Surprising Causes of Back Pain


Della BassIf youve ever had a bout of back pain, youre not alone: According to the National Institutes of Health, 8 out of 10 people will suffer from back pain at some point in their lives. Most of the time, back pain is set off by something totally minor, says Venu Akuthota, MD, director of the Spine Center at the University of Colorado Hospital in Aurora, Colorado.

Besides obvious causes (constantly lugging a too-heavy purse, for instance), experts say that everyday habits like hunching over your smartphone can strain your spine and the surrounding muscles over time, causing pain and making you more vulnerable to serious injury. To stop back pain now—and avoid future agony—try targeting these unexpected culprits.

Culprit No. 1: Your fancy office chair

Even an expensive, ergonomic chair can be bad for your back if you sit in it all day without a break. Sitting not only lessens blood flow to the discs that cushion your spine (wearing them out and stressing your back), but it puts 30% more pressure on the spine than standing or walking, says New York City chiropractor Todd Sinett, author of The Truth About Back Pain. Be sure to stretch at your desk and get up every hour to walk around. Dont assume that built-in lumbar support makes your chair back-friendly—in fact, for many people, lumbar supports dont make a bit of difference, especially if they arent positioned properly (at the base of your spine), says Heidi Prather, a physical-medicine and rehabilitation specialist and associate professor of orthopedic surgery and neurology at the Washington University School of Medicine in St. Louis.

No matter what type of chair you sit in, make sure your head is straight (not tilted down) when youre typing or reading. Avoid slouching and adjust your seat so it tilts back slightly to help alleviate some of the load on your back, Sinett says. And keep your feet planted firmly on the floor.

Culprit No. 2: The wrong shoes

When you strut in stilettos, your foot strikes the ground in a toe-forward motion rather than the normal heel-toe gait, stressing your knees, hips, and back, Sinett explains. "Wearing heels also alters the angle of your body so your weight isnt evenly distributed over the spine," he says. This instability can set you up for pain and injury radiating from your knees all the way to your back.

Another shoe no-no: the backless kind (even flats and flip-flops), which allow your heel to slide around. Again, the lack of stability distributes your body weight unevenly, putting more pressure on your spine. Your shoe should firmly hold your foot in place to keep you stable and protect your back, says Sinett, who also advises sticking to heels that are less than three inches high.

Next Page: Your beloved smartphone [ pagebreak ]

Culprit No. 3: Your beloved smartphone or tablet

Mobile technology has not been kind to our backs and necks, Prather says. "Were hovering over laptops, iPads, and smartphones all the time," she notes. "This head-down position strains the muscles in the neck, and the pain can extend all the way down your spine to your lower back." Take frequent breaks, and try to look straight ahead—rather than down—while using a laptop, tablet, or phone. You can buy a stand to help hold your laptop or tablet at a more back-friendly height and angle.

Culprit No. 4: Extra pounds

Carrying even just a few extra inches around your midsection—whether its due to belly fat or pregnancy—makes your pelvis tilt forward and out of alignment, as your body works to keep itself balanced. This can cause excessive strain on your lower back, Dr. Akuthota says. He recommends doing this easy stretch several times daily: Tighten your abs (like youre bracing for a punch in the stomach) to activate core muscles and take a load off the lumbar discs; hold 10 seconds, then release. (Pregnant? Check with your doctor before doing any exercise.)

And if weight gain is your problem, consider making whole grains an essential part of your slim-down plan: A new study from Tufts University found that those who ate three or more servings of whole grains a day had 10% less abdominal fat compared with those who ate essentially no whole grains.

Culprit No. 5: The wrong bra

Large-breasted women obviously carry significantly more weight in front than those who have smaller breasts. This can lead to hunching and sore neck and back muscles, Sinett says. A bra that offers proper support can actually minimize that forward hunch and relieve pain, while one that doesnt may exacerbate the problem, as you hunch or strain even more to compensate for uncomfortable straps or a riding-up band.

Research shows that many women wear the wrong size bra, but the right fit can mean the difference between sagging and supported; get fitted by a bra professional. Prather says you may want to try a T-back (a.k.a. racer-back) style. "It gives the body a cue to pull the shoulders back," she says.

Next Page: Your crazy schedule [ pagebreak ]

Culprit No. 6: Your crazy schedule

Just like the rest of you, your back muscles can tense up when youre frazzled. Muscles are designed to contract and relax, Sinett explains, but when youre stressed, they may contract so much that they can eventually start to spasm. Stress also boosts production of the hormone cortisol, which increases inflammation and can lead to achiness, he says.

On top of that, "Chronic stress can affect the way a person perceives pain," says Alan Hilibrand, MD, spokesman for the American Academy of Orthopaedic Surgeons and professor of orthopaedic and neurological surgery at Jefferson Medical College in Philadelphia. "So those who

stretch-your-back stretch-your-back (think walking or working out on an elliptical trainer) may help relieve back pain and ease stress—so you can beat the pain for good.

The easiest move for a healthy back: Standing Abdominal Stretch

Todd Sinett recommends doing this simple stretch several times a day. "We spend so much time hunched forward; this exercise helps bring you back," he says. Stand with feet about hip-distance apart, knees slightly bent. Lift your arms until theyre extended straight overhead. Bend back as far as you can without causing strain, stretching the abs. Hold for 5 seconds.

New pain-busters

Research is debunking some classic solutions for an achy back.

Old think: Surgery

New think: Therapy—or time

These days, surgery is rarely recommended for back pain. Most cases get better without major interventions, usually within six weeks or so, Dr. Hilibrand says. If the pain doesnt subside, see your doctor—more treatment such as injections or physical therapy may be needed. Surgery should be a last resort.

Old think: Bed rest

New think: Exercise

We used to be told to lie down until the pain went away, but now we know that moving around can help you feel better faster—and staying in bed can make the pain worse. "Walking or any other aerobic activity is one of the best things you can do for your back," Prather says. Exercise improves circulation to the spine and also increases healing in the surrounding muscles. Talk to your doc about what type of exercise is safe.

Old think: Supplements

New think: Hands-on care

A recent study published in the Journal of the American Medical Association found that there was little difference in improvement for chronic back-pain and osteoarthritis sufferers who took the supplement glucosamine versus those who took a placebo. Get long-term relief from a person, not a pill: A skilled physical therapist can help teach you exercises to strengthen and protect your back, Dr. Akuthota says.