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Techniques and tips to avoid back pain and injury

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Techniques and tips to avoid back pain and injury

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The reality of working in early childhood education and care means increased rates of lifting, bending and carrying, and these daily demands can pose a significant risk of injury especially to the back, shoulders or neck. It can be a physically demanding job so reducing the risk of harm through a combination of awareness and safe behaviours is important to the health and wellbeing of all staff members.

Ever wondered how much cumulative weight an early childhood educator may be lifting throughout the day? According to a recent Australian study, an educator working with children in nappies is lifting a cumulative load of 193kg in a typical three and a half hour time span. Educators involved in preparation tasks - setting up outdoor environments and moving furniture - were lifting about 187kg in the same time frame.

The study identified changing nappies as the most demanding task on educators' backs followed by injuries caused by lifting, carrying and moving children and objects. Consider the amount of daily bending and stretching, reaching up and down, to the left and to the right, and it becomes evident that a 'typical day' could easily cause a work-related musculoskeletal disorder in the longer term.

A persons' musculoskeletal system provides form, support, stability, and movement to the body. But spinal alignment problems can occur from repeated movements involving poor posture and repeated strain, which can affect areas such as the back, shoulders or neck.
Early childhood staff are at risk of injury from lifting and carrying particularly when:

lifting children in or out of cots or high chairs, or on and off change tables - bending, twisting and reaching to lift children due to the design, placement or characteristics of cots, high chairs or change tables.

moving equipment - lifting, moving, carrying, pushing or pulling heavy or awkward indoor and outdoor play equipment.

Injuries and conditions can include:

muscle sprains and strains

injuries to muscles, ligaments, intervertebral discs and other structures in the back

injuries to soft tissues such as nerves, ligaments and tendons in the wrists, arms, shoulders, neck or legs

abdominal hernias

chronic pain.

Recommendations for reducing the likelihood of staff sustaining a back injury may include:

Developing and implementing policies and procedures for lifting and moving children and equipment.

Eliminating risks where you're reasonably able to or if this isn't possible, take steps to minimise the risk

Redesigning facilities to ensure an ergonomically appropriate environment to minimise the occurrence of movements that place strain on educators' bodies and have the potential to cause injuries to the musculoskeletal system

Running ongoing education and training programs covering the correct procedures for daily tasks and the correct use of any aids and equipment. Consider posture exercise classes and staff health promotion programs.

Paediatric physiotherapist, Lorna Taylor provides these 'trade tips' for addressing some of the most common back health challenges experienced by staff in early childhood settings:
Comfortable interactions

All staff should have access to a height adjustable chair designed to fulfil the ergonomic needs of educators when sitting and working at a low children's tables. The discs of the spine are extremely vulnerable to the twisting and shearing forces that can occur when sitting on low static chairs or children's furniture.

If an educator needs to spend a period of time on a table, try a slightly higher table where the children can work while standing for part of their day.

Ask children to access and help tidy away their own resources, especially if they are low down, to reduce staff stooping and bending over. It's okay to stand upright when talking with young children at points throughout the day, rather than bending to their height every time.

Equipment & resources

Take care when lifting and carrying children, resources and equipment. A wheeled trolley case or crate may ease the manoeuvre of books and equipment if there are limited stairs. Use ramps to wheel equipment where available, and ensure storage sheds have ramped access, it will only take a few extra minutes and can really help your back.

A cost-effective removable manoeuvring option is to use a portable wheelchair ramp. It's also more beneficial to push trolleys, rather than pull them.

Look for equipment that is easily mobile and has lockable castors - for example, sand and water trays, cots with adjustable sides that can easily be operated by an adult, or beds and mats that enable children to climb in and out of with minimum assistance.

Reduce the need to lift children whenever possible. Adding steps or stools that allow the children to get to water fountains, sinks or changing tables will eliminate the need to lift many of them. Lowering furniture heights on cribs, beds and changing tables will also make it easier on your back and shoulders. If the child is old enough, always ask them to participate in the activity and reduce the need to lift them.

Don't suffer in silence

Back pain and emotional wellbeing are interlinked. It's essential that you feel supported at work and feel able to voice concerns if you're feeling cumulative strain injury (aches and pain increasing over time). If you're finding an activity difficult, it's highly likely colleagues will be too. Prevention is key and rest and movement breaks are important for wellbeing. It's helpful to develop a supportive leadership team and workplace culture.
References and further reading
Aussie Childcare Network: Back Pain Prevention In Childcare
WorkSafe Victoria

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Techniques and tips to avoid back pain and injury

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Early childhood educators are at high risk of injuring their neck and back in the workplace due to sustained and repetitive lifting and carrying of small children and equipment. This article explains the steps educators can take to reduce their risk and care for their body.

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15 Ways to Practice Self-Care When You Have Back Pain

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15 Ways to Practice Self-Care When You Have Back Pain

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https://www.healthcentral.com/condition/back-pain/practice-self-care-when-you-have-back-pain

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Low Back Pain: Exercises to Reduce Pain | HealthLink BC

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Author: Healthwise Staff

Medical Review: William H. Blahd Jr. MD, FACEP - Emergency Medicine & Brian D. O'Brien MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Joan Rigg PT, OCS - Physical Therapy

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low back pain physical therapy exercises

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Covers exercises that may help reduce or prevent low back pain. Includes aerobic, strengthening, and stretching exercises. Looks at why it is important to

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BACK INJURY PREVENTION | 3 Tips to Prevent Back Injuries at Home and at Work

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BACK INJURY PREVENTION | 3 Tips to Prevent Back Injuries at Home and at Work

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20 Minute Yoga for BACK PAIN | पीट दर्द के लिए योग @satvicyoga

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Back Injury Recovery Exercises Level 1 (GET PAIN RELIEF NOW!)

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57. Sleeping positions for low back pain

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57. Sleeping positions for low back pain

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5 Best Sleeping Positions for Lower Back Pain

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Journal: 5 Best Sleeping Positions for Lower Back Pain

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Journal: 5 Best Sleeping Positions for Lower Back Pain

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Lower back pain is often related to your sleeping position. Changing how you sleep so that your spine is aligned can help. In addition, having the right mattress and pillow can also help relieve the pain.

Do you deal with lower back pain? You're not alone.

The Global Burden of Disease study named lower back pain the leading cause of disability across the globe.

What's even more interesting is that most back pain isn't caused by serious medical conditions, like cancer or arthritis. Instead, it's often brought on by stress or strain from bad posture, awkward sleeping positions, and other lifestyle habits.

