Posts Tagged ‘Back care’

Back care at home

Monday, July 6th, 2009

In the kitchen

  • Washing up:  Make sure the washing up is at a comfortable height and don’t stoop down.  Either place the washing up in a bowl on the drainer or on an upturned bowl if necessary.  You can elevate one foot either on the bottom shelf under the sink or on a telephone directory.  If doing this change feet every couple of minutes.
  • Preparing food: Try sitting down either at the table or on a high stool at the worktop.
  • Working on floor:  Either kneel, squat or sit on a low stool when working at floor level e.g. cleaning floor or taking washing from machine.

In the Lounge

  • See advice on sitting.
  • Avoid sitting for long time if back pain is intense or and aggravated by sitting.  You could try lying on the floor with support under your head and the knees supported on an armchair/pillows.  To get up roll onto your side first and push up with your hands.

In the bathroom.

  • Don’t stoop! If the wash basin is too low sit on a stool.  When cleaning the bath kneel on one knee or on a cushion.  When cleaning teeth use a mug so you can stand upright and move around.   Don’t lean over the bath to clean your hair.  Either kneel down and use a shower hose attachment or clean your hair in the shower.
  • Showers maybe better than bath if you are experiencing back pain as you cannot retain your natural curves sitting in the bath.

In the bedroom

  • Sleeping position.  Do not lie on your front as this puts great strain on your neck.  The best position for maintaining your backs natural curves is to lie on your side with a pillow between the knees and the correct amount of pillows.  If you prefer lying on your back you can place a pillow beneath your knees to lessen the strain on your back.
  • Pillows.  The pillow should only rest under your neck and head, not your shoulders.  The head should be supported so that it is in line with the rest of your spine.  If lying on your side the pillows should fill up the space between your ear and tip on the shoulder with the head neither bent up or down towards the bed.  If you have neck pain you can use an orthopaedic pillow or make your own butterfly pillow by tying a band/stocking around the centre of the pillow and resting your neck and head in the centre.
  • Choosing your bed.  Your bed should be supportive and neither to hard or soft.  A simple test is to lie on your back.  Try to slide you hand into the small of your back, it should slide in snugly.  If you hand slides in with minimal contact with the back the bed is too hard.  If you cannot get your hand in at all the bed is too soft.   For more information on choosing a bed click here.
  • Getting out of bed.  Roll onto your side with your knees bent.  Carefully move one leg over the edge of the bed whilst propping yourself up on your elbow.  Then move the other leg over the side as you push yourself upright.    If you have significant trouble getting out of bed try warming up a little first.  Bend your knees and slowly let your knees drop to one side a couple of inches and then the other.  Repeat as necessary.
  • Getting into bed with back pain.  Sit on the edge of the bed.  Lower yourself down on your elbow then shoulder.  As you do this draw your legs up onto the bed one at a time.
  • Getting dressed.  If you find it difficult getting dressed lie on your back on the bed when putting on trousers, socks, tights etc.
  • Making the Bed.   Duvets and fitted sheets are much easier.  If you do need to tuck in sheets kneel down.

Housework

  • Pace yourself.  Don’t do it all in one go and take regular breaks.
  • Working on floor.  Either kneel or squat down – don’t stoop or bend over.
  • Vacuuming.  Stand upright.  If using an upright vacuum keep it close to your body and use short sweeping movements backwards and forwards.  Don’t drag it.  If using a cylinder cleaner use the full length hose extension.  In both cases stand with one foot in front of the other with the knees bent and rock back and forth – don’t bend.   When buying a new vacuum choose a lightweight model with high power, wide head and long hoses.
  • Ironing.  Adjust the height of the board to waist height and stand with one leg propped up on a thick book switching legs regularly.

Shopping

  • Pace yourself. If you have back pain, make several trips throughout the week rather than a big shop.
  • In-store trolley.  Choose a waist high trolley with shallow sides to avoid reaching down too far.
  • Carrying shopping.  Use a rucksack with straps over both shoulders for heavy items.  If using carrier bags carry equal weight in each hand.  If using a trolley select a four wheeled trolley so that it can be pushed rather than pulled.

