Spinecare Topics

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Caring for your Spine
Back Care Tips

1. Exercise Regularly:  Recovery from back injury is influenced by the type and quality of rehabilitation for the spine.  Regular exercise and strengthening activities will promote a healthier, stronger and more stable spine.  Exercise does not have to be overly strenuous to achieve significant benefits.  Regular activity such as a daily walk can make a significant difference.  Start an exercise program slowly to give your muscles a chance to warm up.  Check with your doctor prior to engaging in an exercise program.  Increased abdominal strength helps protect the spine from injury.  The abdominal muscles support the spine from the front just as the muscle of the back support the spine from behind.

2. Eat Healthy:  Proper nutrition promotes healthy spine development and repair.  A proper diet will also help to strengthen spinal tissues thus reducing the risk for injury.

3. Maintain Good Posture:  Assume efficient and supportive postures while lying, sitting, and standing to reduce strain on spinal tissues.  This will help reduce the risk for spine injury and promote spine health.

4. Invest in a Good Pillow and Mattress:  The average individual spends approximately one third of their life sleeping, therefore; proper support of the spine and head during this period will strongly influence spine health.  A good pillow and mattress will promote restorative sleep.  When you sleep, you do not have conscious control over your body position.  A good mattress will support the spine no matter how many times one changes position during the night.

5. Maintain Spine Flexibility:  Regular activity and stretching helps maintain flexibility of the spine.  Flexibility is required to reduce the risk of injury.

6. Balanced Carrying:  Always attempt to carry items over 10 pounds in a balanced fashion, dispersing the weight as evenly as possible from right to left.  Do not overload your luggage, backpack or purse.

7. Take Periodic Breaks:  Avoid sustained postures.  During episodes of prolonged sitting or standing, periodically take a break, stretch your legs and back.  Periodic stretching will help to keep you from tightening up and will reduce the risk for injuring the spine.

8.  Use Proper Phone Technique and Equipment:  Avoid cradling the phone between the neck and the shoulder.  Use a headset if prolonged phone use is required at home or at work that will allow you to maintain a neutral head and neck position.

9.  Sleep on Your Back or Side:  These positions are generally more supportive of the spine than lying face down. 

10. Good Sleep Support:  Sleep on a supportive mattress.  Do not sleep on your stomach.  If you sleep on your side, place a pillow between your knees to reduce rotation of the low back.  If you sleep on your side, try to keep your legs bent at the knees and at the hips, a position that reduces the stress on the low back.

11. Invest in Proper Shoes and Footwear:  The average person takes approximately 5,000 – 8,000 steps during the course of a normal day.  Proper foot and ankle support will reduce stress upon the knees, hips and the back.

12. Invest in Good Chairs:  Individuals spend a lot of time in a sitting position.  Chairs greatly influence sitting posture.  Poor chairs contribute to chronic spine problems, whereas well-designed chairs promote spine health. 

13. Have Regular Spinal Check-Ups:  It is much easier to prevent a problem than to correct one.

14. Use Proper Lifting Techniques:  Proper lifting technique will reduce the risk for spine injury.  Keep the back straight and bend the legs and hips when lifting; this reduces stress on the back.  Avoid lifting objects higher than your waist whenever possible.  Face the object you wish to lift.  When lifting hold the object close to the body or against to body.  Do not twist while lifting.  When possible push rather than pull an object.  Seek help lifting when necessary.  Lift cautiously and with moderate speed. Think about what you are trying to lift and use commonsense for your capacity when attempting to lift anything that may be heavy.

15. Walk Efficiently:  Walking requires the use of over 200 individual muscles.  It requires the use of all of the muscles of the spine and pelvis.  Walk erect with your head and neck in a neutral position.  Avoid slumping while walking.  Avoid high heels and platform shoes.  Avoid or reduce excessive back extension (swayback) during walking.  Wear support shoes to reduce pronation.

16.  Do Not Overwork:  When possible modify postures and physical activity to reduce the risk of muscle fatigue and back strain.

17. Avoid Excessive High-Impact Activities:  Each time you strike your foot during walking, running or jumping, the shock of impact is absorbed by the joints of the feet, ankles, legs, hips and low back.  Avoid excessive high impact activities.  Wear proper footwear to reduce the degree of shock to the spine. 

