Taking care of your BACK after chiropractic and physiotherapy treatment

Now that you are having chiropractic treatment and physiotherapy it’s important to keep up the good work by making minor changes in your life to help improve your recovery and prevent the problem from coming back.

A common myth about back pain is that you need to rest and avoid activity for a long time. In fact, bed rest is NOT recommended. If you have no sign of a serious cause for your back pain (such as loss of bowel or bladder control, weakness, weight loss, or fever), you should stay as active as possible.

Here are some tips for how to handle back pain and activity early on:

  • Stop normal physical activity only for the first few days. This helps calm your symptoms and reduce any swelling (inflammation) in the area of the pain.
  • Apply ice to the painful area. One good method is to use ice for the first 48 – 72 hours, then use heat after that. Be careful as prolonged heat can increase inflammation.
  • Sleep in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure on the back.
  • Do NOT perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins.
  • Avoid exercise in the days right after the pain begins. After 2 – 3 weeks, however, slowly begin to exercise again (get advice from your chiropractor or physical therapist).

Exercise is important for preventing future back pain. Through exercise you can:

  • Improve your posture
  • Strengthen your back and improve flexibility
  • Lose weight

We have a nutritionist in our clinic if you need a help with weightloss. A healthy diet plan devised by our nutritionist may help shift that excess weight which may be contributing to your problem.

A complete exercise program should include aerobic activity (such as walking, swimming, or riding a stationary bicycle), as well as stretching and strength training. Always follow the instructions of your chiropractor or physical therapist.

Begin with light cardiovascular training. Walking, riding a stationary bicycle, and swimming are great examples. Such aerobic activities can help improve blood flow to your back and promote healing. They also strengthen muscles in your stomach and back. If you are using a personal trainer please be aware that they can range to being excellent or very poor. They often need guidance on your particular problem before they can teach you the correct exercise program.

Stretching and strengthening exercises are important in the long run. However, starting these exercises too soon after an injury can make your pain worse. Your chiropractor or physical therapist can help you determine when to begin stretching and strengthening exercises and how to do them.
Avoid these exercises during recovery, unless your chiropractor or physical therapist say it is okay:

  • Jogging
  • Contact sports
  • Racquet sports
  • Golf
  • Dancing
  • Weight lifting
  • Leg lifts when lying on your stomach
  • Sit-ups

To prevent back pain, it is also very important to learn to lift and bend properly. Follow these tips:

  • If an object is too heavy or awkward, get help.
  • Spread your feet apart to give you a wide base of support.
  • Stand as close to the object you are lifting as possible.
  • Bend at your knees, not at your waist.
  • Tighten your stomach muscles as you lift the object or lower it down.
  • Hold the object as close to your body as you can.
  • Lift using your leg muscles.
  • As you stand up with the object, DO NOT bend forward.
  • DO NOT twist while you are bending for the object, lifting it up, or carrying it.

Other measures to prevent back pain include:

  • Avoid standing for long periods of time. If you must stand for your work, try using a stool. Alternate resting each foot on it.
  • DO NOT wear high heels. Use cushioned soles when walking. Have your feet checked in our clinic in case you need orthotics to correct any imblaces in your arch which may be effecting your posture and increasing your pain.
  • When sitting for work, especially if using a computer, make sure that your chair has a supportive back with an adjustable seat and back, armrests, and 5 wheels for mobility.
  • If you are short, use a stool under your feet while sitting so that your knees are higher than your hips.
  • Place a lumbar support pillow or rolled towel behind your lower back while sitting or driving for long periods of time.
  • If you drive long distance, stop and walk around every hour. Bring your seat as far forward as possible to avoid bending. Don’t lift heavy objects just after a ride.
  • Quit smoking.
  • Lose weight.
  • Do exercises to strengthen your abdominal muscles on a regular basis. This will strengthen your core to decrease the risk of further injuries.

Learn to relax

Try methods such as yoga, or tai chi and massage, we provide tai chi and massage in our clinic, for more information on booking call 04 3481166.