14 Everyday Habits Setting You Up For Big-Time Back Pain

Back pain sends more patients to doctors than any condition other than the common cold. In fact, it’s the fifth most common reason for hospitalizations and third most common cause of surgery. And 56% of people with lower-back aches say symptoms disrupt their daily routines, including sleep and sex (consider these 3 best sex positions for back pain). Talk about a pain in the...back.

There are many possible causes of back pain, which means there are also many non-invasive solutions, according to Todd Sinett, a chiropractor and coauthor of The Truth about Back Pain. "Back pain is rarely one catastrophic event," he says in the book, "but several situations combining to create pain." And it turns out that some seemingly insignificant everyday habits can take a big toll on your back over time.

Here, the top 14 mistakes that may be causing your aches and how to correct them.

1. You're a desk jockey.

Did you know that sitting puts 40% more pressure on your spine than standing? Let’s be honest: Maintaining proper posture is probably the last thing you’re thinking about when under a major work deadline. And on a jam-packed day, regular stretching breaks may not seem like a wise way to spend your time. But skipping these habits may cause your back to suffer. That’s because back muscles will weaken if you don’t use them; inactive joints lose lubrication and age more quickly.

Fix It: Sitting at a 135-degree angle can reduce compression of the discs in the spine, so lean back slightly every now and then. Do it when you take a phone call or a coworker stops by to chat, Sinett recommends. Make sure your office chair supports the curve of your spine, he says: Your lower back should be supported, and your head should be straight—not lurching forward—when you look at your computer screen. Get up and walk around for a couple of minutes every half hour—take trips to get water, use the bathroom, or grab papers off the printer. (Or make your own standing desk with these easy tips.)

2. You have a long commute.
Just like at your desk, hunching over a steering wheel can tighten chest muscles and cause your shoulders to round. Slumping posture can zap energy and make you look heavier, not to mention cause back and neck problems. Back pain is the number one complaint of the patients of Darran W. Marlow, director of the chiropractic division at the Texas Back Institute, and he advises them to first think about their driving posture.

Fix it: "Be sure you sit at a 90-degree angle, close to the wheel so you don't have to stretch," he says. "Extending your leg puts your back in a compromised position, but many people don't even realize they're doing it."

3. You skip the gym.
Research shows that 40% of people become less active after back pain strikes—a strategy that's likely to delay healing or even make their condition worse.

Fix it: In fact, most sufferers would benefit from more exercise—particularly frequent walks, which ease stiffness, says spine surgeon Raj Rao, MD. For instant relief, he recommends stretching your hamstrings and hips. You can also try these 4 Exercises To End Back Pain. 

4. You don't do yoga.

By improving circulation and lowering stress, just about any kind of exercise promotes back pain recovery. But yoga may be best.

University of Washington researchers say yoga eases lower-back pain faster than conventional exercises. In a different study, 101 patients were randomly assigned to one of three groups. The first group took weekly yoga classes and practiced at home; the second group participated in weekly exercise sessions developed by a physical therapist, plus practiced at home; and the third group received a self-help back care book. After three months, the yoga group had better back-related functioning, compared with the other two groups. And after 6 months, patients who took yoga reported less back pain and better back-related functioning. Because it promotes deep breathing and relaxation, as well as stretching and strength, yoga may help with both emotional and structural triggers of back pain.

Fix it: You can find yoga classes everywhere—at gyms, YMCAs, and local studios. Make sure to tell the instructor about your pain so she can help modify certain moves for you. 

5. You're a crunch addict.
Sit-ups and crunches may actually cause more back pain than they prevent, according to Sinett. We hear all the time how a strong core protects your back, which is true. But crunches don’t work the ab muscles that stabilize your back. In fact, they can contribute to pain by causing what Sinett calls core imbalance, "a condition of excessive compression, which results in the spine curving forward in a C-like shape."

