Exercises for Back Pain

Exercises for Back Pain

75% of the Indian population reported lifetime prevalence of lower back pain (LBP), as per a study in 2009. Despite such a high coincidence of back pain across Indian populations,  a typical response to back pain is to take it easy: either staying in bed or at least stopping any strenuous activity — resting for more than a day or two can actually undermine healing and worsen pain.

“My back used to hurt all the time and now I don't feel it anymore" is a phrase we hear a lot from people who seek Exercise prescription from us at ReLiva physiotherapy clinics, consistently. So what is it about “Exercise as Medicine” that works so well for back pain relief?

Can I do exercises with lower back pain?

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kids playing

7 Ways to keep your kids active : Physical Activity for Children

Don’t let summer break become Obesity break. Here are 7 fun ways to maintain your child’s health habits during this summer vacation. All of these ideas are designed to encourage your kids to learn what you already know: Active is healthy. Exercise is good for you. Eating clean tastes good and feels great. And summer is tons of fun.

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COPD Lung problem

Coughing Hard: Finding Relief for COPD

Coughing Hard?

Finding relief from COPD

Winters are on their way and we are sure you must be waiting for those mornings under your cozy quilts. But these winters are also responsible for aggravation of many pulmonary conditions like asthma, bronchitis, emphysema etc. So let's understand the big umbrella  comprising of these lung conditions.

Do you feel breathless with the change in temperature? Many people mistake their breathlessness & coughing as a part of normal ageing. It's detrimental to take notice of long standing symptoms of cough & breathlessness. These could be the symptoms of progressive lung diseases which fall under the broad category of COPD i.e Chronic Obstructive Pulmonary Diseases.

Cigarette smoking is far away the leading cause of COPD. It may also be caused by inhaling pollutants & is common in workers working in industries leading to secondary inhalation of fumes. At times COPD can also be genetic.

Attending your symptoms on time & visiting a good Chest Physician/ Pulmonologist will help you diagnose the condition & take the necessary measures.

Living with COPD can be stressful but small changes can make a bigger impact on the disease:.

Following tips will help you live better with COPD:

  • Understand your lungs
  • Oxygen therapy & medications (as prescribed)
  • Pulmonary Rehab & special breathing exercises (Read more about pulmonary physiotherapy)
  • Staying healthy & avoiding exacerbations
  • Quit smoking & related aggravating factors

We provide Physiotherapy services in:

Mumbai | Chembur | Thane | Navi Mumbai | Vashi | Nerul | Kharghar | Pune | Kalyani Nagar

Need HOME PHYSIOTHERAPY, ReLiva is there
zumba injury prevention

Zumba: Tips to prevent injuries

How to keep away from Zumba injuries

Last month we had three patients coming to our clinics, who had suffered injuries while doing Zumba.  Interestingly, all had the same issue - pain in their knees.Interestingly, all had the same issue - pain in their knees.

Zumba is the closest you could get to having fun and having a cardio workout at the same time. And surely, it's popular! But like any other sport, there is a risk of getting aches and pains. How do you fix it?  If you have no pre-existing conditions that have caused trouble in your knees earlier, you could easily prevent  injuries during Zumba.

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Plantar Fasciitis Heel Pain

Plantar Fasciitis? Its a pain in the Heel

Plantar Fasciitis

Things you must know about Heel Pain

Heel pain is a common foot condition. One may experience intense pain while you place weight on your heel. The pain usually builds up gradually and gets worse over time. Walking usually improves the pain, but it often gets bad again after walking or standing for a long time.

This type of pain could be due to the overuse of a tissue known as Plantar Fascia. Plantar Fascia is a broad, thick band of tissue that runs from under the heel to the front of the foot, helping to maintain the arch of the foot. In Plantar Fasciitis, the pain is felt under the heel and usually on the inside, and sometimes along the arch, mostly on walking and running.plantar fasciitis treatment

Things You Must Know About Plantar Fasciitis

  • People who run or jog regularly, and older adults who are 40-60 years of age, are the two main groups affected by heel pain.
  • Overweight individuals are also more at risk.
  • Correct diagnosis is important: Heel pain could be caused due to different reasons. Let a qualified doctor diagnose the correct reason.
  • Rest your heel: This may not be easy. But avoiding walking long distances and standing for long periods will surely help.
  • Pain relief: Techniques such as icing, massage, ultrasound or electrical muscle stimulation can help to reduce the pain.
  • Stretching the calf muscles and the plantar fascia and strengthening of the intrinsic foot muscles can improve the foot mechanics and relieve the stress on the fascia.
  • Foot mobilizations and supportive taping is also known to have worked well.
  • Use of well fitting, appropriate shoes/orthotics: Use of well fitting, appropriate shoes/orthotics.