Here are the best sleeping positions to try if you have lower back pain, as well as some other things you can do to get a better night's rest.

If lying flat on your back feels uncomfortable, try shifting over to your side:

1. Allow your right or left shoulder to make contact with the mattress, along with the rest of that side of your body.

2. Place a pillow between your knees.

3. If there's a gap between your waist and the mattress, consider using a small pillow there for added support.

Whether you use one pillow or opt for two, you should resist the urge to always sleep on the same side. Doing so many cause issues like muscle imbalance and even scoliosis.

How does this position help? Sleeping on your side alone won't make you feel better. It's using the pillow between your knees that's the trick. The pillow will keep your hips, pelvis, and spine in better alignment.

If you have a herniated disc, you may want to try sleeping on your side curled in a fetal position:

1. Lay on your back and then roll over gently onto your side.

2. Tuck your knees toward your chest and gently curl your torso toward your knees.

3. Remember to switch sides from time to time to prevent any imbalances.

How does this position help? Your discs are soft cushions between the vertebrae in your spine. Herniation happens when part of a disc pushes out of its normal space, causing nerve pain, weakness, and more. Curling your torso into a fetal position opens the space between vertebrae.

You may have heard that sleeping on your stomach is actually bad for back pain. This is partly true because it may add stress to your neck.

But if you find yourself resting on your stomach, you don't have to force another position. Instead:

1. Place a pillow under your pelvis and lower abdomen to relieve some of the pressure off your back.

2. Depending on how this position feels, you may or may not choose to use a pillow under your head.

How does this position help? People who have degenerative disc disease may benefit most from stomach sleeping with a pillow. It can relieve any stress that is placed on the space between your discs.

For some people, sleeping on their back may be the best position to relieve back pain:

1. Lay flat on your back.

2. Place a pillow underneath your knees and keep your spine neutral. The pillow is important - it works to keep that curve in your lower back.

3. You may also place a small, rolled up towel under the small of your back for added support.

How does this position help? When you sleep on your back, your weight is evenly distributed and spread across the widest area of your body. As a result, you place less strain on your pressure points. You're also able to get better alignment of your spine and your internal organs.

Do you feel most comfortable snoozing in a recliner? Although sleeping in a chair may not be the best choice for back pain, this position can be beneficial if you have isthmic spondylolisthesis.

Consider investing in an adjustable bed so you can sleep this way with the best alignment and support.

How does this position help? Isthmic spondylolisthesis is a condition where a vertebra slips over the one below it. Reclining may be beneficial for your back because it creates an angle between your thighs and trunk. This angle helps to reduce the pressure on your spine.

No matter what position you choose, keeping proper alignment of your spine is the most important part of the equation. Focus specifically on aligning your ears, shoulders, and hips.

You may notice gaps between your body and the bed that strain your muscles and spine. You can reduce this stress by using pillows to fill the gaps.

Be careful while turning in bed. You can get out of alignment during twisting and turning motions as well. Always move your entire body together, keeping your core tight and pulled in. You may even find it helpful to bring your knees toward your chest as you roll over.

Your pillow should cradle your head and neck and help to support the upper portion of your spine.

If you sleep on your back, your pillow should completely fill the space between your neck and the mattress. If you sleep on your side, try using a thicker pillow to keep your head in line with the rest of your body in this position.

Whatever you do, don't place your pillow under your shoulders.

For back sleepers: You may do best with thinner pillows and those that have extra padding in the bottom to support the neck.

Memory foam is a good material that molds specifically to your own neck.

A water pillow is another option that gives firm, all-over support.

For stomach sleepers: You should aim to use the thinnest pillow possible or no pillow at all. In fact, you may try sleeping on your side while holding a body pillow. The body pillow will give you the feeling of something against your stomach while helping to align the rest of your body.

For side sleepers: You may want to look for a firm pillow. Better yet, try to find one that has an extra-wide gusset that will help with the space between your ear and shoulder. And don't forget to place a firm pillow between your knees. You may even substitute a rolled towel.

While you're at it, remember to change your pillow every 18 months or so. Those pillow protectors can be a good barrier, but pillows still hold lots of allergy triggers like mold and dust mites.
Shop all Healthline-approved pillows for back pain in our sleep shop.
Your mattress matters too.

Doctors used to recommend very firm orthopedic mattresses to people with lower back pain. But don't go out and buy one just yet. Recent surveys have shown that people who use extremely firm mattresses may have the poorest sleep.

That said, a mattress that's too soft won't help very much with alignment.

If you have the funds to buy something new, try choosing a firm or medium-firm mattress made with good-quality innersprings or foam. You may also improve the innerspring mattress you already own by adding a memory foam mattress topper.

It may be difficult to tell if that mattress at the store really feels comfortable after only a few minutes of testing. Some companies let you test out a mattress over a set period of time and then return it if it's not for you.

Not in the market right now? You can see if a firmer mattress would help you by placing an inexpensive plywood board under your current mattress. You can even place your mattress on the floor to see if lessening the movement of the springs helps with your pain.
Shop all Healthline-approved mattresses for back pain in our sleep shop.
Here are some other ideas for how you can get better rest at night and reduce your back pain:

Put yourself on a sleep schedule. It may be hard to resist sleeping in if you toss and turn all night. Still, setting regular bedtimes and wake times can help your body fall into a more natural sleeping pattern. Aim to get around eight hours of sleep per night.

Having trouble with a sleep schedule? Try following a nightly routine. Start this routine about 30 to 60 minutes before your set bedtime. Choose two soothing activities that help put your mind into a relaxing space.

Ideas include taking a bath, doing some gentle yoga, and engaging in quiet hobbies like reading or knitting.

Skip caffeinated drinks like coffee and other stimulants. If you just have to drink a cup, finish your last one before noon.

Save hard exercise for the morning or early afternoon hours. Doing anything too rigorous before bed may raise your adrenaline levels and even your body temperature. These two factors make it even harder to sleep.

If you don't already have a primary care doctor, the Healthline FindCare tool can help you find a physician in your area.

For pain relief
Use an ice or a cold gel pack before hopping into bed. It may help reduce inflammation in your back and relieve pain. Apply the cold pack to your back for 15 to 20 minutes before sleep.

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best sleeping position for lower back pain

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5 Best Sleeping Positions for Lower Back Pain

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If you're dealing with lower back pain, you know how difficult it can be to get a good night's sleep. Most lower back pain is a result of stress or strain from poor posture and awkward sleeping habits. Here are the five best sleeping positions to try for your lower back pain as well as other remedies for better sleep.