Fix it: You don’t have to ditch crunches entirely, but you should do them slowly and use proper form. Include them as part of a broader core workout that also strengthens your transverse abdominus. This muscle is particularly important for a strong, steady core that supports your back, and the best way to strengthen it is with (non-crunch!) exercises like these. Added bonus: You’ll whittle your middle and beat hard-to-torch belly fat while improving posture and relieving back pain.

6. You're not the best eater.
Research shows that eating habits that are good for your heart, weight, and blood sugar are also good for your back. Finnish research found that people who suffered from back pain were more likely to have clogged arteries to the spine than healthy control subjects. Healthy circulation brings nutrients to the spine and removes waste, says Sinett. If this doesn’t happen, inflammation can result, and inflammatory chemicals in the back can trigger nerves to send pain signals to the brain.

Fix it: A back-healthy diet is one that reduces inflammation, according to the The Truth about Back Pain. The book’s plan advises avoiding excess caffeine and processed foods (read ingredient labels for the following: hydrogenated or partially hydrogenated oils, enriched wheat flour, words ending in -ìose, and additives that end in -ìates or -ites), and eating more whole grains, soy, nuts and seeds, protein (chicken, fish, lean meat), vegetables, and fruit.

7. Your life's in your purse.
A stuffed-to-the-gills handbag may cause back damage that's comparable to a sports injury! When you tote a heavy bag, your shoulders become imbalanced, says Sinett. Your body elevates the shoulder carrying the bag, which throws your spine off-kilter. Doing this every day can cause back muscles to ache over time.

Fix it: First, carry the lightest bag possible. (Some of today’s styles—with chains, studs, and other hardware—are heavy even when empty.) The American Chiropractic Association recommends that your bag—when fully loaded—weighs no more than 10% of your body weight. Alternate which shoulder you carry the bag with from day to day, and consider splitting your stuff between two bags (one for each arm), which will painproof your load by distributing it more evenly.

8. Your mattress is really old.

Can't remember the last time you replaced it? Your back may be in trouble. A good mattress lasts 9 to 10 years, according to the National Sleep Foundation, but consider replacing yours every 5 to 7 years if you don't sleep well or your back throbs. A study at Oklahoma State University found that most people who switched to new bedding after 5 years slept significantly better and had less back pain.

Fix it: When you do replace your mattress, take a Goldilocks approach: Pick one that’s not too squishy or too hard. Very firm mattresses can increase pressure on the spine and worsen pain, say Spanish researchers. A study of 313 people revealed that those who caught Zzzs on medium-firm mattresses were more likely to report pain improvement than those on firmer ones. To help ease nighttime discomfort even more, tuck a pillow under your knees if you sleep on your back, between your knees if you're a side sleeper, or beneath your stomach and hips if you snooze on your belly.

9. Your bike isn't quite right.
Do you routinely get a sore back after even a leisurely bike ride? You may need to adjust your equipment. Anywhere from 30 to 70% of bike riders experience some form of back pain, according to Jennifer Chu, MD, an associate professor of rehabilitation medicine at the University of Pennsylvania and a chronic pain expert blogger for Wellsphere. You don’t need to give up on this great form of exercise, but you should make sure your bike is properly fitted for you, advises says former US Olympic cycling coach Ed Burke, PhD, of Colorado Springs, CO.

Fix it: Try this quick test: When you straddle a road bike or hybrid, the bar should be about 1 to 2 inches from your crotch. On mountain bikes, allow 3 to 6 inches. As for your seat height, your down leg should be fully extended when the heel of that foot is on the pedal in the 6 o'clock position. Now put the ball of that foot on the pedal; there should be a slight bend in your knee in the down position. You should be able to keep a slight bend in your elbows and not feel stretched out when holding the handlebars. If your bike isn't adjusted properly, check with a local bike shop or bike club to find someone who can properly fit it for you.