Read more about Plantar Fasciitis 

back pain

Back Pain – Causes, Self Care, FAQ and Home Exercise

Back Pain  I  Causes  I  Risk Factors  I  FAQ

Eighty percent of us will experience back problems at some point in our lives. Back pain is ranked second only to headaches as the most frequent cause of pain, and tops the list of workplace injuries, causing more loss of time, disability and money than any other workplace injury. Our backs are a carefully engineered network of bones, tendons, ligaments, and nerves that help balance and bear the weight of our bodies and the loads we carry. Any minor damage or imbalance to this delicate system can stress muscles and joints, causing pain and injury. A lifetime of poor posture, poor lifting, bending and reaching, and twisting activities can gradually weaken your back’s supportive structures as well as cause pain and injury.

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back pain and obesity

Obesity and Back Pain

Can reducing weight help in back pain?

Most people know that Obesity contributes to the development of heart diseases, diabetes, high blood pressure and colon cancer. However, did you know that obesity is a contributing factor to back pain? It’s true!

People who are overweight/obese and suffer from back pain may not be aware that their excess weight is actually contributing to their back pain. The spine is designed to carry the body’s weight and distribute the loads encountered during rest and activity. In order to compensate for extra weight, the spine can become tilted and stressed unevenly. As a result, overtime, the back may lose its proper support and an unnatural curvature of the spine may develop. One region of the spine that is most vulnerable to the effects of obesity is the low back- the lumbar spine.

Is back pain only Age-related?

It is true that with age, body tissues can cause changes to spinal anatomy. However, if you are overweight/ obese, chances are you have or will have back pain. You may have/develop one of the following conditions that can cause back pain.

  • Unhealthy posture: because of uneven load on the spine due to obesity, its curvature alters resulting in Scoliosis, kyphosis and lateral pelvic shifts and causes changes in our posture in order to cope up with our daily activities. Thus, an unhealthy posture can contribute to low back pain or sciatica( low back pain radiating down the leg). Physiotherapists at ReLiva are expert in assessing your posture and advising on the changes you may need.
  • Osteoporosis: A sedentary lifestyle coupled with unbalanced diet can affect the density or strength of the bones and an extra load is taken up by the weak back and core muscles leading to back pain.
  • Low muscular endurance and weakness: ReLiva Physiotherapy could plan an appropriate exercise plan for you to address specific muscular weakness which would help with your chronic back pain.
  • Poor flexibility of the muscles: an extra load on the muscles makes it weak overtime and in order to compensate the muscles become tight and can result in back pain. Tight muscles may even form fibre nodes within/ taut band which is called as trigger points which can also cause back pain or refer pain to different site as well mimicking a nerve pain.

Apart from back pain, obesity can also result in Low cardiac endurance: owing to the inactive lifestyle, an overweight/obese person gets easily fatigue and breathless making it a viscous cycle where the person becomes more inactive and prone to vascular diseases like varicose veins, deep vein thrombosis, heart diseases etc and metabolic diseases like diabetes.

Prevention is better than cure!

  • Start walking for at least 30 minutes daily from today itself. Keep checking your weight every month and indulge in healthy diet.
  • Consult a physiotherapist at ReLiva, to assess your muscular strength and flexibility and get started with the core exercise program to strengthen your core muscles.
  • For a balanced healthy diet, you can consult dietitian at ReLiva and maintain or reduce your weight.

Obesity and recovery from low back pain at ReLiva

  • Our Physiotherapist will assess and guide you with the treatment protocol.
  • You can strengthen your core muscles by joining core program at ReLiva.
  • You can improve your flexibility under the therapist guidance.
  • Pain modalities will help you to relieve back pain.
  • You can also consult a dietitian at ReLiva for weight reduction and obesity control.

 

Related Reading:

Back Pain – Causes, Self Care, FAQ and Home Exercise

Working long on Computer : Carpal Tunnel Syndrome

Ergonomics: Does it matter in your workplace

Neck Pain : Managing at Home

 

Knee Replacement Surgery – Care & Exercise

You are about to have Knee Replacement Surgery (TKR). A lot of the long term results of knee replacements depend on how much work you put into it following your operation. Patients who prepare for surgery and actively take part in their care can recover in less time and with less pain. This guide has general information along with tips for things to do before and after surgery to help you make it a success.
You may get different instructions from your surgeon, doctor or physiotherapist. Always follow the directions of your care team. This guide is meant to be used under the direction of your physiotherapist.
Caution: If you have too much pain in your knee to exercise, or if any of the exercises cause more pain or swelling in your knee, stop. Tell your physiotherapist or doctor. If your whole leg becomes swollen or hot, tell your doctor right away!

