. Raise the other knee/leg toward your chest, holding with your arms. Hold for a count of five. Release. Repeat 25 times. Keep back lying loosely and flat the whole time, to encourage loosening and to increase flexibility in the lower back. Pull with the arms.
3) Double leg hug. Raise both legs at the same time, hug toward your chest. Hold for a count of five. Release. Repeat 25 times. Keep back lying loosely and flat the whole time, to encourage loosening and to increase flexibility in the lower back. Pull with the arms.
4) Half-situp. From the starting position, feet flat on the floor with knees bent, raise the arms, reach to the knees, and lightly touch the tops of the knees with the bottoms of the extended fingers. Hold for a count of 5. Release. Repeat 25 times. Yes, this one is intended to strengthen - through brute exercise - the stomach muscles. This turns out to be critical for reducing lower back problems.
- Yoga
Yoga is an exercise system that originated from India, and has had a tremendous impact on the concept of exercise on many cultures over the centuries. Hatha Yoga, or beginning yoga, prepares the body for later study, increases strength and agility and flexibility. Many in the first class I took, to my surprise, were there on traditional medical doctor’s prescription or recommendation - to manage pain. Yoga is mostly mild to moderate system of movement and stretches to release tension and stress.
The Asanas, or poses, in yoga are often deceptively active. My experience was the same as for many others - a good instructor in a class is much more effective, and much safer, than trying to learn from a book or 20 minute video. I was particularly disappointed by the rushed pacing and incomplete explanation of the Jane Fonda Yoga Workout - in particular, too little emphasis was allowed for relaxation and recovery between movements. A book can be wonderful in learning Yoga, to explain, refresh the instructor’s guidance, to discover variations. My instructor recommended Yoga the Iyengar Way and Light on Yoga: The Bible of Modern Yoga.
- Tai Chi
OK, here I am dumb-as-dirt ignorant. I am told that Tai Chi, among Karate people, is regarded as terribly hard on knees. I guess I can see that. What follows is not Tai Chi - it is something I made up that came from seeing something that might have been Tai Chi.
I watched a couple of people practicing Tai Chi one summer, and snippets in movies (like Saving Face). I found Tai-Chi-like movements to be very interesting isotonic movements. I keep my knees slightly bent, balanced on each foot with the foot flat on the floor or ground. I keep my lower back slightly flexed and relaxed.
I start one movement with the hands flat and extended straight from the elbows a bit below waist level, in a slight curve, hands held a few inches apart, fingers aimed somewhere between forward and the opposite hand. Breathing out, in a fluid movement, roll the palms from facing down to facing up, draw the arms down near the legs with the arms extended and palms facing forward. Continuing the arm motion, breathe in and rotate the palms up and the arms extended to the sides, pivot the forearms at the elbow bring the hands, palm down and nearly touching about mid-chest - and push down with the hands held flat, palm toward the ground, until the arms are extended down and the wrists bent flat. Use the hand, arm, chest, and shoulder muscles to both resist and to complete the movement through a fluidly moving muscular tension.
Another motion is to place the hands, palm down, one atop the other, about waist high. Breathe in, while raising the hands, with tension, to mid-chest, breathe out and push hands palm out to one side, about shoulder height. Try the other side, too.
With hands bent at he wrist and palm down, level with the ground and arms extended down, breathe in while raising the hands to mid-chest. Rotate hands so palms face up (thumb side of palm rotates above the palm to the outside), breathe out, and push the backs of the hand, level with the ground, down until the arms are extended again.
What I like? Keeping tension - both pushing the hands and arms and shoulders through the movement, while at the same time resisting that motion - while moving releases a lot of stress and tension. On a cold day I notice that the first arm-circles thing releases a *lot* of warmth.
- Pushed Heels
I made this one up.
While military and other exercises all focus on keeping the hands straight and blade-like, an extension of the forearm, I wanted to get more movement in my back. So, in three parts, I keep the hand flat but rotated at the wrist, so the palm faces in line with the forearm. For the most part the fingers point up, with a distinct pull on the back of the hand to keep the heel of the palm “pushing” forward in the direction of the movement.