Another tweak that can help: Tilt the front tip of your saddle down about 10 to 15 degrees. This simple adjustment takes pressure off your lower spine and pelvis, research shows. When researchers made this adjustment for 40 recreational cyclists who had back pain, the pain went away in 72% of the group—and another 20% reported significant reduction in pain.

10. You love high heels.

Or flip-flops. Both lead to foot instability, which can in turn affect your back. High heels force you to arch your back, making your spinal muscles work harder. Backless shoes like sandals cause your feet to move from side to side, according to Sinett, which distributes your body weight unevenly and can cause pain.

Fix it: You don’t have to forgo trendy footwear—just don’t walk long distances in them. Commute in comfy flats or supportive sneakers, and consider adding cushioning inserts to uncomfy shoes. When Lehigh University researchers gave back-pain sufferers lightweight, flexible shoes with simple cushions, 80% reported significant relief within a year. (Try these 4 exercises every high heel-wearer should do.)

11. You ignore the pain.
Trying to block out pain could make it worse, finds research from the Rosalind Franklin University of Medicine and Science. A better approach: Let yourself consciously experience the hurt. In a standard pain test, psychologists had 68 back-pain sufferers plunge their hands or feet into ice water. When the volunteers were instructed to suppress the shock of the icy water, a key muscle in the back clenched. In contrast, the muscle didn't tense up when volunteers thought only about the shock. Over time, an increase in muscle tension intensifies pain, says lead researcher John W. Burns, PhD.

Fix it: Accepting pain may be the best way to mentally cope. "Try thinking about the sensory details of the experience, not the negative emotions," says Burns. "If you have a back spasm, describe the pain to yourself—if it's burning or throbbing—and remind yourself that it will pass."

12. You hold a grudge.
To err is human. To forgive could make your aching back feel simply divine. When researchers at Duke University Medical Center studied 58 women and men with chronic lower-back pain, they found that those who practiced forgiveness experienced less anger, resentment, depression—and aches. "Our emotions, muscle tension, and thoughts can directly influence the strength of our pain signals," says researcher James W. Carson, PhD.

Fix it: Forgiveness isn't a once-and-done act; it involves choosing, again and again, to replace anger and resentment with understanding toward someone who has done you wrong. Try this: First imagine someone you love. Think, May this person be at ease, happy, healthy, safe, and secure. Repeat, imagining yourself, then someone you don't know personally. Finally, bring to mind someone for whom you don't have good feelings.

13. You don't veg out.
It's not all in your head—chronic or acute stress can directly trigger back pain. When you’re under the gun, your whole body clenches up, including the muscles in your neck and back. But muscles that contract need to relax eventually, says Sinett. If you’re stressed all the time and those muscles stay tight, it can eventually cause major pain.

Fix it: Sometimes even just realizing that stress may be at the root of your pain can help, says Sinett. Then you can prioritize ways to calm down each day, be it through exercise, laughing with a friend or partner, reading a good book, etc. One particularly helpful therapy, research shows, is listening to music.

In an older Austrian study of 65 people who had herniated disks, researchers found that a combination of music and relaxation imagery significantly reduced lower-back pain. Everyone got standard medical care (painkillers, physical therapy), but half also listened to music and performed relaxation exercises every day. After 10 days, the music group reported less pain while climbing stairs, getting out of bed, and even sleeping. After 21 days, the music group's overall pain was more than 40% less than the nonmusic group. "Music helps reduce stress hormones and muscular tension," says researcher Franz Wendtner, a psychologist at the General Hospital of Salzburg.

14. You watch too much TV.
Parking yourself in front of the tube for hours and hours a day doesn't make your back very happy. For one thing, excess TV time is probably cutting into exercise time, and we’ve already explained how important exercise is to prevent/reduce back pain. In one Norwegian study of teens, those who sat in front of TV or computer for 15 hours a week or more were three times as likely to have lower-back pain as their more active counterparts (the average American teen watches three hours of telly a day). "They sit with the low back flexed—really hunched over—for hours," explains lead researcher Astrid Noreng Sjolie, PhD, a physiotherapist at Hedmark University College in Norway.

