Struggling with persistent lower back discomfort in your thirties is a commonly shared occurrence for many individuals. Simple actions like bending down to pick up something from the ground can lead to unpleasant twinges the following day.
A study conducted in 2019 by the National Center for Health Statistics uncovered that 39 percent of adults had encountered back discomfort within the preceding three months, with the lumbar region being the most affected area that tends to deteriorate with time.
Nevertheless, the encouraging news is that lumbar pain is manageable and avoidable, as explained by Grayson Wickham, a physical therapist and initiator of Movement Vault.
Below, we explore the possible causes of your unease and converse about the finest extensions to alleviate lumbar discomfort.
What Triggers Discomfort in the Lower Spine?
Pain in the lower back can arise from several factors, including sprains, strains, fractures, herniated discs, sciatica, traumatic injury, osteoarthritis, scoliosis, and lumbar spinal stenosis, as reported by the American Association of Neurological Surgeons.
Primarily, a sedentary way of life is a significant contributor to lower back discomfort, Wickham elaborates. Prolonged sitting with hips and knees bent at 90 degrees can cause the muscles to shorten and weaken over time. Such a routine results in reduced engagement of core muscles and limited diversity in movement, which may lead to weak core stability, tight hip and hamstring muscles, and an unsteady spine.
Movement patterns can also have an impact on lower back discomfort. Stiff, inflexible movements due to fear of injury can be harmful, causing unnecessary tension. Learning to maneuver the spine through a variety of motions such as flexion, extension, rotation, and side bending is essential for preserving spinal health.
Furthermore, incorrect movement patterns that target specific segments of the spine rather than engaging the entire structure can exert excessive pressure on the lower back.
Techniques to Soothe Lower Spine Discomfort
Enhancing posture and integrating active stretching regimens into your daily routine are crucial for easing and preventing lower back pain. Wickham recommends commencing with techniques for releasing muscles and fascia to alleviate acute pain, followed by active extension and muscle activation exercises to address the fundamental cause of your discomfort.
Maintaining dynamic motion of the spine throughout the day and during your stretching session is imperative for preserving spinal health, as per Andy Fata-Chan, a physical therapist based in New York City.
Incorporating movements that target various sections of the spine regularly helps to enhance flexibility and mobility. Focusing on rotation, side bending, flexion, and extension can aid in reducing discomfort and enhancing spinal functionality.
Working on two to four specific motions daily until they feel natural, then slowly reintegrating them into your routine can aid in managing and preventing lower back discomfort.
Prime Extensions for Alleviating Lumbar Discomfort
Here are some efficient extensions suggested by Wickham for relieving lumbar discomfort. Prioritize muscle and fascia release techniques followed by active stretches and muscle activation exercises to target the areas contributing to your discomfort.
Concentrate on engaging the muscles being stretched and maintaining control during each motion. Adjust the extensions if necessary to accommodate any discomfort or limitations.
Being attentive to your body and adapting the intensity and range of motion based on your comfort level is crucial for safely executing the extensions.
1. Quadratus Lumborum and Oblique Muscle Release
Follow the instructions depicted in the image below to release tension in your quadratus lumborum and oblique muscles:
- Assume a position on your left side with a foam roller positioned above your left hip.
- Keep your left leg straight and bend your right leg at a 90-degree angle with your right foot on the ground.
- Support yourself with your right hand on your hip and left elbow on the floor above your left shoulder.
- Gently roll from your left side towards your back for 2 minutes.
- Switch sides and repeat the procedure.
- Initiate by lying face up on the floor with a mobility ball beneath your left glutes, legs bent, and feet on the ground.
- Shift your leg inward and outward while positioned on the ball.
- To progress, sit up with your left leg crossed over the right, left ankle above the right kneecap. Shift from side to side until you locate a sensitive spot. Pause briefly before resuming the side-to-side motion.
- Continue this for 2 minutes. Switch sides and repeat.
3. Active hamstring extension
- Commence in a kneeling position on the floor with calves elongated behind you and the tops of your feet on the ground.
- Extend your left leg forward, heel on the ground, toes pointing upwards.
- Lean forward at the hips to lower your chest towards your thigh, placing hands on the floor adjacent to the left leg.
- Upon achieving a full extension, press your heel down to engage your hamstring muscles.
- Maintain this contraction for 20 seconds, then relax. Repeat this thrice on each side. Switch sides and repeat.
4. Active adductor extension
- Commence by kneeling on the floor with calves elongated behind and the tops of feet on the ground.