Stand straight but reasonable relaxed, the feet flat on the floor, the knees bent so the knee cap stays just about the toes. The feet should be shoulder width apart. The hips should stay straight, in line with the line between the feet, and should *not* rotate to the side. Pushing with the heel of the palm - where the palm meets the wrist - seems to engage the back muscles more. If the wist and hand were extended straight, the drive and movement seems to tension the shoulders instead. Push with the heel of the hand. Loosen the back muscles. I repeat each step 20 times. The first two are fairly simple to time - I like a pace about 1 1/2 seconds per each side including a slight pause while extended, about 3 seconds per repetition - one minute for the 20 repetitions. This pacing is important, because the - I can’t call it touching the floor, because the wrist is cocked back out of the way, so the odds of actually laying your palm flat on the floor is remote, and not at all the point of the exercise - call it the heel-to-toe part, you want the same sense of pacing for the bending forward and across, then back up. The fluid, unhurried and unjerked motion is important to avoid stressing anything.
1) 45-up. With wrist fully cocked back, hold one hand between mid-chest and the near arm pit, palm perpendicular the center of the chest and fingers pointed toward the ceiling. Push the heel of the hand from the starting position at the chest, in a straight line forward past the opposite shoulder until that arm is fully extended in line with the line between the feet and raised at a 45 degree angle. Keep the hips still for this movement - they will not rotate to the side. Don’t overdo - there is no need to push farther than when things stop moving, there is no reason to push further when something hurts. Keep that wrist cocked back - you are pushing the heel of the hand, not the fingers or palm - toward that target point to the side. Don’t turn the shoulders, either. You start with the elbow bent, and straighten the elbow as the heel of your hand nears full arm extension. The intent is to draw a light tension of motion across the back muscles, not a movement of shoulders or hips. This step loosens the muscles for the next part of the exercise. Repeat with the other hand. Repeat 20 times.
2) Straight across. Same starting position, same movement, same hold-the-position for shoulders and hips, similar drawing on back muscles to loosen them for the next movement. Same focus on pushing with the heel of the hand. But the target point is cross-body (as before), with the arm level with the floor. This is a slightly more severe loosening of the back muscles. Repeat with the other hand. Repeat 20 times.
3) With legs still at shoulder width, hips still not turning, knees still bent over toes, bend forward. In a gentle, fluid motion, push the heel of one hand down. Rotate between the hips and ribs, to bring the arm pushing down, across the front of the opposite foot. Gently straighten. Keep the hips aligned with the line between the feet, don’t move the feet, keep the movement gentle. Remember you are pushing with the heel of the hand, not the fingers. I find this one to be .. enlightening. Interesting. Because often the first repetition I barely get the shoulders to begin to move. The other hand and then next repetition gets a bit further or not. By the 20th repetition I am usually getting the heel of my hand lower than the knees, still pushing at the opposite foot. The point of this movement is to relax the back, not to touch the floor. Keep the shoulders level with the floor, keep the knees slightly bent, keep the motion down, across, and up again gentle and fluid. Move down to a natural stopping point, and no lower, on that repetition. Push down with the heel of the down hand so you feel the pull on the shoulder - don’t push down with the back. Breathe out on the way down, in on the way up. Don’t hyperventilate - take shallow breathes if you need to.
- Hand weights
Hand weights can be a tremendous preparation - allow you to build strength and agility to work better, more smoothly, and with less hurt. The exercise itself can help reduce muscle soreness. I use a set of small weights, three (3), five (5), and ten (10) pounds each, one of the same size for each hand. Because most of my focus is on my back, I often do these exercises sitting on the edge of my bed. Standing or sitting on a straight chair should work fine. I understand words like “curl” have agreed upon meanings. I don’t know what those meanings are. I don’t care.
1) Forward curl. I describe one weight, but both hands are moving similarly at the same time. Sitting straight, with my feet flat on the floor and my butt near the edge, I let the weight hang down, palms forward. Bend the elbows while keeping the elbow steady next to my side, I raise the weight until my forearm stops against my upper arm. Release, keeping the elbow in the same place, and moving at the same rate as I picked the weight up.