Fix it: Limit TV to shows you really want to watch, instead of idly channel surfing. And instead of fast-forwarding through commercials, do some stretches or strength moves during the breaks, which will prevent muscle strain from sitting still too long. If you have a kid complaining of back pain, make sure he walks at least one mile daily; this can cut back pain in half and give his still-developing spine a chance to stretch out.

This article originally appeared on prevention.com and was written by the editors of prevention.com

Balanced Health Care: Float Therapy & Massage

Float therapy is a form of non-touch therapy for relieving stress and it's symptoms in the mind and body. It's for people of all ages and a range of issues and purposes. A float tank is a large, covered bath-tub-like container filled with a water solution heated to skin temperature and is well saturated with approx. 800lbs of Epsom salts, hence why it feels silky and warm when you lie in it. You will simply step in, lay down and relax.

We recommend you try 3 floats within 10 - 14 days to understand how it feels and how it works. By consistently relaxing you help calm the mind and body, which in turn restores the body's own healing systems, allowing stress hormone levels to drop, enabling better repair of injuries, normalizes metabolism, improves circulation and cellular transport and absorption of nutrients, and reduces soft tissue and joint pain, all from relaxing.

With your first float you will familiarize yourself with the environment, salt water and buoyancy. You will also experience deep relaxation and probably sleep quite well that night.

The second float is when you will experience an even deeper sense of relaxation where you enjoy peace and quiet, and perhaps notice your aches and pains diminish or disappear completely. 

During your third float and having learned previously from the environment and float you will feel significant benefits of deep relaxation and can release yourself in to a calm state easily and sooner than before.

Some known benefits of regular floating:

• reduces anxiety, blood pressure (anxiety related), and inflammation (cortisol levels drop)
• excellent strategy for pain management and treatment of arthritic pain, joint pain, neck & back pain, Lactic acidosis, Sciatic pain, tension/migraines/headaches, PMS and whiplash.
• helps resolve PTSD, insomnia, Chronic Fatigue Syndrome, MS (Multiple Sclerosis).
• improves circulation, tissue repair and mobility.
• prepares to the body for and relaxes it after physical activity or strain, like cycling, running, hiking, golfing, gardening, etc.
• helps to improve coping skills by physiologically clearing the body of stress symptoms.
• increases resistance to stress.

If you have been on your feet all day, Float Therapy reverses gravity's effects on your body. 

The buoyancy produced by the salt water solution helps relieve, release and expand joints to their normal spacing and position. The heated temperature of the water soothes soreness and helps expand blood vessels, improving circulation all over the body.

Enjoying one hour of Float Therapy is equivalent to a restful 3-4 hour sleep. Floating helps restore normal sleeping patterns.

The pressure from pregnancy is resolved and released during a float and is perfect for women in their 3rd Trimester for relieving heavy back and hip pain and reducing inflammation.

Float Therapy along with Massage Therapy offers a balance for resolving patterns of pain, relaxing tensions away, restoring health and improving coping skills in mind and body. Combining the two therapies is complete health care. 

Sports Massage and Float Therapy - Rest / Recovery, Pre / Post Training

Wear and tear and the inability to heal (well or quickly) is frustrating and creeps up if neglected. It holds you back and can cause debilitating problems for the future. These are quickly resolved with combining massage and floating.

Float Therapy helps accelerate restoration of tissue and recovery between training sessions, helping you build muscle and repair injuries. 

Relaxed athletes have better performance and mental stamina to keep up with the demands.

With regular floating, Float Therapy helps athletes overcome exhaustion, fatigue, poor sleep, fogginess, anxiety, depression and weak immune systems.

Rehabilitative Massage and Float Therapy - Restore strength and balance.