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Protect Your Back! Occupational Health and Safety

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Protect Your Back! Occupational Health and Safety

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The spinal column: A more or less solid structure

Doing things as simple as carrying a parcel, driving your car or bending over to tie your shoes can cause you to feel sudden back pain, as if you've been stabbed in the back. Your back locks up and you're immobilized, unable to straighten up or make the slightest movement. In just these few seconds, you have joined the thousands of others who suffer from back pain.

A few weeks of rest is usually all it takes for your back to recover but sometimes more drastic treatments are required, such as traction and surgery. Some people never recover. They are left with a permanent disability and from then on are unable to perform any strenuous work involving their spine.

Your spinal column is truly an architectural marvel. It is made up of vertebrae that are able to support more than one hundred times their own weight. These vertebrae are separated by discs flexible enough to allow for flexion and rotation in all directions, often under the stress of a heavy load. The vertebrae are concave to allow the nerves and blood vessels to pass along the spine and they are held in place by a group of structural muscles that are designed to function throughout your life. But your spine is not solid as a rock.

The diagram above shows the spinal column on the right with a section of the spinal column in greater detail on the left. Several parts of the spinal column are pointed out: intervertebral disc, vertebral body, facet joints and the pedicle.

When you handle a heavy load, the force exerted by your hands is transmitted to the floor through your wrists, elbows, shoulders, trunk, hips, knees, ankles and feet. In this interconnected system of bones and muscles, the trunk and more specifically the lower back is the weakest link. It is not surprising, then, that low back injuries ( LBI) account for one quarter of all occupational injuries and two thirds of repetitive work injuries.

Ordinary back pain

Most backaches are caused by simple muscle irritation. The pain is localized in the neck, upper back or lower back (lumbago), or spreads down into the buttock and thigh areas (sciatica).

Unexpected or sudden events

When you lose your balance, trip over an object or fall down, or when you are struck or grazed by an object, you jump and react in order to avoid an accident. These bodily reactions can be very damaging to your back. To avoid any onset of back pain, make sure that your work environment is free of these kinds of obstacles.

Repair damaged floors.

Pick up garbage and debris that could get in your way.

Avoid handling objects on stairs.

Install automatic door openers.

Do not try to stop a falling object.

Always use proper material handling equipment.

Occasional lifting of heavy loads

"Back strain" generally affects those who are not used to lifting loads, and occurs when the load is too heavy, unusually light or when it is held onto. These LBI are generally of muscular origin but they can also be very serious if you are bent over too far or if you must rotate your lower back while in a bent position. The discs can be crushed, protrude (hernia) or tear.

Facet Joints in Motion: The diagram above demonstrates the positioning of the spinal column when in movement. When bending backwards the facet joints are closer together putting pressure on the disc. When bending forwards the facet joints are stretched.

Identify the job task that puts the most stress on your back and then either eliminate it or replace it.

If you are not used to exertion, do not lift objects over 23 kg.

Ask for assistance if loads are too heavy.

Handling loads at your maximum physical capacity

A strain can also occur when you are working at your maximum capacity. Some people are stronger than others, while others are not as strong. Never attempt to handle a load that "you" find too heavy and never overestimate your strength, even if you are used to doing physically strenuous work.

Never exert yourself unnecessarily.

Do not challenge yourself.

Do not consider yourself stronger than someone else.

Increase your muscle strength through regular physical exercise.

Increase your aerobic capacity through resistance exercises.

Chronic back pain

Chronic LBI is different from ordinary back pain and is frequently seen in individuals performing repetitive work. The discs and portions of the vertebrae gradually deteriorate and irritate the nerve roots exiting from the spine. In the early stages, there are no symptoms: no pain, no stiffness, no discomfort. Not even x-rays can detect a disc that is starting to degenerate. Later, pain develops more or less suddenly and spreads to the adjacent structures depending on which nerves are irritated or impaired.

Repetitive lifting

Repetitive lifting is the most common cause of chronic LBI. The risk of back pain is higher if you frequently lift loads, if you carry loads over long distances, if the load is heavy, if you carry a load far out in front of you or pick up a load from the floor, and if you must extend or stretch one or both arms out to reach the load or bend or twist while carrying the load. There are many ways to prevent chronic back pain.

The pictures above show a sequence on how to properly lift a box from bending your knees to straightening up your back and then moving forward.

If possible, completely eliminate repetitive work.

As much as possible, automate jobs involving repetitive tasks.

Use mechanical handling equipment, such as hand trucks, lift trucks and conveyors.

Reconfigure workstations in order to avoid awkward positions.

Decrease the weight of objects handled.

Add grips to objects being handled.

Use personal protective equipment, such as belts, braces, leg guards and anti-fatigue matting.

Learn and apply safe lifting techniques.

Other types of repetitive handling

Pushing, pulling, grasping, changing the direction of a moving load, throwing or even just regularly carrying loads can also cause chronic LBI by exerting stress on the spine and back muscles. Here we find the same causal factors as those described for lifting but the height of the work area seems to be the determining factor.

Adjust the height of conveyors to the waist level of tall persons (approximately 100 cm); shorter individuals can stand on a platform.

Lift and set heavy objects down on a work surface at least 50 cm high.

Keep the top shelves of a shelving unit for lightweight objects. The top shelf should never be higher than 175 cm.

Prolonged sitting or standing

Sitting day after day in front of a desk or computer screen can result in neck pain or upper back pain, as well as low back pain. Neck and upper back pain is generally muscular and disappears after an ergonomic adjustment of your workstation: lowering the screen, adjusting the chair, adjusting the keyboard height, etc.

However, LBI are caused by a slow deterioration of the discs due to pelvic tilt and rounding of the spinal column when you are sitting down. These injuries are even more likely to occur if you must handle heavy objects while sitting.

Make sure you have a proper chair.

Adjust the back rest to angle backwards between 110 degrees and 120 degrees and place a 5 cm thick pad at the small of your back.

Avoid stretching your arms out to reach for objects. Stand up.

Operating a vehicle

When associated with continuous vibrations from the road, sitting is very hard on the spine. LBI are caused by rounding of the back and also by fatigue and softening of the discs and ligaments attached to the muscles that are subjected to such vibrations.

Try not to keep your feet in the air. Rest them frequently and, if possible, keep your heels on the floor.

Support your back by adjusting the angle and height of the back rest.

Install shock absorbers underneath the seat.

Do not jump out of the cab. Use the steps.

During breaks, do gentle stretches, relax your back muscles and above all, go for a walk.