General Guidelines: Before Surgery                  TKR- Total Knee replacement recovery

If you exercise before surgery you can have a faster and easier recovery. Exercise helps to:

  • Maintain the range of movement of your knee
  • Make your muscles strong
  • Control your pain
  • Build your knowledge of how to exercise after surgery
  • Improve your sleep

Do activities that put less stress on your knee. Try cycling on a stationary bike (upright or seated) for 5-10 minutes, walking in water (water level should be atleast thigh deep). It is best to do specific knee movements and strengthening exercises (in guidance of physiotherapist).

  • Always warm up before exercising. Your physiotherapist may tell you to:
  • Apply moist heat to the front and back of your knee for 5-10 minutes OR Have a warm shower or bath

General Guidelines: After Surgery

Exercise after surgery will help you recover and regain the movement and strength of your knee. Exercise also helps to:

  • Reduce swelling
  • Prevent blood clots (Thrombosis)
  • Control your pain
  • Prevent constipation
  • Improve your sleep

Tips to help you make the most of your Knee (TKR) surgery

DO’s

  • Take your recovery and rehab seriously. Exercise regularly as per the programme charted by your physiotherapist.
  • Continue with your knee replacement rehab programme for at least 3 weeks after surgery, probably 3 months of physiotherapy guided knee exercises to get the best result from your knee replacement.
  • Follow-up regularly with your surgeon, to monitor internal recovery.
  • Walker or crutches should be used until discontinued by Doctor or Physiotherapist.
  • Change knee position at least once an hour, while awake, to avoid stiffness.
  • Home exercises should be performed 3 times everyday unless advised differently by your Physiotherapist.
  • Walking is an excellent activity and you are strongly encouraged to gradually increase your walking distance after you leave hospital.
  • Walk outdoors as long as sidewalks are dry. Consider going to a mall to walk when the sidewalks are wet and slippery.
  • Swimming or walking inside swimming pool (where water level is at least till your thigh) is a very good strengthening exercise that prevents jerks and unnecessary strain on the knee.
  • Stay positive and committed. Don’t give up, and do what you can to keep a good attitude.

Don’ts :

For 6-8 weeks after surgery, avoid:

  • Any pivoting (twisting) on your knee 2.Kneeling down 3.Squatting
  • Avoid high impact activities that cause jerk and stress on the knee joint, example running, jogging, rock climbing etc.
  • Avoid unnecessary stress on your knee by lifting very heavy objects. This can cause damage to your new knee.
  • Avoid using Indian traditional toilet, instead use a Western Commode (WC) or toilet chair.

Immediately after surgery, you can continue to do the following in bed :

1. Deep Breathing and Coughing Exercises : Knee replacement rehab - Pump your ankles
Until you are up and moving well, take at least 10 deep breaths, followed by a cough, every hour that you are awake.
2. Pump Your Ankles :
When lying down, move feet up and down and in circles. Repeat 10 -15 times every hour you are awake.
3. Buttock Contractions
Tighten your buttock muscle and hold for a count of 5 seconds. Repeat five to ten times, three to four times each day

4. Moving your new knee :

It is important to move your knee soon after the operation unless your surgeon or physiotherapist tells you not to. This will minimize stiffness, pain and swelling, and reduce the formation of scar tissue. Check with your physiotherapist for guidance about the best way to warm up your new joint.

 

To Keep Pain and Swelling under control, once you are home:

1. Rest Your Joint          TKR - Rest your joint

  • Change positions often (every 20 minutes) when you are awake. Try sitting, standing, and walking.
  • Pace yourself. Take things easy and slow.
  • Lie down 3 times a day for 30 minutes on your bed.
  • Put your leg up and support it with a rolled towel or with pillows (as shown).

2. Use Ice
Ice your knee when it is hot and red, painful and after exercises. (If your knee is very stiff and painful, check with your physiotherapist before icing
Follow these steps:

  • If your scar is not healed, cover it with a clean bandage and clean plastic wrap
  • Put a damp hand towel over your knee
  • Put a flexible gel pack, or plastic bag with crushed ice on your knee
  • Leave the ice ON for 10 minutes. Take it OFF for 10 minutes. Put it back ON for 10 minutes. Repeat 4-6 times a day
  • DO NOT use ice if your doctor has told you that the circulation to your legs is poor and that you should avoid using ice or heat

3. Use Pain Medicine
Use your pain medicines as prescribed by your doctor. Tell your doctor if the pain is too much or not improving.

