Lower Back Pain Relief - Is Yoga the Answer?

Episodes of lower back pain are so common that,can bring relief. Indeed, any exercise, including walking,
according to the Spine-Health website, "at least fourhas been shown to ease lower back pain. That said,
out of five adults [in the United States] will experience itexercises that gently stretch the muscles of the lower
at some time in their lives." Although few episodes ofback, legs, and buttocks are particularly effective at
back pain warrant surgery, the pain can be long lastingcombating this condition. Thus, the slow, gentle,
in nature and severe in perception. Moreover, thestretching postures embodied by certain forms of
specific cause of this pain is often difficult to diagnose,yoga may well be superior to any other form of
leading its victims to a constant-but mostlyexercise for easing lower back pain.
unsuccessful-search for means to relieve theirYoga Postures that Relieve Lower Back Pain
discomfort.Although many yoga postures have been shown to
Further, the search for, and analysis of, such remediesrelieve lower back pain, the following three have
can be confusing as the two most-often prescribedproven to be particularly effective. Although it is
treatments for this condition are polar opposites:recommended that a practitioner work with the patient
Resting the muscles of the lower backto teach the correct alignment and technique, a
Exercisesummary of recommended poses is included as a
Of these two remedies, however, an increasing bodyreference.
of research indicates that exercise, particularly thosePelvic Tilt Pose. This is a subtle pose that incorporates
exercises that gently stretch the muscles of the lowera basic movement. The idea behind it is to strengthen
back, are particularly effective at relieving this condition.the abdominal muscles around the lower back; bridging
There have been a number of studies examining theyoga and back pain. Pelvic tilts can be performed lying
effectiveness of yoga in treating back pain. Suchdown on a floor or standing against a wall. When they
studies show that certain types of yoga (i.e., yogaare done correctly, they even supply a massage-like
therapy or hatha yoga) which emphasize gentlefeeling to the back
stretching postures are indeed effective means toLying on the back, the knees are pulled up so that the
alleviate lower back pain.feet are flat on the floor. In the starting position, the
Compelling Research into Yoga and Back Painlower back should be raised slightly from the floor due
One such study, published in the September 1, 2009to the natural curve of the lumbar spine. Exhale and
issue of the medical journal, Spine, is a compelling casegently rock the hips back towards the head. The lower
in point.back should then press against the floor. This pose
Researchers at the Department of Communityshould be held for a few seconds before returning to
Medicine at West Virginia University, led by Dr.the starting position. The entire sequence of
Kimberly Williams, conducted a 3-year study into themovements should be repeated 5 to 10 times.
effects of a regular practice of Iyengar Yoga (a formSupported Bridge Pose. This pose takes the pelvic tilt
of hatha yoga) had on those who suffered fromto another level of intensity. Lying on the back, the
chronic lower back pain. It should be noted that backknees are pulled up so that the feet are flat on the
pain is considered to be chronic if it lasts for more thanfloor. The arms rest on the floor alongside the body.
three months without significant, or any, remission of(The hands will barely be able to touch the feet as
the pain.they rest flat on the floor.) The feet are then pressed
For this study into yoga and back pain, the researchersdown onto the floor, which action serves to lift the hips
selected 90 participants who had varying levels ofoff of the floor. A yoga block is then slid underneath
functional impairment due to chronic lower back pain.the sacrum; the triangular-shaped bone at the base of
The group was then randomly assigned to one of twothe spine. The sacrum rests on the block for up to
categories: those that received yoga instruction and aseveral minutes, depending upon the nature of the
"control" group that received only standard medicalsensation experienced by the individual.
treatments.Supine Spinal Twist Pose. The supine spinal twist pose
Research Methodologydoes exactly what the name implies; gently twists the
Those who were selected for the "yoga" groupspine from a prone position. It is helpful in relieving back
received 90-minutes of instruction, twice a week, frompain, but should be approached with caution, especially
a certified Iyengar Yoga instructor. For 24-weeks, thisfor those suffering from degenerative disk disease.
group performed yoga postures that are believed toWhile lying on the back, the legs are pulled up so that
relieve the symptoms of chronic lower back pain. Thethe feet are flat against the floor. The hips are then
control group received only standard medical therapiesturned about an inch to the right while lifting them
for the 24-weeks.slightly off of the floor. The right knee is then pulled into
At the end of the 24-weeks, the researchersthe chest as the left leg is extended out, resting on the
observed that the yoga group had a greater reductionfloor.
of pain and functional impairment than did the controlIn a swiveling motion, the right knee is then brought
group.across the body to the left side. (The right arm is kept
Following this 24-week period, both groups wereopen and in line with the shoulder while the left hand
closely monitored for six months. Using severalrests comfortably on the knee). The head is then
different methods to analyze the remaining chronicturned to the right, looking over the shoulder. The left
back pain of the participants, including a painknee and right shoulder is slowly released back
medication-usage questionnaire, the researcherstowards the floor. This pose is held for 5 to 10 breaths
concluded that, at the end of the six months, the yogabefore pulling the left knee into the chest and repeating
group had a statistically significant reduction in pain andthe directions above.
functional impairment than did the control group.Precautions
Moreover, the yoga group showed a greater reductionBefore performing any yoga exercises, a doctor's
in pain medication than did the control group.consultation is advisable, or certainly that of a certified
Facts About Yoga and Back Painyoga therapist. Either will understand the relationship
One of the reasons why yoga may work so well atbetween yoga and back pain and can offer
relieving lower back pain is its gentle stretching andknowledgeable advice on which yoga exercises will
massaging action on the muscles. Dr. Peter F. Ullrich, anbring relief of back pain and which yoga exercises
orthopedic surgeon with the NeuroSpine Center ofmay exacerbate the condition for a given individual.
Wisconsin, believes that stretching the soft tissues,Although yoga is not the only answer for the relief of
which includes the muscles and tendons of the lowerlower back pain, it has proven to be one of the best
back is key to relieving back pain.natural methods of addressing this chronic and often
But yoga is not the only such physical exercise thatdebilitating condition.