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Posture for a Healthy Back

my.clevelandclinic.org

61–70 of 99 posts

Re: Posture for a Healthy Back

#61
post #32

This is a very insufficient article. Almost useless. It doesn't mention anything about hip and sacral alignment, which is absolutely critical to having correct posture. Unfortunately, sitting in a chair, as well as various other modern activities, completely messes up not only the alignment of the hip and sacrum, but conditions the soft tissue in those areas to hold a bad position. That's why it's so hard to have goo…

What really confused me was the following tip: Try to avoid sitting in the same position for more than 30 minutes. So is there a correct sitting position? Or is the correct sitting position "sitting differently" every 30 minutes? Those are two mutually exclusive things.

Kelly Starret has a great quote about this: "your best position is your next position".

Which is really another way of staying that you should be moving and changing positions frequently. Sitting to standing, on a stool, one foot up, then the other, etc.

You can really run in to problems when you are sitting in the same horrible posture for hours on end. One side benefit of a standing desk is that it makes it a lot harder to stay in one position for hours because you can't slump back against a char. So you actively have to find ways to support your own weight, or at least you realize you are slumping forward in an awkward way onto the standing desk and you change position.

Re: Posture for a Healthy Back

#62
post #58
post #48

Earlier quoted context omitted.

The same can be said about the squat, since you have to contract your core to maintain your spine in a correct position. Anecdotal data point: my lower back pain disappears when I squat regularly.

I've been lifting for a few years now and I really dislike the cargo cult mentality when it comes to heavy lifts, mainly barbell deadlift and squats. If you're not trying to become an olympic lifter, barbell squats and deadlifts will do more harm than good. There is a significant chance of injury if you perform these lifts improperly, and it's hard to know when you're doing them right. There are good alternatives to…

Hence why learning proper form is key.

I do understand where you're coming from though. We often times see guys at the gym quarter squatting or pulling with a rounded back which is indeed doing more harm than good.

Re: Posture for a Healthy Back

#63

Earlier quoted context omitted.

Thanks for saying this - another reminder to do more core (got down and planked). What exercises did you find most beneficial for strengthening? On a related note -- I periodically do stretches where I stand on one leg and roll my hip & waist out to the side extending it behind me -- that helps alleviate tension in the side. Similar - hanging on my forearms from chairs or those ab machines at the gym. Pain Free (a me…

The deadlift will get you the most results for the amount of time you put in. It directly strengthens all the muscles involved in keeping you upright and in a normal anatomical position. A barbell and plates will put you back about $250-$300. Then, if you spend 20 minutes every Monday, Wednesday, & Friday deadlifting and just increase the weight on the bar by 5-10 pounds each workout, you'll be a totally different (b…

yes - in my opinion, everyone should do barbell training, including (especially) women. it fundamentally changes you for the better. physically and mentally.

beware the person who warns against it - they have an agenda. it's unquestionably good for you when done properly and within your limits of capability.

i've heard less of the "but i don't want to get huge and bulky like a bodybuilder" these days, probably because as resistance training increases in popularity, people are realizing how incredibly, ridiculously, ludicrously, unreasonably difficult it is to build and maintain muscle.

Re: Posture for a Healthy Back

#64
post #48
post #41

Earlier quoted context omitted.

I hear lots of discussion that deadlifting with proper form strengthens the core. Also, being a compound lift, you'll hit tons of other muscle groups as well. Mark rippetoe's book on starting strength is a great read on how to execute compound barbell exercises like the deadlift, and also has some great information on things like progressive overload. I'd recommend it even if you don't plan on following the starting…

The same can be said about the squat, since you have to contract your core to maintain your spine in a correct position. Anecdotal data point: my lower back pain disappears when I squat regularly.

Anecdotal data point: I didn't have lower back pain until I started squatting heavily (I'm 25).

Re: Posture for a Healthy Back

#65
post #54
post #48

Earlier quoted context omitted.

The same can be said about the squat, since you have to contract your core to maintain your spine in a correct position. Anecdotal data point: my lower back pain disappears when I squat regularly.

anecdotal counterpoint :) -- squatting aggrevates my lower back. I think its because my hamstring flexibility is terrible which causes my squat form to be terrible. I'm working on that.

I also have flexibility issues (I'm tall), and I used to strain my lower back on heavy squats until I widened my stance and pointed my toes a bit more outwards, to prevent my lower back from rounding. You could ask someone to check if your lower back arches towards of the downwards movement.

Re: Posture for a Healthy Back

#66
post #48

Earlier quoted context omitted.

