A Patient’s Guide to Lower Back Pain

OCTAVE TIPS 03: The Back Pain Secret

The pioneering platform for research, mindful learning and holistic wellness in China, OCTAVE Institute strives to provide a foundation for growth towards a purposeful life, mindfully lived. In Chapter 3 of OCTAVE TIPS, Paul Liang, The Senior Rehabilitation Physician at OCTAVE Institute explains the main causes of lower back pain and introduces the remedies for relieving back pain.

Research shows that up to 85% of people will suffer from lower back pain in their lifetime, and it is not always caused by the sciatic nerve. The root cause of chronic lower back pain often lies in a lack of core strength and stability. Without a strong core to provide a strong foundation we can experience serious pain or even spinal injury. Therefore, the most effective way to prevent lower back pain is to exercise the core muscles and stabilize the spine through training programs.

The Definition of Core

The core is the body’s central axis, at the centre of which is the spine and the starting point for any movement your body makes. It is a complex muscle group that is commonly considered the torso but extends far beyond the abdominal muscles. For example, when the upper body is bent forward, your centre of gravity also shifts, putting pressure on the spine. At this time, if the core is strong enough it will support the movement, making it smooth and reducing the pressure on the spine.

In addition, many of the spinal nerves passing through the core connect to the lower body. Strengthening your core can also increase the stability of the knee joint, the strength of the lower body and the contractile strength of muscle fibers. Improving core stability will improve the stability of the body and keep the lower back and pelvis in a safe and neutral position.

The Three Main Benefits of Core Stability

Stabilizing the lumbar spine and reducing spinal pressure

The goal of core training is not to strengthen large muscles but to strengthen the small muscle groups closest to the spine, shoulder and hip joints. It is a concept that considers both stability and mobility. The stronger the core, the lower the risk of injury in daily life or on the sports field. The likelihood of lower back pain is also greatly reduced.

Improving movement control

A stable core can effectively transfer strength to the limbs through the power chain, making movements both smoother and more explosive.

Encouraging awareness of the lumbar spine and pelvis

When we are injured, the pain affects our motion control center, which can stop the muscles responsible for stability from coming out to work. At the same time, it will also affect sensory feedback, which is responsible for the disability of the stable muscles and the deterioration of proprioception, or our awareness of them. If we want to change this problem, training our core is a simple way to stimulate deep muscle strength.

The Right Way to Train Your Core

Professional athletes train their cores to help them lift more weight and complete more challenging movements, so as to achieve better competition results. All kinds of sports use the core to transmit strength. By using resistance training from different sources and directions, you can build a strong and stable core.

The tabooest thing in core training is hard support. Don’t let your form suffer to compete for time. Hard support can actually increase the burden on the lower back. It is easy to get hurt if you are training incorrectly. Remember that the real game is on the court. We should only feel the benefits of training rather than experience pain.

About Dr. Paul Liang

Dr. Liang is a licensed physician in both Canada and China. Having over 25 years of clinic experience in rehabilitation and wellness care, Dr. Liang started his medical career in Guangdong China, where he got his medical bachelor degree in Medicine. Later, he pursued his graduate study in Canada and obtained his doctorate degree in spinal neuroscience in 2003. Prior to joining SANGHA OCTAVE as a foreign medical expert, he was the medical director of Toronto Rehab Medicine Centre and Health In Davisville, a multi-disciplinary health center in China.

Dr. Liang’s clinical expertise lies in providing orthopedic/neurological assessment and treatment to patients with spinal disorders and injuries, sports injury, neurological condition and rehabilitation, and neuromuscular disorder.

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