18. Think Ergonomically:  Seek the optimum work environment.  Use an adjustable workstation to properly support the extremities and the spine.  Use proper phone equipment, an adjustable chair, an efficient keyboard and an adjustable high quality monitor.  Work surfaces should have adjustable height.  Use proper lighting.  A footrest will contribute to reduced stress on the spine.  Assume a relaxed yet supported posture.

19. Use Products that Promote Good Posture and Spine Health:  Utilize products that support the spine from the ground up.  Use support-enhancing products that can be added to poorly designed furniture and seating.

20. Listen to Your Back:  Avoid positions and activities that contribute to increased back pain or cause back pain that radiates down the legs.  Avoid those positions that elicit numbness or tingling.  If back symptoms should persist or progress, see a spine physician.  If you are involved in an activity that causes increased back pain, think about what you can change to alleviate the pain.  Your body will usually tell you what it needs if you take time to listen to it.

21. Maintain Optimum Body Weight:  Excessive bodyweight increases stress upon the tissues of the spine, thereby increasing the risk for abnormal "wear and tear."  Excessive body weight also contributes to alteration of the normal curves of the spine that can lead to abnormal stress upon the spine.

22. Avoid Smoking:  Smoking increases the risk for many life-threatening conditions.  Smoking is a habit that promotes tissue inflammation and impairs the healing process.  Smoking contributes to poor lung function and reduces oxygenation of tissues. Weakened muscles from poor oxygen delivery increases the potential for back injury.

23. Get a Spinecare Education:
  Whenever possible learn more about your spine and how to take care of it.  Seek insight from a spine physician. Go to websites written by spine doctors like http://www.spinephysicians.org/ for valuable up-to-date information.

24. Drink Water:  An adequate amount of water is vital to good health.  Musculoskeletal tissues require water to function and to repair. Dehydrated muscles shorten and loss flexibility, increasing the likelihood for injury.

25. Get Enough Sleep:  Sleep is essential to good health, mental alertness, tissue growth and repair.  An adequate amount of restful sleep is required to restore the body.  Back pain is the most common form of nighttime pain.  Many individuals with back pain suffer from fragmented sleep and wake up feeling unrefreshed.

26. Wear a Supportive Bra:  A supportive bra will reduce strain upon the neck and upper back.  A bra that is not supportive may contribute to rounding of the mid-back resulting in increased risk for chronic back pain and poor posture.

27. Support the Abdomen during Pregnancy:  A protuberant abdomen during pregnancy increases the forward curvature of the low back.  This increases strain on the discs and joints of the low back.  Consider wearing a brace that supports the pelvis and abdomen and will reduce strain on the low back.  The use of a brace should be discussed with an obstetrician and/or spine physician.  Braces should be fitted by healthcare professionals.

28. Increase Abdominal Strength:  The abdominal muscles help support the low back and pelvis.  The abdominal muscles surround 2/3 of the lower part of the body.  Strengthening the abdominal muscles increases spinal stability and reduces the risk for spine injury.  Conditioned abdominal muscles also contributes to more efficient walking.  Strong abdominal muscles will fatigue less during prolonged standing or prolonged sitting thereby, protecting the low back.

29. Frequently Adjust Your Posture:  Alternate between sitting and standing tasks to reduce stress placed upon the spine.  During long periods of standing, rest one foot on a low support, and alternate the feet.  When sitting rest both feet on the floor.

30. Learn to Relax:  Learn and apply relaxation techniques to manage stress both on and off the job.  This will help to reduce muscle tension and pain. Take mini-breaks for 15 seconds a few times during the day to clear the mind.



Educational Partners

To learn more about your spine. spinehealth, and available spinecare go to the International Spine Assocition (ISA) at www.spineinformation.org. The primary mission of the ISA is to improve spinehealth and spinecare through education. The ISA is committed to disseminating need-to-know information throught the World Wide Web in numerous languages covering many topics related to the spine, including information about spine disorders, spine heath, advances in technology and available spinecare

All health information posted on the site is based on the latest research and national treatment standards, and have been written or reviewed and appoved by the American Acedemy of Spine Physicians and/or International Spine Association physicians or health professionals unless otherwise specified.

The information provided on this site is designed to support. not replace,
the relationship that exists between patient/site visitor and his/her physician.