- Extend your right leg to the side, heel on the ground, toes upwards.
- Lean at the hips until your back aligns with hips, placing hands on the ground in front of your chest.
- Upon full extension, press your right heel down to contract adductor muscles.
- Hold for 20 seconds, then release. Repeat three times on each side. Switch sides and repeat.
5. Active hip flexor extension
- Initiate kneeling with calves elongated behind you and tops of feet on the ground.
- Place your left foot onto the floor in front, bending the left knee to 90 degrees. Rest hands gently on the left thigh.
- Transfer weight onto the front foot, experiencing a stretch in the right hip flexors.
- After stretching, thrust your right foot into the ground to engage hip flexor muscles.
- Maintain for 20 seconds and release. Repeat this thrice on each side. Switch sides and repeat.
6. Prone press-up
- Lie facing downward on the floor with legs elongated behind you, elbows tucked in, and palms on the ground beside your head.
- Press into your palms and elevate your chest, arching your back without discomfort. Gaze forward.
- Hold this posture, contracting spinal erector muscles on both sides of the spine to amplify the arch for 5 seconds. Release and repeat ten times for 5 seconds each.
7. Cat-camel hold (extension only)
- Commence in a tabletop position with shoulders aligned over wrists and hips above knees, gazing forward.
- Arch your back without discomfort while maintaining an elevated chest.
- Contract spinal erector muscles on each side of the spine to enhance the arch for 5 seconds. Release and repeat ten times for 5 seconds each.
8. Bridge hold
- Lie facing upwards on the floor with arms extended at your sides, knees bent, and feet positioned a few inches from your glutes on the ground.
- Activate your core and push through your heels to elevate hips towards the ceiling until your body forms a straight line from knees to chin.
- Maintain the position and push feet into the ground while moving heels closer to hips to contract glutes for 5 seconds.
- Release the contraction, lower hips gradually. Repeat this sequence ten times for 5 seconds each.
9. 90-90 active extension (front leg only)
- Commence by being seated on the floor with your right leg bent at a 90-degree angle in front of you and your left leg stretched to the side. Keep your back flat and lean forward at the hips, bringing your chest towards your right leg. Position your hands on the floor beside
- Press your right toes and kneecap.
- Apply pressure on your right calf into the surface to engage your hamstring muscles. Maintain this posture for 20 seconds and then release. Repeat thrice on each side.
10. Hip activation with full range of motion
- Place yourself in a tabletop position with your shoulders directly over your wrists and hips over your knees. Elevate your left leg outwards while ensuring your back stays flat, and execute a broad hip circular movement. Repeat in both directions.
- Perform 5 iterations on each side.
11. Sidelong bend hold
- Start in a kneeling stance with your shins elongated behind you and your feet planted on the ground. Position your left foot on the floor in front of you with your arms extended over your head.
- Flex through your spine towards the pained side while maintaining stability in your hips and knees. Uphold the contraction for 5 seconds and redo for 10 times.
Safety guidelines for lumbar pain stretching
If any stretches exacerbate your lower back discomfort, cease and adjust the motion to accommodate your requirements, as per Wickham’s advice.
Encountering muscular soreness is standard, but heightened pain, numbness, tingling, or burning during or after an exercise might indicate a necessity to consult with a healthcare professional within 24 hours, as stated by Wickham.
Frequently Asked Questions
1. Is lumbar pain stretching beneficial?
Dynamic stretches that enrich flexibility and strength across a complete range of motion can alleviate lower back pain. Pairing these stretches with muscle release methods can effectively help diminish pain.
In contrast, static stretching is less effective for alleviating lower back pain, as it merely elongates muscles passively without advancing muscle activation or joint steadiness, Wickham points out. Activating and stabilizing muscles are vital for managing lower back pain.
2. When to avoid stretching with lower back pain?
If you encounter muscle fatigue, numbness, tingling, or diminished sensation in your legs, abstain from at-home stretches and seek counsel from a healthcare provider, as these signs could exhibit nerve-related problems like sciatica.
Reach out to a professional if you possess a history of cancer, face nighttime pain, or develop a fever, suggesting a probable spinal infection, guided by the experts.
3. Which movements to steer clear of with lower back pain?
During the acute phase of lower back pain, twisting and bending sideways could escalate symptoms. Depending on the lower back pain type, specific movements might intensify uneasiness, clarifies Wickham. Tailor your stretches to your unique pain pattern and dodge activities that worsen your condition, seeking expert support when necessary.