How to fix back pain permanently; start with your brain.

By October 5, 2016Rehabilitation, Training

Before I explain why you need to start with your brain for a long term solution to back pain, I want you to try something. Imagine you were playing the piano with your toes and each toe was responsible for hitting a different key. Try moving up the keyboard starting with your pinky and then back down again.

playing the piano and back pain

Having difficulty? I bet.

Most people find it very difficult to move one toe without moving all of them. This is because your toes are represented in your brain as a single unit. When one moves, they all move. A similar effect has been found in the back muscles of people who have suffered back pain.

In an award winning study, researchers discovered that people who had previously suffered from back pain found it impossible to contract individual spinal muscles on demand due to an inaccurate representation of them within the brain. An effect they call smudging.

The researchers suggest that this lack of differentiation may leave people who have suffered from back pain in the past, more at risk of back pain in the future because this changes both how the spine moves and how it reacts to force.

Interestingly other studies have shown this might not change with standard training. You essentially have to relearn how to use these muscles before loading them. This has more in common with learning a new skill than it does with what most people would consider exercise.

In order to facilitate this I use a combination of touch, visualisation, and precise isometrics (muscle contractions without movement that target specific muscles).

If you want to apply some of this to your training a good place to start is with visualisation. Take a look at the image below which shows a cross section of the trunk around the level of your lumbar spine (L3). You can see there are muscles very close to your spine and muscles that attach to your pelvis more laterally.

image

Lay down on your front and place your thumbs directly next to your spine. Keeping your head straight, gently lift your trunk a fraction off the floor. You should feel the muscle underneath your thumbs (Multifidus) contract. Hold that contraction 6 seconds before relaxing.

Now move your thumbs a little further out over what would be Longissimus. Try the same subtle lift and make sure you feel the muscle tense. Hold 6 seconds. Lastly try the same for Iliocostalis a little further laterally.

If at any point you don’t feel tension under your thumbs when you lift, direct your attention to that area and consciously try and change that by picturing the muscle concerned. If you feel pain at any point stop.

With a little practice and concentration you will start to see improvements in function and a reduced risk of further back pain incidents.