Patrick Roth, M.D., is an award-winning neurosurgeon practicing in New Jersey. He is the chairman of the Department of Neurosurgery at Hackensack University Medical Center and the director of the residency training program. He is the author of “The End of Back Pain.” His interest is in improving the treatment of back pain with or without surgery.
Many automobiles also have lumbar support in the seats. This feature is activated by a button which is usually located with the other seat controls. It allows the driver and passengers to inflate the lumbar section of the car seats to the amount of support preferred. It feels almost like using a lumbar support cushion, though this type of support is built right into the car.
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The lumbar (or lower back) region is made up of five vertebrae (L1–L5), sometimes including the sacrum. In between these vertebrae are fibrocartilaginous discs, which act as cushions, preventing the vertebrae from rubbing together while at the same time protecting the spinal cord. Nerves come from and go to the spinal cord through specific openings between the vertebrae, providing the skin with sensations and messages to muscles. Stability of the spine is provided by the ligaments and muscles of the back and abdomen. Small joints called facet joints limit and direct the motion of the spine.
Sitting has been shown to have a higher low back compressive load than standing  and deviation from the neutral posture has been linked with increased static muscular effort [3,4]. While past efforts have been made at designing back rest/seat pan combinations that promote a neutral spine , lumbar support pillows often do not account for the pelvis and may push the body forward on the seat pan . While several investigators have studied the effect of various lumbar support pillows on asymptomatic individuals [15-17], the current study investigated the effect of a lumbar support pad that accounted for the posterior pelvic bulk on the posture and comfort of healthy individuals and patients with LBP.
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Carol Hartigan, M.D., medical director of the Spine Center and the Spine Rehabilitation Program at New England Baptist Hospital, tells Quartz that she agrees with most of Ramin’s critiques, though she finds the author extreme in her opinions—for example, by saying that a person should never have back surgery. Still, Hartigan says, “She did an outstanding job of researching. She had an eye for looking for flaws in the ‘industry,” and she interviewed the highest level players. She should be commended.”
Always stretch before any strenuous physical activity. In fact, I strongly advise you to engage in a regular stretching program. My favorite is active isolated stretching (AIS), developed by Aaron Mattes. It’s completely different from the traditional type of stretching, and is a great way to get flexibility back into your system.
Subluxations are said to be spinal joints that have slipped out of alignment, and some chiropractors will explain that they lead to back pain, digestive issues, mood disorders, and more. Ramin reports that they are impossible to point at on an x-ray, because they don’t exist; a dislocated joint in your spine would be the result of a horrendous injury that sends you to the hospital, she explains, not to a massage table.
The symptoms can also be classified by duration as acute, sub-chronic known as sub-acute), or chronic. The specific duration required to meet each of these is not universally agreed upon, but generally pain lasting less than six weeks is classified as acute, pain lasting six to twelve weeks is sub-chronic, and more than twelve weeks is chronic. Management and prognosis may change based on the duration of symptoms.
Injections may also be used to numb areas thought to be causing the pain. Botox (botulism toxin), according to some early studies, are thought to reduce pain by paralyzing sprained muscles in spasm. These injections are effective for about 3 to 4 months.
The interaction between the low back and chair support is an important health factor for employees using seated work stations. Canadian statistics indicate that back injuries make up 28.8% of the lost time claims and 7.0% occur in clerical jobs . The result of the musculoskeletal conditions is a reduction in work attendance and performance. For instance, 19% of those with low back pain (LBP) lose 6.2 hours of work per month and those with severe pain lose 8.2 hours of work per month .
At the time of my order, this was the most inexpensive mesh back support I could find. It fits my back really well. I’m petite (5’1”) and my legs are too short to sit back against the chair and not feel pressure on my legs so I was constantly sitting forward and it was messing up my posture. The only problem is the strap is too short to fit around my office chair which is about 22” wide. If the strap was a few inches longer it’d be perfect. You can see in the picture I need at least another 8” to secure the support. I’m returning it and trying another.