this post was submitted on 25 Jun 2023
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My lower back has been absolutely killing me today. Does anyone know of any remedies I could try to address it? I'm trying an ice pack and fixing my sitting posture right now, will be sleeping on my side to relieve pressure on it tonight, but is there anything else I could attempt?

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[–] [email protected] 12 points 1 year ago (1 children)

Honeslty - see a doctor.

The advice peole are offering here will either help or do nothing or make your problem worse and if you try all of them - chances are pretty high you'll stumble across one that will make it worse.

Your pain is a symptom, not a problem. You need to find out what the problem is before you can fix it.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago)

Thank you for saying this! My tail bone doesn't bend with the rest of my spine and I wanted to say what helps me, but stopped myself. What helps me (primarily things that force a curve in my lower back), is probably going to make a lot of back issues worse. Gotta figure out the cause before coming up with a solution.

[–] [email protected] 9 points 1 year ago* (last edited 1 year ago)

I'm sorry you are in pain. I've been there, and I know how terrible it can be.

Every case is different, so it's best if you see a doctor. I'm in a country with good, socialized healthcare, so it was much easier for me than it is for most of people. I've seen a specialist several times, had two MRIs and 3 rounds of physiotherapy in the span of 6 months. Here are things that worked for me:

  • take NSAIDs, when they kick in, start with simple, not strenuous exercise. Check YouTube for back pain exercises. Some of them worked wonders alleviating pain almost instantly. Other ones helped to build muscles needed to support the spine, so I'd do them too. Do what you can, if it's too much, try another time. Repeat every day, even 5 minutes a day can make a huge difference. Walks are great too. Move as much as possible without exerting yourself or making the pain worse.

  • get comfortable shoes. Flat, flexible sole worked great for me (I like Vivobarefoot shoes). Walk in these.

  • red light therapy helped me. Lamps are affordable, easily available online.

  • if you sit down for work, try to get a high quality chair. I've been sitting for years on a bad IKEA office chair, which made the problem worse. Once I switched I couldn't belive how much difference that makes. Standing desk is nice too, but not a game changer for me.

  • As the pain got better and better I've been introducing more movement. I need regular exercise to keep my back pain free. I've actually started enjoying my workouts and a mix of strength and HIIT cardio exercises works best for me.

I hope my advice will also work in your case, I wish you all the best.

[–] [email protected] 5 points 1 year ago (1 children)

Not an immediate remedy, but my input here is not to mistake rest for healing.If your back pain is muscle related, rest may relieve the pain, but will also continue to allow those muscles to atrophy, potentially seeing you up for more pain. Active recovery, building back the strength of those muscles, can be very important if this is the cause of your pain.

In the end, a doctor of some sort will be your best bet for finding out the root cause of your pain, and generally the appropriate way to address it.

[–] [email protected] 4 points 1 year ago

Fully agree. A physio once used an analogy which really resonated with me: think of your spine as the main pole in a tent. If the ropes are loose, it’ll be wobbly. When the ropes are tensioned properly the tent is solid.

If your problem is related to posture or being sedentary a lot (a common first-world problem) then gently rebuilding the strength in the muscles in your back will tension the guy ropes and make better posture happen naturally, often reducing pain at the same time.

Not medical advice - even gentle exercise could be exactly wrong for whatever ails you! But that analogy helped me understand that resting isn’t automatically good, even if it feels nice at the time.

[–] [email protected] 4 points 1 year ago

It really depends what your back pain is from. If you've thrown out your back you might need physical therapy or an adjustment before it starts feeling better. Ice definitely helps if it's muscular. I've been on the mend myself this last week from lifting something poorly. https://youtu.be/K8SD47gLB-I here's the yoga video I always go back to when I do this to myself, usually about once a year.

[–] [email protected] 4 points 1 year ago (1 children)

My back pain is generally much more related to my legs than I expect. Like others here are suggesting I've had good luck with yoga and stretching, but I've had the most success with poses that stretch my glutes, thighs, and calves.

[–] [email protected] 1 points 1 year ago

Seconding this. A doctor showed me one stretch for the backs of my upper legs that got rid of my back pain. Follow the other advice here and see a doctor if it's bad, but leg stretches are free and easy so it's worth a try.

Stand on one leg and put your other leg up straight on a surface like a chair or bed so your legs are pointing at 6 and 3 on a clock. Keep your raised leg straight so your toes are pointing at the ceiling (not bent at the knee or twisted). Lean into it as much as you can while keeping both legs totally straight.

It doesn't seem like much of a stretch, but if it's hard to do, that may be your problem muscle group that's locked up and causing the pain.

[–] [email protected] 4 points 1 year ago

As others have said it depends on the cause. But something to think about is that if you’re an office worker or sit in a chair for long periods your core/abs are probably weak. This could lead to lower back pain. Strengthening these muscles (core/abs) might help as they support your spine as well.

