Scoliosis (abnormal curvature of the spine), osteoarthritis (wear and tear of the joints) or degenerative disc disease (ageing process leading to rupture) are associated with low back pain. Surprisingly, many causes of low back pain are non-specific. That can be quite annoying. You may be standing in pain, sitting in pain laying flat in pain for no reason. It is frustrating as you are no longer able to concentrate on work or study. You need to keep adjusting your position so as to reduce the discomfort.
Daniel Lieberman thinks non-specific lower back pain is caused by hours of sitting in modern lifestyle. Even I am a yoga teacher, I can’t avoid long hours of sitting when studying anatomy in my occupational therapy course. With prolonged chair rest, we do not need to use our muscles to support body weight. This weakens core muscles of the back and abdomen. In addition, many hours of sitting mean bending hips for many hours. With the shortened hip flexors, we overarch our back to compensate while standing and walking. Regular stretching and strengthening back muscles are important to our back health.
I’ve read a research article about the effect of occupational therapy and yoga in non-specific lower back pain. Occupational therapy intervention includes sleeping position for back health, postural training of sitting, standing and lifting and core strengthening exercise. After 10 week of training, it shows that people with non-specific low back pain indicate improvements in back strength and range of motion of the spine, with the combination of occupational therapy and yoga. Here are a few yoga poses shown for lower back pain.
1. Reclining hand-to-big toe pose
Tips: It changes the pelvic tilt when lifting one leg up towards the ceiling. Keep your spine in neutral position. Ideally, lower back touches the mat and chin to chest. So, it doesn’t hyperextend the lower back and the neck.
Benefits: Reposition the lower back for a better alignment to relieve back muscles tension
2. Extended triangle pose
- Externally rotate the left thigh muscles when you take your left hand towards the left foot. Activate your legs.
- Open up the right shoulder to deepen the side body stretch
- Strengthen the thighs muscles to carry upper body weight or lift a heavy object
- Strengthen the abdomen to support the muscles surrounding the lower back
- Stretch the side body to relieve lower back pain (stretching the muscle attached to lumbar spine)
3. Bridge pose
- Maintain the knees and ankles hip width apart when lifting the buttocks off the mat.
- Pressing down the arms when lifting the buttocks off the mat
Lengthen hip flexors to balance out this muscle group. The hip flexors have attachments to lumbar spine (lower back), pelvis and femur. Shortened hip flexors cause unnatural curve of the lumbar spine and compression.
You may be worried about making any move because of the pain. Listen to your body and just do what you feel good. With limited range of movement, muscles become shortened and tighten. Other parts of the body will compensate the shorten muscle group. The idea of back pain relief is about strengthening and stretching the muscles associated with the back.
Daniel Lieberman, (2013), The Story of the human body, the Penguin Group
Rachel is the founder of VAI YOGA and an occupational therapist. Her yoga teaching focuses on blending two powerful healings, yoga and occupational therapy solutions, to help people face practical aspects of life.