Heavy work

Some jobs require a metabolic output that exceeds the normal limit of most individuals: hot environment, quick movements, work using all four limbs, handling heavy loads, climbing stairs, etc. We do not yet fully understand why heavy work results in more back pain (lumbago, sciatica and chronic LBI) than light work, but certainly one reason is postural stress and fatigue.

Lighten the workload.

Avoid static loads.

Ventilate the work area to lower the temperature.

Increase the number and length of breaks.

Allow more space for movement.

Wear lightweight clothing.

Do a muscle warm-up before starting to work.

Other problems associated with back pain

Too often we forget that backaches rarely occur on their own. Repetitive handling can also cause other types of injuries. Many times, back pain is accompanied by lacerations, crush injuries and fractures caused by uneven surfaces, falling objects, a fall by the operator and impacts. Musculoskeletal stress is also harmful for other joints and muscles in the human body, mainly at the neck, shoulders, elbows, knees, hips and fingers. Fatigue can also be a factor leading to increased heart rate and blood pressure and sometimes respiratory problems.

What you can do

Relatively speaking, back pain is more frequent in women and the elderly. There is nothing much we can do about it. Still, you can reduce the risk of back pain if you stay in shape through regular physical and aerobic exercise, increase your muscle strength, especially the abdominal muscles, and adopt proper lifting techniques. But make no mistake: it is primarily by reconfiguring your workstation, lightening loads, slowing down the work pace and using handling equipment that you will most likely reduce the risk of back pain.

You can order additional printed copies of this publication, indicating catalogue number LT-006-07-07, from:

Enquiries Centre
Human Resources and Skills Development Canada
140 Promenade du Portage
Phase IV, Level 0
Gatineau, Quebec
K1A 0J9

Fax: 819-953-7260
Online: Publicentre - Publication Search

Available in alternate formats, upon request. Call 1-866-386-9624 (toll free) on a touch-tone phone.

© Her Majesty the Queen in Right of Canada, 2007

Cat. No.: L31-95/2003
ISBN: 0-662-67590-8

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Parenting will probably be the hardest job you’ve ever had in your life, but it can also be very physically demanding on your body. One area of your body that takes a lot of stress over the years while you’re providing care for your children is your spine. From bending over to pick them up […]

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Back Injury Recovery Exercises Level 2 Workout (10 MIN FOLLOW ALONG)

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Understanding the links between sleep and lower back pain offers new approaches to finding relief. Quality sleep can help prevent or reduce back pain, and knowing how to sleep when you have back problems can help cope with pain and contribute to healing and recovery.

Back pain can range from mild to severe, and it may be short-lived or long-lasting. When serious, it can be debilitating and interfere with nearly all aspects of daily life, including sleep.

There are two primary types of lower back pain: acute and chronic.

Acute lower back pain is short-term, lasting for just a few days up to a few weeks. It is often connected to an identifiable event or injury. When acute back pain fades, there is no ongoing effect on mobility.

Chronic lower back pain Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. View Source goes on for three months or longer. In many cases, it occurs without a clear link to an initial injury.

Lower back pain that starts as acute may become chronic. It is estimated that around 20% of cases of acute low back pain persist and become chronic.

Discomfort from pain can be a major barrier to sleep. Lower back pain makes it hard to get comfortable enough to fall asleep or may provoke nighttime awakenings when pain surges.

Another link between sleep and lower back pain is tied to how sleeping position affects spinal alignment. Although posture is typically associated with sitting and standing, it's also critical when lying down.

A sleeping position that involves twisting, contorting, or otherwise putting pressure on the lumbar spine can cause pain and stiffness. This pain is often worse in the morning but may persist throughout the day.

The Best Sleeping Positions for Lower Back Pain

The best sleeping position for lower back pain is on your side with a partial bend in the knees FamilyDoctor.org Familydoctor.org is the public-oriented website created by the American Association of Family Physicians (AAFP) that features physician-reviewed patient education materials. View Source . Keeping the knees bent helps balance the body and reduces pressure on the lumbar spine. Many people find it helpful to put a small pillow between their knees to make this position more comfortable.

Unfortunately, many back and stomach sleepers have a hard time changing their sleeping position. Even so, they can take steps to reduce strain on their lower back:

Back sleepers can put a pillow under their knees, legs, and/or lower back to support the natural curve of the spine and minimize lumbar pressure.

Stomach sleepers should opt for only a thin pillow under their head and place a more supportive pillow under their hips and abdomen. This works to prevent the lower back from sinking into a U-shape that pulls the spine out of alignment.

Some people with back pain use an adjustable bed that makes it easy to raise the upper or lower part of the mattress in a way that decreases tension in the lower back.

Can Your Mattress Cause Lower Back Pain?

Because it is a principal means of supporting the body during sleep, a mattress can play an important role in preventing or reducing lower back pain.

Proper spinal alignment demands a mattress that is in good condition and doesn't sag excessively. Research supports to , although the most appropriate firmness can vary based on a person's weight, body shape, sleeping position, and individual comfort preferences.

Getting quality sleep is an important part of recovering from lower back pain, but sleeping well may seem like a tall task when your back hurts. While there's no guaranteed way to get better sleep, certain practical tips can help:

Find a supportive sleeping position: Ideally, you can sleep on your side, but regardless of the position, make sure your spine is well-aligned. If needed, use extra pillows for body support.

Be careful with alcohol and caffeine: Though alcohol may help you doze off, it can throw off the quality of your sleep. As a stimulant, caffeine can make it harder to fall asleep and stay asleep.

Try relaxation methods: Finding techniques to wind down can put you in the right state of mind for sleep with less focus on pain.

Reduce potential sleep disruptions: If you inadvertently wake up at night, pain may make it harder to get back to sleep. For that reason, try to eliminate excess noise and light from your bedroom or block them out with a sleep mask or earplugs. Set your bedroom to a temperature that will be comfortable throughout the night.

Focusing on sleep hygiene can improve your sleep habits so that you can sleep better both during and after episodes of lower back pain.

Back pain is common and often recedes quickly, but it's important to talk with a doctor if:

The pain began with a specific injury

Pain continues or worsens for more than a few days

Pain is debilitating

Pain radiates to the legs or other parts of the body

You experience weakness or numbness in your lower body

There are signs of infection like redness, warmth, swelling, or fever

You have a personal history of cancer

You have other unexplained health changes like weight loss or urinary problems

A doctor can review your symptoms and determine the appropriate next steps for testing, diagnosis, and treatment.