The same can be said about the squat, since you have to contract your core to maintain your spine in a correct position. Anecdotal data point: my lower back pain disappears when I squat regularly.

Anecdotal data point: I didn't have lower back pain until I started squatting heavily (I'm 25).

anecdotal advise: don't squat so heavy.

Re: Posture for a Healthy Back

#67
I recently hurt my back and got interested in the anatomy of the lumbar spine and ended up reading the textbook Low Back Disorders by Stuart McGill. McGill is a professor of kinesiology at the University of Waterloo and has spent his ~30 yr research career studying the lower back. It was an informative and surprisingly interesting read!

He made the point throughout the book that a lot of "common sense" clinical wisdom regarding the low back has little basis in the scientific literature. Among these was that there really is no "correct" sitting posture. All sitting postures are damaging to the low back over long periods of time. Instead he recommends varying the sitting posture at least every ~10 minutes or so, and standing up for a few minutes at least once an hour. Acceptable sitting postures could be anything from sitting up straight as in the illustration in the article, leaning back, sitting cross-legged in the chair, or putting your feet up on the desk. All are fine as long as you change it up every now and again.

There were a few other bits of wisdom in the book. A few I remember off the top of my head:

- Don't do sit-ups under any circumstances. They are among the worst exercises you can do for your back. The traditional back extension exercise (e.g., http://lifestyle.beiruting.com/wp-content/uploads/2011/02/su...) also puts the lower back under a huge amount of stress.

- Muscle strength is not well correlated with having a healthy back. Muscle endurance is much better correlated with back health.

- Don't do anything to exert your back within an hour or two after waking up (including stretching the back to extreme flexion by, for instance, trying to touch your toes). The hydrostatic pressure in the discs after rising from bed is much greater, which increases the risk of herniation. (This is why one is ~1/2 an inch taller in the morning than in the evening.)

- If the spine is flexed for a long period of time (e.g., one is sitting slouched over for twenty minutes), the ligaments become lax and remain lax for some time afterwards. Only 50% of the intervertebral joint stiffness remains two minutes later, and even 30 minutes later some residual laxity remained. So if you've been sitting slouched over, don't immediately go and exert your back by lifting a heavy object. Stand up for a few minutes before exertion.

- Squatting is not necessarily better than stooping when picking up an object. It's most important to keep the spine in a neutral posture.

- When picking up a light object, it's best to use the golfer's lift if possible (e.g., https://liftingtechniques.files.wordpress.com/2012/12/golf.p...)

Re: Posture for a Healthy Back

#68

Earlier quoted context omitted.

Thanks for saying this - another reminder to do more core (got down and planked). What exercises did you find most beneficial for strengthening? On a related note -- I periodically do stretches where I stand on one leg and roll my hip & waist out to the side extending it behind me -- that helps alleviate tension in the side. Similar - hanging on my forearms from chairs or those ab machines at the gym. Pain Free (a me…

I can't really say, since I'm not really "into" fitness at all, and everybody is different. Just let a good personal trainer look into it; the whole added value of a personal trainer is that they know what they're doing, so you don't have to know. Mine let me do a number of test exercises and then created a program to work on the weak points she noticed (while explaining everything clearly), and it worked really effe…

> the whole added value of a personal trainer is that they know what they're doing, so you don't have to know.

there's also the external and financial accountability that a personal trainer brings. that's a huge factor for a lot of people including me. i've tried going to the gym at 6am without a person and a significant dollar figure attached to it - i can't do it.

Re: Posture for a Healthy Back

#69

Earlier quoted context omitted.

Thanks for saying this - another reminder to do more core (got down and planked). What exercises did you find most beneficial for strengthening? On a related note -- I periodically do stretches where I stand on one leg and roll my hip & waist out to the side extending it behind me -- that helps alleviate tension in the side. Similar - hanging on my forearms from chairs or those ab machines at the gym. Pain Free (a me…

The deadlift will get you the most results for the amount of time you put in. It directly strengthens all the muscles involved in keeping you upright and in a normal anatomical position. A barbell and plates will put you back about $250-$300. Then, if you spend 20 minutes every Monday, Wednesday, & Friday deadlifting and just increase the weight on the bar by 5-10 pounds each workout, you'll be a totally different (b…

Agreed, based on personal experience.

For a typical person without special circumstances deadlifting with proper posture is the most important exercise you need to be doing, IMO. Personally, I was amazed that my minor back aches were gone, my shoulders stayed back without effort, and I was more confident in my posture. Why didn't someone tell me to deadlift sooner in life?

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