Back care by activity

Monday, June 22nd, 2009

Standing

  • Basic Position – you should stand upright with your shoulders, hip and ankle in alignment.  You can imagine that you are being lifted by a string attached to the top of your head
  • Surface Height – if you are working standing up then the surface at which you are working should be at elbow height.  If the surface is too low consider sitting on a high stool with good back support.
  • Alignment – if working at a surface remain square on to it and avoid twisting around for a sustained period.
  • Don’t overreach – keep any items you use frequently within easy reach.  When possible move your feet towards an object to be picked up rather than bending forward.

Sitting

  • Alignment – remain upright with the head vertically above the shoulders and hip.  It is important to sit in an upright chair to attain this posture.
  • Good low back support is very important for maintain the upright posture and natural S curve of the back.  If the chair does not have good support you can buy a purpose made product to fit onto the chair or use a pillow or rolled up towel instead which should be placed in the small of the back just above the hips.
  • Depth – your backside should reach the backrest with the back upright.  If not, either change the chair or use a cushion/cushions to fill the space between the back and the backrest finishing with a small cushion to place in the small of the back.
  • Height – your feet should reach the floor with your hips being slightly above your knees.  If your feet do not reach the floor then use a foot rest.
  • Standing up.  Move your backside forwards to the edge of the chair putting one foot slightly in front of the other.  Keep your back straight and stand using you leg muscles and the arm rests if you have them.
  • Change position.  Get up and move around every 20 minutes or so.

Lifting

  • Do you really need to lift?  If possible either use a mechanical aid or push or pull the object instead.
  • Get help if you think the object is too big – don’t overstretch yourself.
  • Alignment.  Keep the spine vertical with the shoulders above the hip and ankle.  The spine is strong in compression and much weaker when we bend over.
  • Technique.  Get your feet as close the object as possible and wide apart to give you a stable base.  Bend at the knees keeping the back vertical when picking up and putting down the object.  Keep the object as close to the body as possible.
  • Never bend your back and rotate when lifting as this causes the maximum strain on the back.

Carrying

  • Objects in hands.  When carrying objects in hands e.g. shopping, try to carry an equal weight in each hand to achieve balance.
  • Carrying on the back. Ideally use a rucksack with a strap on each shoulder.  Load the heaviest items at the bottom on the bag.  If using a shoulder bag be sure to switch on side to the other on a regular basis (every few minutes).
  • Holding and carrying.  Keep the object close to the body with the heaviest side next to the body e.g. if carrying a monitor/tv keep the screen next to the body.  Make sure that the load is stable and the contents cannot slide around.
  • Ready to drop? If you feel that you are going to drop heavy object and it is getting away from let go as bending forward or and sudden muscle contraction can cause injury.

Pushing/Pulling.

  • Chose to push rather than pull an object if possible as this puts less strain on the back.  You can use your legs to provide the force more effectively when pushing.
  • Get help or use a mechanical aid if you think the object is too big.
  • Alignment.  Keep your shoulders in line with your hip and ankles.
  • Grip object at elbow height
  • Beware sudden changes in resistance.
  • Plan for stopping your movement gradually.

Basic back care

Monday, June 22nd, 2009

The following section contains information both for people who are experiencing back pain and individuals who wish to use their bodies more efficiently to prevent back pain.

Maintain your backs natural shape.

The cornerstone of back care is to maintain the natural shape of the spine.  If you look at the back from the side it has an ‘S’ shape with a hollow in the small of the back and in the neck.  The middle back curves outwards in the opposite direction.  Try to keep these curves in everything you do and you will minimise the strain you place upon your back.

Keep Active

Don’t rest in bed if your back is painful.  Gentle activity performed with the correct posture will not damage the back and will aid recovery.   Getting fit helps to develop your back muscles.

Vary your activities

Don’t perform the same activity for sustained periods if possible – especially maintaining a fixed posture or anything that causes you pain.    Vary your tasks and if you are suffering from back pain take regular breaks and experiment with your task loading i.e. the amount of time you can perform an activity before you start to experience pain or discomfort.

Build up your back

It is important to strengthen the muscles of your back and abdomen.  You can combine specific exercises to strengthen your back (pilates and yoga are excellent choices) with general activity to keep fit and healthy.  If you are in pain then walking is a good exercise to begin with.  Make sure you are wearing flat cushioned and supportive footwear.  Swimming is a good choice but avoid excessive use of the breast stroke which places a strain on your neck.  If cycling ensure you sit upright.

Bending Down

Never twist and bend at the same time as this puts a very high strain on your back.