Tag: lower back pain and pilates

Help! My back hurts

Priya Tew

Lower back pain is one of the top reasons people come to us. It is such a common complaint that I almost expect people to mention it and tend to ask if it is not mentioned on our induction form.

The top 3 reasons I see lower back pain:

1. Being too sedentary and sitting down too long each day.

2. Carrying small children and incorrect lifting techniques.

4. An injury or fall.

We therefore often get messages from people saying their back is playing up, they feel like they have overused it or it is aching – so they will give Pilates a miss. Which almost makes sense. Almost.

Here are my thoughts on what to do if your back is aching. Think through what you have been doing and see if you can find the cause of the pain. Have you been sitting for longer than usual, for example on a long car journey? Have you been decorating, gardening or lifting heavy objects? Have you been doing a different form of activity? Did you sleep on a different bed or in an unusual position? If the answer is yes then the pain is likely to be muscular and Pilates can actually help. Strengthening your core will help prevent further damage to your back plus mobilising the spine can help stretch it out and release tight muscles.

Pilates with Priya: My back hurts...

To help muscular back aches:

1. Keep mobilising and moving it. Sitting or lying still  for too long will cause it to stiffen up.

2. Take some painkillers.

3. Come to Pilates but work at a lower level and one that does not cause you pain, make sure you tell your instructor wat has happened.

4. Soak in a hot bath.

5. See your GP/Physio if it gets worse.

 

My back hurts…. what shall I do?

Priya Tew

Many people come to us for help with their back pains and find that Pilates really helps. The act of strengthening their core, working on their posture, learning about neutral pelvis and stretching does wonders. 

So here is the question. “My back hurts should I come to class this week?”

Pilates with Priya: My back hurts...

It’s a tough one.  Sometimes the answer will be to rest it, sometime you will be better mobilising it in a safe environment. Here are my thoughts:

Why does it hurt? What led to it hurting in the first place? Knowing that can be very helpful to firstly preventing it happening again, helping us work out how to help you strengthen it and it will give us an idea what has happened. If you were bending down to pick up something and it twinged, then we need to work on your technique of picking things up, include some squats and core work in your repertoire.

Is this a new issue or a recurrent one. Your previous history is a great indicator of whether you should rest or keep mobile. For example if you have had disc issues in the past and the pain feels similar then you don’t want to be coming to class.

How much does it hurt? If it is a more of a dull back ache then you should probably come and let the teacher know so they can give you exercises to help. If it is a throbbing pain that you are needing painkillers for then you should be going to the GP and resting.

When you are in a class our advice is always – If it hurts then tell the teacher and stop. Pilates should not cause proper, full on pain. Yes your core will ache, your back may feel stretched, your shoulder blades may pinch…. but it is not a “No pain, no gain” type of exercise.

We are always here to give extra tips or to chat through things. For more specific exercises you can use at home  remember you can always use our DVD or book a one to one.

 

 

 

Strengthen your gluts (bum toners)

Priya Tew

 The gluts have become something of a hobby horse of mine lately. Why? Because I’ve noticed so many of my clients need to strengthen them, or cannot work them in certain exercises.

The gluteals are made up of 3 parts: gluteus maximus, minimus and medius. In general terms these are the bum muscles 😉 Weak gluts can lead to lower back pain, poor posture and a saggy bum!

Gluteus maximus is the heaviest muscle in the body and makes up the bulk of the bottom. It attaches in the hip, goes round to the sacrum and coccyx, then inserts into the femur and IT band. A big muscle. It is used in movements that extend the hip such as getting up from sitting and running, walking up stairs and jumping. I certainly notice these muscles are weak in a lot of my postnatal clients, usually as a result of poor posture in pregnancy and post-birth but also as a result of SPD/pelvic girdle pain.

Gluteus medius and minimus are a deeper muscles that helps support the pelvis. They are used for movements that require moving the hip to the side, such as a side step. A tight muscle can lead to lower back, hip and knee pain.

Glut strengtheners:

Shoulder bridge.

One of my fav exercises. However you really need to make sure you are squeezing and using your bum muscles when doing this so you don’t compensate and use the lower back muscles.

Pilates with Priya: Glut strengtheners, shoulder bridge

Glut Extension prone.

Try lying on your tummy and lifting one leg by squeezing in the bum. Again not using the lower back but use the glut to do the work here. If it isn’t working, try turning you heels in and your toes out (think ballet first position).

Pilates with Priya: Glut strengtheners, glut extension

Oyster or clam.

More for gluteus medius and minimus. Make sure you don’t roll back through the hips as you do this one.

Pilates with Priya: Glut strengtheners, oyster

Side lying leg lift.

Another for the glut medius and minimus. Focus on leg length and staying stretched out thought the waist (no squidging!). You should find you are not able to life the leg too high if you are stretched out.

Pilates with Priya: Glut strengtheners, side leg lift

Other good exercises include squats, plies and walking up hills or stairs squeezing your bum. My postnatal DVD “Beyond your Bump” has some good glut exercises on it that are suitable for all types of people, not just post-birth.

Watch out for glut stretches on a blog post very soon.