Learn more about our Editorial Team

References

1. National Institute of Neurological Disorders and Stroke. (2020, April 27). Low back pain fact sheet. NINDS., Retrieved September 20, 2020, from
https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet

2. A.D.A.M. Medical Encyclopedia. (2018, March 20). Low back pain - acute.
https://medlineplus.gov/ency/article/007425.htm

3. MedlinePlus: National Library of Medicine (US). (2016, October 21). Back Pain.
https://medlineplus.gov/backpain.html

4. A.D.A.M. Medical Encyclopedia. (2019 May 13). Low back pain - chronic.
https://medlineplus.gov/ency/article/007422.htm

5. Marty, M., Rozenberg, S., Duplan, B., Thomas, P., Duquesnoy, B., Allaert, F., & Section Rachis de la Société Française de Rhumatologie (2008). Quality of sleep in patients with chronic low back pain: a case-control study. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 17(6), 839-844.
https://pubmed.ncbi.nlm.nih.gov/18389288/

6. Finan, P. H., Goodin, B. R., & Smith, M. T. (2013). The association of sleep and pain: an update and a path forward. The journal of pain : official journal of the American Pain Society, 14(12), 1539-1552.
https://pubmed.ncbi.nlm.nih.gov/24290442/

7. American Academy of Family Physicians. (2020, January 17). Low Back Pain.
https://familydoctor.org/condition/low-back-pain/

8. Jacobson, B. H., Boolani, A., Dunklee, G., Shepardson, A., & Acharya, H. (2010). Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain. Applied Ergonomics, 42(1), 91-97.
https://pubmed.ncbi.nlm.nih.gov/20579971/

9. Ancuelle, V., Zamudio, R., Mendiola, A., Guillen, D., Ortiz, P. J., Tello, T., & Vizcarra, D. (2015). Effects of an adapted mattress in musculoskeletal pain and sleep quality in institutionalized elders. Sleep science (Sao Paulo, Brazil), 8(3), 115-120.
https://pubmed.ncbi.nlm.nih.gov/26779317/

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How to Sleep with Lower Back Pain: Finding Comfort and Relief

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Lower back pain can be a major barrier to sleep. Get the facts about the causes of low back pain and how to sleep when your back hurts.

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Optimizing Back Health: The Role of Ergonomics in Early Child Care Environments

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Optimizing Back Health: The Role of Ergonomics in Early Child Care Environments

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Ergonomics is a way of designing the job, equipment, tools and tasks to fit the worker and help avoid injuries. Ergonomics covers all physical aspects of a job:

biomechanical, including stress on muscles, nerves, bones and joints

sensory, including hearing and vision

environmental, including lighting, noise, temperature and humidity

The most common ergonomic disorders seen in those who work with young children are:

1. back injuries

2. chronic back pain

3. tendonitis

4. carpal tunnel syndrome

5. sick building syndrome

It is estimated that ergonomically healthy employees are 20 to 40 percent more productive. You can help your employees avoid injuries by training each person on how to properly perform the physical tasks of their job and to modify work habits where needed. The following chart will help you better analyze how your work environment supports each employee's tasks in working with young children.

Ergonomic Analysis of the Child Care Work Environment

Problem

Recommendations

Incorrect lifting of children, toys, supplies, equipment, etc.

Educate on proper lifting and carrying techniques.

Promote job rotation where possible.

Encourage independence in children whenever feasible.

Inadequate work heights (e.g. child-size tables and chairs)

Find a chair that will allow employees to slide their legs under the table.

Use sit/kneel chairs.

Educate staff on proper body mechanics.

Provide the staff with adult-size chairs for occasional use.

Difficulty lowering and lifting infants in and out of cribs

Modify crib sides to slide down or modify the crib legs to accommodate the staff.

Educate staff on the proper use of body mechanics.

Frequent sitting on the floor with back unsupported

When possible, have staff sit against a wall or furniture for back support.

Perform stretching exercises.

Educate staff on proper body mechanics.

Excessive reaching above shoulder height to obtain stored supplies

Redesign kitchen area, placing heaviest items at waist height.

Reorganize snacks and supplies to simplify snack preparation procedures.

Utilize step stools when retrieving items above cupboard height.

Frequent lifting of infants and toddlers on and off diaper-changing tables

Educate staff on proper body mechanics.

Have toddlers use steps in order to decrease distance staff members have to lift the children.

Forceful motions combined with awkward posture required to open windows

Use step stool to allow for better leverage and reduce awkward posture.

Have maintenance staff improve quality of window slide.

Carrying garbage and diaper bags to dumpster

Provide staff with cart to transport garbage.

Relocate garbage cart closer to work area.

Reduce size and weight of loads.

Educate staff on proper body mechanics.

Source: King P., Gratz R., Scheuer G., Claffey A. The ergonomics of child care: conducting worksite analyses. WORK 1996; 6:25-32.

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did you know your employees could be 20 to 40 percent more productive  -  not to mention healthier and happier on the job -- without extensive retraining or exorbitant costs? it's true! the secret is properly applied ergonomics. this is a must-read article for anyone working in an early child care environment.

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Ergonomics and the Child Care Environment

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Did you know your employees could be 20 to 40 percent more productive - not to mention healthier and happier on the job -- without extensive retraining or exorbitant costs? It's true! The secret is properly applied ergonomics. This is a must-read article for anyone working in an early child care environment.

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Back Injury Prevention for Childcare Providers

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Back Injury Prevention for Childcare Providers

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Best medications for low back pain, according to new research | CNN

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A review of randomized clinical trials found the best way to use over-the-counter pain medications for sudden low back pain.

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Medications for Back Pain

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Back pain-which can include achiness and nerve pain-is a common problem for adults of all ages. Chronic low back pain affects up to 23% of adults worldwide, and the most common causes of low back pain are repetitive trauma and overuse injuries.

To get back pain relief, treatment options range from over-the-counter (OTC) painkillers and topical pain relievers to lifestyle changes like exercising regularly. Here's what you need to know about helpful lower back pain medications and when to see a healthcare provider.

Nonsteroidal anti-inflammatory drugs (NSAIDs) reduce inflammation in the body. Examples include Advil (ibuprofen) and Aleve (naproxen). While ibuprofen is an initial recommendation when you first develop back pain, it may not be effective for all types of back pain.

One review found that NSAIDs were only slightly more effective compared to placebo treatments for short-term back pain reduction. Because NSAIDs help lower inflammation, they may be more helpful for back pain caused by inflammatory conditions like arthritis.

Most healthy adults can safely take NSAIDs for occasional pain. NSAIDs can also produce side effects like stomach ulcers and kidney dysfunction.