4. Use Walking Aids
Use the walking aid that your physiotherapist has measured and recommended. Do not change or stop using the walking aid until your physiotherapist or surgeon tells you to. Walkers, crutches and canes help to:

  • Reduce the stress on your knee Reduce pain Improve your balance and reduce falls
  • Remember it is better to have a good walking pattern using two crutches than to limp and risk losing balance.

5. Sleep :

It helps with rest and recovery. It is normal to have some sleepless nights up to 12 weeks after your knee surgery.

Consult an expert at ReLiva Physiotherapy & Rehab to learn more about rehab, Mobility Techniques and tips to make your Total Knee Replacement (TKR) Surgery a success.

 

Related Reading:

Physiotherapy at home

Ageing Knees? Don’t go weak in your Knees

Five Ways to check your Knee health

Arthritis – Do your Joints Pain?

 

physical activity for good health

The Activity Pyramid: Stay Active in a Fun way

Much easier said than done – Stay Active and Fit for Life! Not all the time. Here are few simple and fun things that you can incorporate in your everyday life and continue to stay Physically Fit and Active.

We call it the Activity Pyramid. Since it is meant to be FUN, it begins right at the bottom with everyday things that you may have known but have ignored implementing them so far!.Start from the bottom and work your way upwards!

 1. If you are Inactive: That is you rarely do any activity, increase your daily activities by:

– Use the staircase in place of the elevator. Start by climbing up the first floor and then take the elevator to your destination. Add another one floor every second day of your climbing routine to gradually make it all the way up.

– Hide the TV remote. Get up and walk to the TV to adjust the volume or change the channel everytime.

– While standing in a queue, use your time to stretch your body.

– Walk whenever you can even within the house

The activity pyramid for exercise to stay heart healthy and fit

2. If you are Sporadic:  You are active sometimes but not regularly, try to become consistent by identifying and adding activities that interest you from the middle of the Pyramid, set realistic goals to attain and plan your day so you can achieve your goals.

3. If you are Consistent : If you stay active most of the time, or upto four days in a week, then all you need to do is to keep shuffling your activities from the entire Pyramid so you not get bored and start to lose out.

Whichever stage you are or whatever activities you chose to do, remember to have FUN !!

Because when you indulge in activities that are fun, you are more regular and reduce the chances of injury.

 

Related Reading:

Physically Fit : What does it mean?

No time for exercise? 10 tips to get moving

Healthy & Positive Habits to Protect you from Stress

pregnancy exercises

Why Exercise during Pregnancy

Pregnancy exercises are needed for fit pregnancy.

The benefits of Exercise during Pregnancy are immense. Antenatal fitness propagated by ReLiva Antenatal Experts emphasises on safe Exercises during Pregnancy owing to the several benefits. You can even join supervised Pregnancy exercises with FAB Moms. Click here to know more.

why exercise while pregnant

Related Articles:

FAB Moms, Pregnancy Exercise Program

Benefits of exercise during Pregnancy

Posture in Pregnancy: Do’s & Don’ts

Happy& Fit Pregnancy ; Back to Shape afterwards

SI Pain & Pregnancy Tips

This article is purely for general information. Please contact your healthcare expert for specialised medical care. Please go through our Disclaimer and Privacy Policy

exercise

Pregnancy Exercise, Antenatal Fitness Program

Congratulations! You’re pregnant  

Exercises do wonders during pregnancy. Carefully planned exercise under Expert supervision can have a powerful and positive contribution to pregnancy. It helps to prepare you for childbirth by strengthening your muscles and building endurance. Moreover, it helps getting your body back in shape, once the baby is born.

What do our FabMoms say?

My doctor referred me to ReLiva FabMoms for Prenatal sessions. The sessions have been very helpful as I know how to keep myself active & fit. I would recommend others too to visit FabMoms for this program.”   – Richa Jha, Vashi

I joined FabMoms during my 6th month of pregnancy. My expert Physiotherapist helped me with lower back pain exercise which generally pregnant women face. Stretching exercises were also very beneficial. I never got cramps in my leg during night thereafter. They also teach good labour preparation techniques. I would like to recommend FabMoms to all pregnant women.”   – Misba Modak, Nerul

To read more about Benefits of antenatal exercisesclick here.

