Back Pain Myths

There are many back pain myths. Some of these are found in the general public, and unfortunately some amongst health professions. Here is a list of some of the common ones:

1. Rest i.e. inactivity is good for back pain (including bed rest).

-The normal physiology of back structures is based on proper movement i.e. they are healthiest with activity so rest is counterproductive.

2. Back pain is due to muscle strain

-Often there are muscle components to the different back problems, but rarely are they the root cause or the only component.

3. Heat for sharp / acute low back pain

-If the pain is sharp there is usually an inflammatory component (i.e. swelling) and a reactive spasm. Cold properly applied will slow down the nerves causing the spasm and help with the swelling.

4. Stretching is always harmless for low back pain.

-Some back issues are position sensitive. With a few of the muscular stretches they also stress other structures that could be the primary cause of the low back pain. I have had back patients come into my office directly out of yoga and Pilates studios.

5. With time the pain will go away on its own.

-Pain may subside but rarely does the underlying issue resolve. When a person's activity stresses the original issue, the pain usually returns.

6. Full sit-ups harm the back

-If all structures are working properly, the spine should be able to tolerate that degree of flexion and the strengthening will also help support. If a full sit-up was bad, how could people tie there shoes?

This has been a sample of some of the back pain myths that persist. There are others and these ideas need to be critically reviewed with a strong dose of common sense.