2. Acetaminophen

Tylenol (acetaminophen) is an OTC pain reliever and fever reducer. It's often recommended for chronic low back pain because it has a low risk of side effects.

Acetaminophen may be more effective when taken with NSAIDs for back pain and has also been found to reduce the need for opioid medications for severe back pain. This medication may cause side effects such as skin rashes, anemia, liver toxicity, and liver dysfunction.

3. Muscle Relaxants

Muscle relaxants are a type of pain reliever used to relieve back pain caused by muscle tension. They work by relaxing the muscles in the back, which can improve pain and allow for easier movement. Common muscle relaxants include Flexeril (cyclobenzaprine), Glabofen (baclofen), and Zanaflex (tizanidine).

Muscle relaxants cause all of the muscles in the body to relax and may cause drowsiness. It's best to try your first dose at night time to see how you feel. Muscle relaxants should only be taken for a short time because they carry a risk of dependence when used long-term.

4. Anti-Seizure Medications

Some people may experience chronic neuropathic pain-a type of pain caused by damage to the nerves that carry information between your spinal cord and brain from other parts of your body. For this type of pain, a healthcare provider may prescribe an anti-seizure medication, which is also called an anticonvulsant.

Neuropathic pain in the back often causes shooting pain sensations down the hip or leg. Sciatica is an example of neuropathic back pain.

Anti-seizure medications work by interrupting the pain signals being sent to the brain. Examples of anti-seizure medications used in chronic pain management include Neurontin (gabapentin) and Lyrica (pregabalin). Possible side effects include drowsiness, dizziness, and peripheral edema (swelling).

5. Antidepressants

Antidepressant medications are sometimes used to treat certain kinds of back pain. These drugs are commonly used to treat depression and anxiety, but low doses may help reduce back pain even when a person's not feeling depressed. Like antiseizure drugs, they can interrupt pain signals being sent to the brain, which may help decrease back pain.

Examples of antidepressants that are used to treat chronic pain include Elavil (amitriptyline), Pamelor (nortriptyline), Cymbalta (duloxetine), and Effexor (venlafaxine). Possible side effects related to antidepressant use include sleep disturbances and sexual dysfunction.

6. Opioid Pain Relievers

Opioid pain medications may be used to treat severe, acute back pain. They are sometimes prescribed after back surgery or to relieve pain from a new injury. They're not appropriate for long-term use because they're highly addictive and carry a serious risk of dependence and abuse.

A 2018 study found that opioid medications were no more effective at treating chronic back pain than non-opioid medications. They also caused significantly more side effects than non-opioid pain medications.

Examples of common opioids include morphine, oxycodone, and hydrocodone. Possible side effects of opioids include gastrointestinal distress, tolerance, abuse, and depression. When used over a long period of time, opioids have been found to also lead to:

Difficulty completing activities of daily living

A lower chance of being able to return to work

Poor pain outcomes

7. Topical Pain Relievers

Topical pain relievers like creams, gels, and patches can be applied directly to the skin on the back. If you're unable to tolerate oral pain medications due to side effects, a healthcare provider may recommend a topical pain reliever to ease your symptoms.

Two types of topical pain relievers used for back pain are capsaicin and lidocaine, which are available in creams and patches. Topical treatments used in conjunction with oral pain medications have a low risk of side effects. Topical back pain treatments may cause side effects like rashes, swelling, or a burning sensation. These patches should never be worn longer than 12 hours.

Non-Medication Pain Relievers

You may be able to ease your back pain with non-medication options. These other methods include lifestyle changes and treatments.

Making adjustments to your lifestyle can be beneficial for achieving back pain relief. The following practices may help ease some types of back pain:

Being physically active-when it's safe to do so-by doing activities like core strengthening exercises, regular stretching, and yoga

Eating according to an anti-inflammatory diet and one that contains calcium and vitamin D, which are nutrients for bone health support

Getting adequate sleep

Maintaining a healthy weight to prevent putting extra weight on your back

Never smoking

Using heat therapy or ice packs

The lifestyle factors you could change will vary based on whether you have acute or chronic pain. For example, while cold packs, heat therapy, and movement can be helpful for either type of pain, you may have to utilize more medical-based treatments for chronic pain.

Sometimes, complementary medical treatments may be necessary for getting relief from low back pain. Those might options include:

Acupuncture, a practice where a professional inserts tiny needles into certain areas of your skin

Chiropractic care and spinal manipulation, where a professional adjusts and massages your spine and surrounding back muscles

Cognitive-behavioral therapy, which can be helpful for learning how your thoughts, feelings, and actions play a role in your pain

Transcutaneous electrical nerve stimulation (TENS) unit, a machine that small pulses of electricity to the nerves for pain reduction

Causes of Back Pain

Back pain can result from inflammation, medical conditions that affect the spine, nerve pain, and more. Here are some of the most common causes of back pain:

Injury or damage to the back or spine: Injuries or damage to the back muscles and spine-like sprains, herniated discs, and spinal stenosis-can cause your back to ache. Back surgery can also cause short-term back pain.

Medical conditions: Some conditions like arthritis, osteoporosis, tumors, kidney infections, and fibromyalgia can cause back pain.

Nerve pain: One study found about 16% to 55% of individuals with chronic low back pain have possible nerve-related pain. Nerve pain usually feels sharp and can travel to the hip, knee, or foot.

Obesity: Being overweight or obese is linked to a higher risk of back pain. Carrying extra weight puts pressure on your spine, which can cause your back to ache.

Pregnancy: Most people experience back pain during pregnancy. Hormonal changes, weight gain, and compression of the spine during pregnancy can lead to back pain.

When To See a Healthcare Provider

It's important to talk with a healthcare provider if you're experiencing chronic back pain or sudden, acute back pain. You'll also want to see a provider for the following:

Back or spine redness or swelling

Back pain accompanied by unexplained fever or unintentional weight loss

Back pain after severe blows or falls

Back pain and cancer history

Bowel or urine incontinence

Leg pain going past your knee

Lower extremity weakness or numbness

Severe, uncomfortable pain

Worsening back pain in general

Worsening nighttime pain, including pain that wakes you up

A Quick Review

Back pain is a common condition that injuries, medical conditions, pregnancy, and more can cause. Back pain is commonly treated with pain-relieving medications-like muscle relaxers or NSAIDs-but it's important to use the right kind.

If you're experiencing back pain that's not responding to pain relievers, make an appointment with a healthcare provider. They can recommend medications and other treatments that may be effective for your specific type of back pain.

Frequently Asked Questions

Over-the-counter pain medications are best for low back pain, as they are typically first-line treatments.

