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Everyday back pain – Steps to beat lower back pain

  1. Details

    Lower back pain can hurt!

    • Name – Kristy M
    • Occupation – physiotherapist
  1. For how many years have you been treating back pain and related health issues? 

6 yrs

  1. What is the most common type of back pain you see?
  • Discogenic lower back pain is by far the most common
  • Sacroiliac joint pain (mainly women)
  • Occasional facet joint problems
  1. What treatments/advice do you most commonly prescribe/give to lower back pain sufferers? (please list or describe the top five)
  • Usually (but not always) these people have forgotten how to stand and move properly and so we correct their compensations and weakness so that they know how to stand and move properly
  • Transverse abdominus and pelvic floor activation (core stability) starting very basic!
  • Don’t spend too much time in one position whether that be sitting or standing
  • Do not lift and if you have to, engage your core muscles
  • Stretch your calves, pecs and very gently you hip flexors and hamstrings (if there is no neurogenic pain)                                                                                                                 
  1. In your experience, how long (days, weeks, months, years, if ever) does it usually take for lower back pain to settle? 

Very hard question as it so dependant on the individual and the individual problem. Acute can be days, but if its discogenic it is a chronic problem that needs future consideration in most situations. Can settle acute disc pain in 2wks but it will always be a pathology 

  1. Do you give advice on how to prevent a recurrence of lower back pain, and if so, what does this advice generally consist of?
  1. Stay as fit and strong as possible- usually I will advise the type of exercise that suits there pathology and their bodies response to certain movements, pilates is always good
  2. Make sure you exercise and stretch at least 1x per day
  3. Stay away from aggravating factors i.e. lifting or vacuuming
  1. What sorts of aids do you most commonly suggest lower back pain sufferers purchase (back supports, different desk chair, massager, etc)?
  • Different desk chair for sure
  • Have also tried to get companies to make standing desks available
  • I don’t find back supports are helpful as a huge part of rehab is getting the patients muscles to function properly again and not to rely on ligaments or supports
  1. In your experience, do none/some/most/all of the lower back pain sufferers you treat find alternating standing with sitting is one solution to help ease their pain, speed their recovery/return to work?

Yes most definitely all of the above. I highly recommend this as one of the most important pieces of advice and often patients will re-present with flared lower back pain due to prolonged sitting (driving to airport) or prolonged standing (in a line at the polling booth)

  1. If standing does help, what ratio of sitting to standing do you advise; and how do your clients achieve this (electric sit stand desk, laptop on the filing cabinet, other). Please give as much information as you can.

I believe that a 60-40 or 70-30 ratio of standing to sitting is preferable. It will lean further towards the standing once they have also dealt with the tightness issues around the hip. i.e. initially their hip flexors may be so tight that when they stand their pelvis is continually thrown into an anteriorly rotated position and this can flare up their back. Alternatively they may flatten their lordosis as a way of reducing their pain but this will irritate discs and they will end up in more pain. Eventually when these compensations, tightnesses and weaknesses are addressed, standing is more preferable. Some patients have been able to find standing desks but this is rare, the way they have been dealing with it is to move every ½ hr.

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All day at my laptop... it's great to be standing and moving while I work.

Final phase of my PhD means solid computer work: data analysis and writing, all day, every day. My main 'desk' is the family dining table, and the ZestDesk is great - it looks fine, it's easy to move when we want the space, and it's sturdy enough for me to lean onto whenever I gaze blankly at the screen (very important!). No more long bouts of sitting. I can feel the difference in my legs, back and shoulders. It's great. Thank you.

Love it!

Great little set up.. very sturdy and I like that I can mount my laptop up higher to keep my posture straight. Thanks guys! :)

New User, smitten.

I am smitten with my ZestDesk. For years, I had noted to my partner about how sitting at a desk was inhibiting my productivity. The chief reasons for this were two. First, I have a bad lower back. Too much sitting, even for someone with a healthy back, is still too much. Add chronic discomfort and its very counter-productive. Second, I am one of the Attention Deficit Disorder (ADD) nation. Sitting still isn't something I do well. With distractablity being heightened by stillness, again, sitting is NOT optimal. One day on Instagram, I stumbled across ZestDesk and showed it to my partner because it seemed like a good solution to my persistent, counter-productive problems. Being the angel she is, she put in an order while ZD was still in its prototype phase. I am forever thankful to her for doing so. Once my ZestDesk arrived, my hopes were met and my problems relieved, significantly. My ZD allows me the flexibility to work in more places, how I can best work in them. My back feels MUCH better. Standing allows me to shift my weight, walk about and focus my body better so my attention deficit is minimized appreciably. Also, getting on the floor has been an added bonus, as I sometimes prefer to sit in in lotus or half-lotus postion. The design of my ZestDesk is great. Its easy to open and collapse. Its weight is very manageable, factoring in for another bag carrying peripherals and personals. ZD also looks pretty cool, which doesn't hurt. If I were to suggest one change in ZestDesk's design, it would be in the platform's white laminate surface. It works just fine, and I'm sure it's weight consideration was part of its design choice. However, after working at my ZD for a while, the surface material doesn't feel great on my skin. I just wonder if a bamboo material could be considered in later versions. All in all, my ZestDesk has been a terriffic game changer. Thank you for the life-upgrade!!!

We all need a ZestDesk

After sacrificing my study for an extra bedroom that was needed I found myself working anywhere and everywhere, slumping over the edge of the lounge, or hunched over in bed while working on my laptop. My posture was suffering. The ZestDesk was the perfect solution. It's beautifully designed, super easy to set up, and turns out it's a great table for the kids to use when I'm not working on it! Win-win.