Now you can be a F.A.B. Mom too ! Fill the “Ask for call Back” form to register or Click here to contact us and know more about ReLiva’s FabMoms Program for Prenatal and Postnatal fitness programs. The Programs are available in

  • GROUPS as ‘Better Together’ at any of our clinics or a maternity set-up near you.
  • One-on-one personalised Prenatal / Postnatal care Program designed specially for you by our experts.

The various modules of the Program cover the following topics:

  • Education about stages of pregnancy.
  • Exercise as per the stage of pregnancy.
  • Relaxation and breathing techniques.
  • Postural guidance.
  • Post partum changes.
  • Diet & Nutrition.

To begin with, you can click here, to contact us & register with your details and we will send you a copy of The 5 Safest Pregnancy Exercises Guide, absolutely FREE.

 

Related Reading:

Benefits of exercise during Pregnancy

Posture in Pregnancy: Do’s & Don’ts

Happy& Fit Pregnancy ; Back to Shape afterwards

SI Pain & Pregnancy Tips

Infographic on Why Exercise while Pregnant

Six Active Stretches

Stretching for sport and exercise improves flexibility, which increases the ability of a joint to move through its full range of motion; in other words, how far it can bend, twist and reach.

What happens when we stretch?

Regular stretching is thought to increase flexibility, both by making muscles more supple and by retraining the nervous system to tolerate stretching further. Flexibility from regular stretching gradually disappears once you stop stretching – typically after four weeks.

How to stretch properly?

To stretch properly and safely, slowly stretch the muscle just until you feel resistance. Resistance is the point at which you feel a slight pull. It should not be painful. Stop and hold each stretch for 10 to 20 seconds without bouncing up and down. During the stretch, breathe deeply and regularly. Don’t hold your breath. Make sure your muscles are warmed up before you stretch. The best time to stretch is after exercise, when your muscles are most supple. Learn to make the most of stretching by clicking here.

Active stretches you should be doing

Each of the exercises here is a dynamic stretch, which means it increases flexibility through movement, rather than by simply holding a position. “Active stretching decreases your risk of injury, relieves back pain, and boosts your athletic performance,” says Tanja Djelevic, who includes this series in her bendable body class at crunch fitness in West Hollywood. Try this routine before a race, after a workout, or at the end of the day—and experience the difference a little motion can make.

 

Pile stretch

1) Pile stretch   

What: Stretches inner and outer thighs, arms, shoulders, and back

How: Stand with feet wide, toes turned out, and raise arms overhead. Squat deep and lower the arms in front of you, elbows touching knees and palms facing forward. Pull right shoulder back as you raise right arm [shown], then twist in opposite direction, raising left arm. Rise up to starting position. Do 8 reps.

 

Low Lunge

2) Low lunge

What : Stretches intercostal muscles (between the ribs) and the thoracic cage aiding the lungs to take in more oxygen

How: Lunge forward with left leg until thigh is parallel to floor, and place hands on floor on either side of left foot. Raise left arm straight up toward ceiling as you rotate left shoulder back [shown]. Lower hand to starting position, and move into next stretch (active pigeon).

 

Active Pigeon

3) Active Pigeon

What : Stretches hip flexors, butt, and abs

How: Pull left knee in toward right hand, then lower left leg to floor so foot is below right hip. Lower hips as you push through hands, lifting head and chest [shown]. From this position, move into the next stretch (down-dog extension).

 

wrap around

4) Wrap around

What : Stretches neck and shoulders

How : Stand with feet hip-width apart and reach right arm behind your back, palm facing away from you. Clasp hands and pull left elbow back as you draw shoulder blades together. Hold as you circle head slowly [shown] to complete 1 rep. Do 8 reps.

 

take a bow

5) Take a bow

What : Stretches shoulders, legs, chest, and back

How : Stand with feet wide, left foot turned out, and rotate torso to the left. Clasp hands behind you with palms together and arms extended. Bend forward from hips until back is parallel to floor as you raise arms [shown]. Slowly rise up to starting position. Do 8 reps.

 

Standing side stretch

6) The standing side stretch

What: Stretches arms, torso

How: Stand with your feet together and your arms straight overhead. Clasp your hands together, with your fingers interlaced and pointer fingers extended. Inhale as you reach upward. Breathe out as you bend your upper body to the right. Take five slow breaths. Slowly return to the center. Repeat on the left side.

 

Related Reading

Stretching : How to make the most of it

The Activity Pyramid: Stay Active in a Fun way

Physically Fit : What does it mean?

No time for exercise? 10 tips to get moving

Healthy & Positive Habits to Protect you from Stress

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