Aerobic Conditioning and Low Back Pain

Following a physical therapy examination of low back pain, a PT can often identify particular movements and positions that actually lessen or control the low back pain. Once pain-control techniques are well understood, a patient should quickly progress to an aerobic conditioning program. It has been found that aerobic activity assists in bringing nutrients to structures in the spine. Some of these structures, like the disc, have a relatively poor blood supply and rely on body movements and aerobic activity to circulate nutrients to these structures. When a person is sedentary, less of these nutrients are able to get to the structures in the spine to keep them healthy.

Aerobic-conditioning activities should be chosen based on a patient's interest, availability, and coincide with the type of problem that the person has. Generally, a walking program, elliptical trainer, and upright bicycle are good choices. The program should be performed at least three times a week for thirty to forty minutes each session.

A physical therapy program for low back pain that is active in nature and geared toward instructing the patient in self-care techniques and back injury prevention are key ingredients in returning a person to a pain-free, active and healthy lifestyle.

Reprinted with Permission
Rothman Institute
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