2) Inward curl. Similar to step 2, sit straight, weight hanging down at end of arms. Rotate palm to face in toward body. Lift weight straight up to arm pit, letting elbow move away from the body in line with the shoulders. Release to the starting position, keeping motion pace and control similar to the lifting motion.
3) Reach. Lay the weight on the shoulder, palm down, elbows straight out to the side in line with the shoulders. Raise the weight straight up until the arm is extended all the way. Return to the starting position.
4) Wing out. Start as in step 3, with the weight touching the shoulder. Keeping the elbow and upper arm steady, straighten the elbow to pull the weight up over the elbow, and continue to the fully extended position with the arms outstretched in straight line with each other and the shoulders. Return to the starting position.
5) Inverted wing out. This is an advanced step - deceptively simple for a couple of repetitions, it quickly builds into a tough effort. Start with the weight tucked under the arm pit, elbow and upper arm extended straight out to the side. Straighten the elbow to pull the weight down under the elbow and through to fully extend the arm and elbow, so the arms are in a straight line with each other and the shoulders, the upper arm and elbows never having moved position. Return to starting position.
I do five repetitions of steps 1 through 4 when I haven’t been exercising, using the lightest (two or three pound) weight. As I continue exercises from day to day, I move to 10 reps, then 15, then 20. The next step is to do 20 reps with the light weight, then 5 with the next size. Then up to 20 with the light, 20 with the next, then 5 more more with the light again. After 20 light, 20 second, 20 light, comes 20 light, 20 second, 5 third size weight, 20 second size, and finish with 20 of the light. From 20 L, 20 2, 20 3, 20 2, 20 L: I often drop the 20 light repetitions, and start with the second weight.
After the light weight repetitions I insert a neck roll, letting the neck relax, head tilt over to the right shoulder as far as it will go, and slowly roll my head all the way around three (3) times, then back the other direction of rotation another three (3) times.
After the exercise, or after the second weight repetitions, I insert a shoulder roll. Lift the shoulders as high as possible, roll forward and down and around to the starting point, for five (5) rotations. Then back the other direction five (5) rolls.
I use light weights for this, similar to this32-pound 3, 5, and 8 pound set, or this 20 pound 2, 3, and 5 pound set. Pick a lighter set than you think you need. Weights this small (the 2, 3, and 5 pound weights) are suitable for my neighbor, an eight-six (86) year old lady with breathing and heart trouble, with her doctor’s blessing. I carry cement bags and feed sacks (30-80 pounds) and use a 3, 5, and 10 pound set. The exercises are intended to strengthen breathing muscles, shoulders, and back, to improve circulation and respiratory efficiency. Any strength improvement is secondary - but as the number of repetitions increase (about a week each step of increase, this is a long term plan) and the weights add up, there will be some slight improvement in strength as well as the expected increase in stamina and improved breathing. Keeping your breath better while walking is one of the observed benefits. Also this makes a moderately aggressive upper body stretch.
- Ankle weights
This is almost more stretch than exercise. I got a set of five (5) pound ankle weights, with removable weight inserts. I tried about half, maybe 2-3 pounds each. Hardly more weight than sturdy shoes. And yet ..
I sit up straight on the bed, scooted back so my knees are at the edge. With the ankle weights on my ankles, lift one foot at a time to straight out so the upper and lower leg are in a line, level with the floor. Gently release to the starting position. Repeat with the other foot. Repeat twenty (20) times.
Next I lay face down on the bed, a pillow under my hips, with the ankle weights on. Lift one foot up over the knee and continue as close to my hips as possible. Repeat with the other foot. Repeat twenty (20) times.
Keep moving
There are many books and videos and instructors and classes and schools for massage, yoga, tai chi, martial arts. Medicine and healers have access to many forms of therapeutic and supportive movements and exercises. The books I mentioned, and the Pregnant Lady exercises, are my own experiences and references in a life time not as active as I should be, with scoliosis and dessicated and partially herniated disks, and at times too long spent in restricted positions - such as sitting at the computer (scientific programming for 17 years, before being laid off and finding the Internet) or driving a tractor or car.
Start with warmups, gently move and stretch before making big efforts. Warm down. Be sure to alternate effort and strain with release. And keep moving.