Chronic pain, old injuries, poor posture, accidents, lifestyle (changes), mental stress, anxiety, depression, PTSD all play a roll on how our body feels, endures stress and moves in it's environment.

Massage reduces tensions locked in muscles and helps realign joints and fascia to improve nerve communication, mobility, strength, and in turn increases flexibility, range of motion and balance.

By regularly floating you will restore your sense of well being, reduce pain and nurture your body to repair itself between massage appointments. Float Therapy will reduce stress hormone levels 

If you find yourself struggling with aches and pains that are a result of old physical/mental traumas, misalignment, injury or mental stress, by giving your body the opportunity to regularly relax will restore it's ability to heal itself better and improve your coping skills.

Floatation Tanks and Hygiene

Water is circulated by filtration pump through a 20 micron filter between each Float Therapy appointment and further sanitized with ozone, UV light, a safe, non-toxic pool-grade oxidizing solution, Peroxysan, and enzymes. Water quality checks are performed regularly.

Currently available at our clinic is a special maintenance package:

5 Massages + 5 Floats for $495 - regularly $800. This package is perfect for a year long maintenance plan. Float Therapy and Massage appointments can be made back to back or spread out. To purchase your package, follow this link to our online store.

What IBS, Crohn's Disease & GI Disorders Have To Do With Coping Skills

Health psychologists have begun treating gastrointestinal disorders that are strongly affected by stress, including irritable bowel syndrome (IBS), Crohn's disease, functional heartburn, functional dyspepsia and ulcerative colitis.

Biochemical signaling between the brain and the GI tract, known as the brain-gut axis, can have a major effect on gastrointestinal disorders. The normal stress of everyday life can aggravate certain GI conditions. And in a vicious cycle, worrying about or dwelling on severe pain, constipation, diarrhea and other GI symptoms can make the symptoms worse, which in turn increases the stress, said Sarah Kinsinger, PhD, ABPP, a Loyola Medicine health psychologist who specializes in treating GI disorders.

Dr. Kinsinger offers behavioral treatments specifically designed to target brain-gut pathways. These treatments teach patients coping strategies to manage symptoms and reduce stress. She provides cognitive-behavioral therapy, an evidence-based treatment for irritable bowel syndrome. She also offers behavioral relaxation techniques, including diaphragmatic breathing (also known as belly breathing or deep breathing) and gut-directed hypnotherapy.

In many patients, psychological or behavioral interventions can be more effective than medications, Dr. Kinsinger said. She usually sees patients for five to seven sessions, and the treatments typically are covered by insurance.

"It is very gratifying to see patients get better after in some cases suffering for many years," Dr. Kinsinger said. "Psychological and behavioral interventions do not cure their disease, but the treatments can provide patients with safe and effective coping mechanisms and greatly reduce the severity of their symptoms."

For some conditions, such as IBS, psychological and behavioral treatments can be the primary treatments. For other conditions for which there are effective drugs, such as Crohn's disease and ulcerative colitis, psychological and behavioral treatments can be effective adjuncts to medications.

Dr. Kinsinger earned a PhD degree in clinical psychology from the University of Miami and completed a health psychology fellowship at the University of Illinois Medical Center at Chicago. She is board certified in clinical health psychology by the American Board of Professional Psychology.

This article originally appeared on Science Daily.

A Must Read For People in Pain: 'Explain Pain'

If I could make only one recommendation to individuals living with chronic pain, it would be to read the book Explain Pain by David Butler and Lorimer Moseley.

Directed at both clinicians who work with chronic pain patients and patients who live with chronic pain, Explain Pain shows how the discoveries of modern pain science can be put to practical use. Written in understandable language with a touch of lighthearted humor, Butler and Moseley take a complex subject and make it possible for the average person to understand and use. One client remarked that she thought it would be hard to read and was delighted that she did not find it difficult at all. 

