Now, let’s add to that the point that a 5 pound weight equals 50 pounds when held out in front with the arms stretched out straight. Now, if that’s not bad enough, now, let’s assume all of this is happening from a bent forward position, with a twist at the waist, with out stretched arms, while lifting a 20 pound object. Get the idea? It’s amazing our back doesn’t get injured every day as we lift 2 bags of groceries into the far end of a car trunk, or, when lifting our 30 pound child in and out of a car seat, height chair, or when they are screaming and pushing away from us as we try to lift them!

As if these two factors worked enough the majority of you reading this live and work in Bellevue Washington and have jobs we sit for long periods of time at a computer or a desk. Being in the seated position leaves the low back in a very vulnerable position creating even more problems when you become active. Sitting puts the back in a flexed position, or a slouch position, and is one of the worst possible postures we can put our bodies into, and we do it for hours upon hours.

In order to further appreciate why the low back is so vulnerable to injury, some basic understanding of anatomy is needed. When we’re born, the back is made up of 33 segments of which 5 fuse by the time we’re about 18 years old to make up the sacrum (bottom of the spine) and 4 fuse to make up the coccyx (tail bone), leaving 5 lumbar (low back), 12 thoracic (mid-back) and 7 cervical (neck) vertebra. These are stacked up on top of each other like building blocks and are connected to each other by a shock absorbing disk in the front and two smaller facet joints in the back, acting like a tripod. In the low back, we’re supposed to bear about 80% of our weight in the front and 20% in the back but, if our abdominal muscles are a bit out of shape and the pelvis rotates forwards, the curve in the low back increases and overloads the back of the vertebra (facets) making them vulnerable to injury. The disk becomes injured when we bend/lift/twist. This can tear the outer tough fibers of the disk, allowing the central more liquid-like material to leak out. If this happens, the leaking or “herniated” disk can put pressure on the nerve that exits the spine and travels down our leg. If the pain pattern includes the back of the leg, it’s commonly referred to as “sciatica.”

Now that we’ve given you an anatomy lesson let’s talk about some of the things that you can do to reduce the chances of entering your low back. Probably the most important thing that you can do to protect your low back is to keep yourself in shape. There certain muscles that must maintain their strength to keep the low back and it proper position. The muscles not only need to be strong but they also need to be flexible, and therefore stretching is very important.

We realize that you have a choice in where you choose for your healthcare services. If you, one of your family members, or a friend have low back pain, we would sincerely appreciate the opportunity to help them find freedom from their pain.

Doctor Michael Weir is a local bellevue chiropractor, and can be called at his clinic 425-635-0495 .

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