My doctor thinks the low back pain I've been having is the result of deconditioning. What kind of exercise program should I do to get back in shape?
Many studies are being done to find what works best for low back pain (LBP). There's some evidence that any kind of exercise can help -- for example, biking, walking, or swimming. Even physical activity while moving around during daily life can make a difference.
But sometimes a specific exercise-training program is needed. Research shows that muscle control may be more important than muscle strength or endurance. If the muscles don't fire at the right time, the spine is left unstable and unprotected. If this is the case for you, a general exercise program won't change the altered patterns of motion that cause pain.
You may have heard of a program called Core training or Pilates exercise. Improving posture, breathing, and motor control are the focus of these programs. Patients are trained to hold the spine steady or stable while moving the body, arms, and legs.
A 15-minute program four to six times a week for four to six weeks can make a difference. Movements are done slowly, smoothly, with control and without pain. A few sessions with a physical therapist (PT) may help to get you started doing the exercises properly. Studies show this works better than "usual care" with advice from the doctor or PT.
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