Nerve pain is often sharp or tingling, while muscle pain feels deep and dull.

The best painkiller will vary individually, but healthcare providers may recommend OTC or prescribed oral and topical painkillers for spinal stenosis.

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Lower Back Pain? These Medications Can Work Wonders

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There are several pain-relieving medications for back pain, such as NSAIDs, antidepressants, and anticonvulsants. Learn more.

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Updated Oct. 2, 2023

Treatment for back problems depends on a number of factors, including the findings of diagnostic tests. In many cases, medications to relieve pain and inflammation, slow bone loss or even slow or halt the progress of inflammatory disease are an important part of a back treatment plan. Depending on your diagnosis, treatment for your back pain may include one or more of the following medications.

Nonsteroidal anti-inflammatory drugs (NSAIDs). Including more than a dozen different drugs, many of which are available without a prescription, nonsteroidal anti-inflammatory drugs (NSAIDs) are used to help ease arthritis pain and, in higher doses, inflammation. They may also be useful for relieving back pain from muscle strain and other causes. NSAIDs come in oral form, and topical preparations are also available, including diclofenac sodium ( Voltaren).

Analgesics. Analgesics are among the most commonly used drugs for many forms of arthritis and other causes of back pain. Unlike NSAIDs, which target both pain and inflammation, analgesics are designed purely for pain relief. For that reason, they may be safe for people who are unable to take NSAIDs due to allergies or stomach problems, for example. When taken as directed, analgesics also are an appropriate, and possibly safer, choice for pain not accompanied by inflammation.

Topical Rubs. If back pain is in the soft tissues, you may find relief from an analgesic salve, rub or balm available over the counter under trade names such as Aspercreme, Ben-Gay, Capzasin-P, Eucalyptamint and Icy Hot. Although these topical preparations, which work through a variety of active ingredients, are usually used on peripheral joints, such as the knees or hands, you might find them useful and safe for back pain.

Muscle Relaxants. These are drugs used to ease muscle spasms. For back pain relief, they are often prescribed along with NSAIDs. Commonly prescribed muscle relaxants include cyclobenzaprine ( Flexeril), orphenadrine and carisoprodol ( Soma). Muscle relaxants may cause drowsiness, so they may be helpful if back pain keeps you awake at night.

Corticosteroids. These quick-acting drugs, similar to the cortisone made by your own body, are used to control inflammation. If inflammation is due to a systemic inflammatory disease, such as polymyalgia rheumatica or rheumatoid arthritis in the back, your health care provider may prescribe oral corticosteroids. If inflammation is limited to an inflamed joint in the spine, you may receive a corticosteroid injection directly into the inflamed joint.

Disease-modifying antirheumatic drugs. Disease-modifying antirheumatic drugs (DMARDs) work slowly to modify the course of inflammatory disease. Different DMARDs may be useful for a number of different forms of arthritis that may affect the spine, including rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis.

Biologic response modifiers. These are also disease-modifying medications, but unlike other DMARDs, each biologic or its biosimilar blocks a step in the inflammation process without suppressing the entire immune system. Biologics and biosimilars are approved to treat RA, PsA, ankylosing spondylitis, gout, lupus, juvenile arthritis and nonradiographic axial spondylitis. While numerous biosimilars are in use around the world and many have been approved in the U.S., only those for rituximab and adalumumab are available so far in the U.S.

Janus kinase inhibitors. These drugs, like biologics, target specific parts or pathways in the immune system instead of suppressing the whole system. Unlike biologics, they are synthetics and are taken orally. Janus kinase inhibitors (JAKi) are approved to treat psoriatic arthritis and psoriasis, rheumatoid arthritis, ankylosing spondylitis, juvenile arthritis and nonradiographic axial spondyloarthritis.

Osteoporosis medications. Osteoporosis medications are those used to slow the loss of bone (antiresorptive drugs, including bisphosphonates, calcitonin, the biologic denosumab [ Prolia], estrogen and estrogen antagonists) or help the body build new bone (anabolic drugs, including teriparatide ( Bonsity, Forteo) and abaloparatide ( Tymlos). Although they are not used specifically to treat back problems, strong bones are less prone to fracture. Bisphophonates are also used to treat Paget's disease of the bone, which can also affect the spine.

Fibromyalgia medications. Doctors prescribe medications from a variety of drug classes to treat fibromyalgia. Only three of these drugs - the anti-seizure medication pregabalin ( Lyrica) and two antidepressants, duloxetine ( Cymbalta) and milnacipran ( Savella) - are FDA-approved to treat fibromyalgia. Many others are used off-label in fibromyalgia treatment because they have been shown in clinical trials to ease different symptoms. These include some other antidepressants, muscle relaxants and analgesics.

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Back Pain Medications | Arthritis Foundation

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Medications used to relieve back pain depend on the cause of the pain. Learn about some of the options.

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6 Exercises To Relieve Back Pain In 9 Minutes

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6 Exercises To Relieve Back Pain In 9 Minutes

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6 Exercises To Relieve Back Pain In 9 Minutes - FOLLOW ALONG

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6 Exercises to Strengthen Your Back | Class FitSugar

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Back pain is one of the most common reasons people visit the doctor. Most Americans will experience lower back pain at some point in their life. The reasons vary, from acute sprains from sports injuries to longer-term diseases caused by a variety of factors.

Here are eight tips to ease some pain and keep your back healthy:

1. Strengthen your core muscles. Your lower back is under the stress of supporting your entire upper body. Surrounding muscles in your back need to be toned to support your spine and reduce pressure on your lower back. Our core muscles are rarely used during everyday activities, so they need to be toned through specific, targeted exercises. Take a few minutes each day to do a couple of simple core exercises.

2. Stretch daily. Many back problems are caused by tight muscles. If your back muscles are tight, they put added stress on your entire spine, including your joints. Get into a habit of daily stretches to promote your spinal health.

3. Avoid sitting with poor posture. If your sitting posture is poor, the discs in your lower spine are loaded even more than when you're standing. If you must sit for long periods of time, remember to get up and walk around every so often.

4. Take walks. Walking is a very safe and good exercise. Brisk walking at work or outside will help you to maintain a healthy weight and keep pressure off your back.

5. Lift correctly. When you lift something heavy, it's very easy to twist the wrong way. This can lead to muscle spasm and pain. Use proper body mechanics by engaging your leg muscles, not your back, when you pick up heavier items. Get help if the item is too much for you to lift alone.