Pain education can help

Research has demonstrated that pain education can help to reduce chronic pain. For instance, a recent study by the army followed 4,325 soldiers over a two year period and found that one session of pain education could help lower the incidence of low back pain. Understanding how pain works is not a magic bullet that will make pain go away immediately, but it can help to take some of the fear and anxiety out of the experience which can then begin to help alter the experience. With time, thinking a little differently about pain can lead to more successful strategies for reducing, limiting, and eliminating pain.  

Pain is useful and should not be ignored. Pain is a protective mechanism generated by the brain in response to perceived threat. However, when pain is chronic and there is no direct or immediate threat to the body, understanding how the body can get "stuck" in pain can suggest ways to help it get "unstuck." 

Butler and Moseley provide some amazing stories to illustrate the surprising discovery that pain is not directly related to tissue damage. While this concept may, at first, seem odd and difficult to grasp, they produce convincing evidence to support this idea. Consider this: a paper cut produces very little tissue damage, yet can cause a lot of pain. A soldier can get shot in battle, yet not realize he is injured until he is off the battlefield. Amputees may experience phantom limb pain in tissue that no longer exists. How does that happen? The part of the brain that corresponded to the amputated limb can still generate the sensation of pain, even after the limb is gone.

Pain can be influenced by context. If everyone around us seems to be in pain, we may also expect to be in pain. Athletes involved in vigorous sports ignore impacts that would upset most of us because to them it's all part of the game. In that context, it is expected and not a threat. 

Butler and Moseley describe how pain is generated by the nervous system. Understanding that pain is generated by the brain, rather than by damaged tissues, does not mean that pain is "all in your head" and should be ignored or dismissed as imaginary. In fact, understanding that pain is the body's alarm system highlights the importance of treating pain so that the alarm system does not become oversensitive. 

The book describes what happens in different systems of the body and how they may be affected by pain. Normal responses to painful stimuli are contrasted with what happens when the responses become altered. The influence of our thoughts and beliefs is examined for the role it can play in chronic pain.

Practical suggestions

The last few chapters of Explain Pain suggest practical tools that can be used to manage chronic pain. Using "the virtual body" is explained, as is the use of graded exposure to break the association between particular movements and pain and to cultivate successful movement without pain. 

Pain education should be part of every client or patient's rehabilitation.Explain Pain provides an excellent model for pain education.

One of my clients suffered for many years with a painful chronic condition and found this book immensely helpful. Although she had seen many doctors and therapists, she had never been given any pain education. After reading this book, she asked, "Why didn't anyone tell me this?" My response was, "They didn't know." Although Explain Pain was first published in 2003, pain science is still only slowly finding its way to practitioners. 

Since I've begun studying pain science, I've incorporated information the information presented in Explain Pain into my practice. It has been a useful tool for helping clients get out of pain and feel in control of their lives once again.

Additional resources

I've posted a fifteen minute TED Talk by Lorimer Moseley on Why Pain Hurts in a previous post. There is also, in the same article, a forty-five minute lecture to a professional audience for those geeky folks who want to understand details about the biology of pain. Recently, I've found a twenty-five minute video by Moseleywhich has become a favorite because he addresses how we think about conditions like herniated discs and how our thinking can feed and perpetuate fear, anxiety, and pain. If you watch only one of these videos, this is the one I recommend. These videos are educational and entertaining. Moseley, who is both researcher and clinician, has a charming Australian accent and a great sense of humor. Imagine Crocodile Dundee giving an introduction to pain science and you'll get the picture.

For more information about understanding pain, I also suggest the following: 

Painful Yarns by Lorimer Moseley (stories to help understand the biology of pain)

Also, check out this article about understanding how pain works by Paul Ingraham of SaveYourself.ca. 

Cory Blickenstaff, PT, has put together some useful videos of "novel movements." Here are links to the ones on the low back, neck, and hand, wrist, forearm, and elbow. 

This article originally appeared massage-stloius.com and was written by 'Ask the Massage Therapist'.