Obviously this will take time and won’t immediately reduce pain but could stop it reoccurring.

[–] [email protected] 4 points 1 year ago

It really depends on the cause. For me the answer was flat shoes and a foam roller. But I know plenty of people who that didn't work for.

I would definitely take an anti-inflammatory of some kind. Also, something heat is the answer, not ice, but again it depends.

[–] [email protected] 4 points 1 year ago

That's tricky because lower back pain can be due to many things.

If it's related to muscle tenseness, have you tried stretching? Dynamic side stretches first to warm the area up, then more sustained holds. I find a combination of side stretches, sustained cobra pose, child's pose, some squats and that hamstring stretch one does while lying down can help.

[–] [email protected] 4 points 1 year ago

Sitting yoga, talking a walk, lying flat on the ground and not a mattress for a while, changing seating position often, getting a better chair, static stretching, light aerobics, swimming.

[–] [email protected] 4 points 1 year ago* (last edited 1 year ago) (1 children)

will be sleeping on my side to relieve pressure on it tonight

In this position it helps to additionally put a pillow between your knees to keep your legs aligned (and thus prevent lower back from being tweaked toward your sides).

[–] [email protected] 2 points 1 year ago

I like body or king size pillows for this

[–] [email protected] 4 points 1 year ago

I may be an outlier here, but stretching aggravates my lower back. I have a little bit of a scoliosis type thing though.

What I find works for me is back strengthening exercises. Low weight and high reps. I never have back problems when I'm doing that consistently.

[–] [email protected] 3 points 1 year ago

First go with an anti-inflammatory for a few days. But you may want to try PT. If insurance doesn’t cover it you can find a lot of videos on YouTube by PTs to address back pain

[–] [email protected] 3 points 1 year ago* (last edited 1 year ago)

This might be on the more extreme end of pain than what you have, but since you mentioned trying to correct your posture, I thought I should share what helped me.

I have degenerative disc disease in my entire spine and was having a sudden bout of horrendous sciatic pain that nothing else would touch. I sit for 8 hours a day in a desk job, and it was pure agony, even with a gel seat cushion and lumbar roll.

What finally worked for me was getting a posture correcting seat. This one in particular, but similar ones would probably work, too. Not to sound like a shill, but I started using that as soon as I got in the car after buying it and the pain was instantly gone by like 90%. I've been using it regularly for a few months now as much as I can and rarely have any back pain anymore. Might be something to consider!

[–] [email protected] 3 points 1 year ago* (last edited 1 year ago)

I've been a fellow sufferer of lower back pain myself.
Try this.

A back doctor taught me the technique, but I found this YouTube channel that has the same style of stretching.

EDIT: Also, I think you're supposed to apply heat, not cold, to a muscle spasm.
Try applying heat for five-ten minutes, then lay on the floor and do the stretch.

[–] [email protected] 2 points 1 year ago

Ibuprofen + acetaminophen at the same time.

Alternate ice and heat in 15 min intervals. You can get an electric heating pad they work well. Lay on the floor to do it.

Get a firm mattress. If that's out of your immediate price range, sleep on a folded blanket or a mat on the floor. Your shoulders might get cranky, but it will be relief on your back.

Walk.

Bend at the knees for everything.

Light stretching, nothing that puts an unsupported load on your lower back.

Ab exercises. Planking is your friend.

[–] [email protected] 2 points 1 year ago

I second the flat shoes, also helped my knee pain. I also like my cervical neck device, which helps move tension out of the neck and back and can help with lower back pain. Don't forget to check your chair or your mattress, too. My philosophy is to always invest money in the things that separate me from the ground. You can also work on strengthening your TVA to help support the lower back, as well.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (1 children)

For non traumatic low back pain you can try ice, lidocaine patches, NSAIDs and stretching. It still may bug you for a week or more. For long term need to implement some exercises.

Quad/hamstring stretches are vital. And can give good relief.

Also. Avoid heat and aggressive stretching/exercise early on. It may feel a bit better for the moment but can make inflammation/pain worse or last longer

You should see a doctor and get XR if you experience worsening symptoms or numbness/tingling.

[–] [email protected] 1 points 1 year ago

Also. Avoid heat and aggressive stretching/exercise early on. It may feel a bit better for the moment but can make inflammation/pain worse or last longer.

[–] [email protected] 2 points 1 year ago

@kalanggam This is only from personal experience: Drink more water and stretching (I used roll up towels and blankets for my lower back). Also look up some videos on youtube and try some of them.

[–] [email protected] 2 points 1 year ago

Look up multifidus exercises. I think they do help some with back stability problems if you do them consistently.

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