6. Reduce pressure on your back when you sleep. Sleeping flat on your back puts pressure on your spine. Elevate your knees slightly by placing a pillow under them. If you're a side sleeper, put a pillow between your knees to reduce pressure on your back.

7. Watch your weight. Extra weight puts a strain on your back. In order to deal with extra weight, your spine can become tilted and stressed unevenly. The back may lose its proper support and develop an unnatural curvature of the spine over time.

8. Quit smoking. Smoking restricts blood flow to the discs that cushion your vertebrae. This could lead to quicker disc degeneration. Smoking also reduces calcium absorption and new bone growth. This increases the risk of a fracture due to osteoporosis, a condition where bones become weak and brittle.

Even with the best prevention, back injuries can happen and interrupt daily life to the point where intervention is necessary. The UC Davis Spine Center can help with your spine wellness and pain care. When surgery is necessary, our highly experienced neurosurgical and orthopedic surgical teams have the most advanced technology to offer the right surgical treatments. For information, including clinical trials that are enrolling participants, check out the UC Davis Spine Center.

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Back pain is one of the most common reasons people visit the doctor. Our experts have eight tips to help ease your back pain and strengthen your muscles.

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How to fix your sleeping position to relieve back pain

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How to fix your sleeping position to relieve back pain

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Valuable sharing from Physical therapists Bob and Brad to relieve back pain

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VIDEO: How to fix your sleeping position to relieve back pain

Physical therapists Bob and Brad put out videos every day to an audience of millions on YouTube. They explain why your current sleeping position is putting your back out of whack and how to fix it.

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Physical therapists Bob and Brad put out videos every day to an audience of millions on YouTube. They explain why your current sleeping position is putting your back out of whack and how to fix it.

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7 Myths About Back Pain | UNC-Cary Orthopaedics

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If you have back pain, it’s important to understand the facts. Here are some of the most common myths about back pain.

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The Myths and Reality of Back Pain and Back Problems

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The Myths and Reality of Back Pain and Back Problems

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The Myths and Reality of Back Pain and Back Problems

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Misconceptions regarding back pain can lead to harmful coping strategies. Education is crucial for effective treatment.

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Are you feeling confused about back pain causes and the best remedies? We've debunked eight common back pain myths.

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Many often experience back pain or discomfort and struggle to change their daily routine to help alleviate the issue. The way you move, exercise or sit can all contribute to back discomfort.

Dr. Wyatt Kupperman, a spine specialist with the Baylor Medicine Spine Center, answers common questions surrounding myths about back pain and discomfort.

Q: Is sitting up straight best for your back to avoid back pain?
A: Generally, a slouched posture can lead to some discomfort with prolonged sitting. With sitting, one needs to find the proper position between their pelvis and low back curvatures that does not cause strain. The positions may be slightly different for each person.

Q: When it comes to lifting heavy objects, can the weight of the object or the way you carry it affect your back?
A: Sometimes, both can affect the back and cause pain. There are times when one may hurt their back lifting a heavy object - or, at times, patients report they experience excruciating pain by slightly leaning forward at their lumbar spine. Lifting objects away from the body can increase the sustain load on the spine. I recommend lifting objects near the center of the body with force generated through the hips and not through the spine.

Q: Is it best to use ice or heat for injuries?
A: With acute inflammatory injuries, ice may be considered more preferable than using heat. Theoretically, heat may allow further inflammation to occur in this setting.

Heat is often used to help "warm up" muscles in therapy or activity. Some prefer heat for chronic conditions.

Q: Is exercise good for back pain?
A: It all depends on where one is with their back problem and on the road to recovery. As acute pain subsides, one needs to work on functional stability to perform tasks pain free. Therapy can be quite helpful during this phase, with a gradual return to other exercises.

Aerobic programs, such as walking, are encouraged most days of the week. I suggest walking for a specific time and distance prior to symptom onset. Take a short break and continue with further trials. Try to avoid increasing the pain during activities.

Q: Is a firm or plush mattress best for your back?
A: You need a mattress that will contour the body and provide relatively neutral alignment. If you are waking up in pain after sleeping in the morning, I would check the mattress.

Q: When should I see a surgeon for back pain?
A: If you've sustained an injury, you should be formally evaluated by a professional. Muscle strains or ligament sprains (also known as soft tissue injuries or myofascial injuries) often heal with time. Some disc herniations can heal with time and conservative nonsurgical treatment. Most back pain improves over ensuing months.

If one endures significant trauma, neurologic deficit or impairment related to the injury, surgery may be an option. Spinal instability could also warrant surgical intervention.

Q: Does sitting for long periods cause back pain?
A: Depending on the posture, sitting can increase symptoms and low back strain. For example, there can be increased pressure on intervertebral discs that can lead to increased symptoms, as the sitting position may cause some spinal flexion. People with coccydynia, or tailbone discomfort, often complain that sitting causes pain.

The sacroiliac joint is a joint made up of the sacrum and pelvis. Someone with sacroiliac issues may have some discomfort with sitting.

Lastly, ischial bursitis, inflammation around the ischium (sit bone), can be a potential cause of posterior hip and gluteal pain and can be more discomforting with prolonged sitting.

Dr. Kupperman is an assistant professor of physical medicine and rehabilitation at Baylor. Learn more about the Baylor Medicine Spine Center or call 713-798-2225 to schedule an appointment.

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Dr. Wyatt Kupperman, a spine specialist with Baylor Medicine, answers common questions about back pain.

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 Moving and Handling in the Childcare Setting

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 Moving and Handling in the Childcare Setting

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Childcare 7: Moving and Handling in the Childcare Setting - BVS Training

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5 things you should know about back pain

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5 things you should know about back pain

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Back pain is as common as it is complicated, and easy fixes are hard to find. Shedding light on this universal ailment, Dr. Jen Gunter shares five things we should all know about back pain, including possible causes, over-hyped treatments to avoid as well as research-backed therapies to talk to your doctor about in order to find some relief

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Jen Gunter: 5 things you should know about back pain

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Back pain is as common as it is complicated, and easy fixes are hard to find. Shedding light on this universal ailment, Dr. Jen Gunter shares five things we should all know about back pain, including possible causes, over-hyped treatments to avoid as well as research-backed therapies to talk to your doctor about in order to find some relief.

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Preventing injuries to Child Care Workers

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Preventing injuries to Child Care Workers

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3 Exercises to Help Prevent Back Pain. (n.d.). Www.youtube.com. Retrieved March 25, 2024, from https://www.youtube.com/watch?si=S2uMBP55oBLBSpvV&v=5nZ8n1vUqVU&feature=youtu.be

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