For many people, the key to a healthy back is proper exercise. Some exercises are designed to strengthen your back and stomach muscles, while other exercises are designed to improve your posture. A 30 minute aerobic conditioning program three times a week is ideal for overall fitness. Walking and/or water exercise are highly recommended for most people with back problems.

Techniques for Good Posture

When sitting

See also : Tips for Back Care

Sit in a firm chair with armrests to relieve pressure in your back and shoulders.

Keep your upper back straight and shoulders relaxed. Keep stomach muscles pulled in, and maintain the proper curve in your lower back. You can do this by tightening your stomach and buttocks. Some people are more comfortable sitting with the back of the chair at a 15- to 20-degree angle. A small cushion behind the lower back to maintain the natural curve of the back also can be quite helpful.

Keep your knees slightly higher than your hips.

Use a footstool or book under your feet if necessary.

Keep your feet flat on the floor or other surface.

Don't sit for a long period of time. Stand up every now and then to stretch tight muscles and give them a chance to relax.

When Standing:

See also: Tips for Back Care

Stand with weight equal on both feet.

Avoid locking your knees.

Ease tension in your back by placing one foot on a footstool.

If you stand for long periods of time, wear flat or low-heeled shoes.

Keep your back straight by tightening your stomach muscles and buttocks.

When Sleeping:

See also: Tips for Back Care

Lie on your side with your knees bent.

If more comfortable, place a pillow between your knees while sleeping on your side.

If you sleep on your back, placing pillows under your knees would help your lower back pain.

Use a firm mattress.

Body Mechanics: To keep good posture while in motion is to use good body mechanics. In lifting, this means that the object lifted is held close to the body and that lifting is done with your legs. The normal back curves are maintained, the legs lift the load. Avoidance of twisting, particularly when carrying a load, is also important for good body mechanics. Move your feet, do not twist your torso.

See also: Tips for Back Care

* When bending down to lift an object, bend with your knees instead of your back.

* Hold the object close to you.

* Straighten your legs to lift the object.

* Get help with an object that is too heavy.

The type of shoes you wear can also affect your posture. High heels may put more stress on your lower back by changing your posture. You might find it more comfortable to wear low or flat heels. Cushioned-soled shoes also provide "shock absorbency" for your spine.

Weight Loss

The best way to lose weight is with a balanced diet along with regular exercise. Be sure to avoid fad diets or fast weight-loss programs.

Stress Management

Every day of our lives is filled with some kind of stress. In fact, any situation can cause stress such as work, personal relationships, raising children, paying bills, the death of a loved one or a new experience. Even very happy occasions such as a family wedding, birth of a new baby or family vacation can be stressful. For many people with back pain, the greatest stress comes from unwanted changes in their lives caused by the pain itself. Try to learn to relax your mind and body.

See also: Learn to Relax

Surgery

People with sciatica or spinal stenosis often need surgery. A few people with tumors within the spinal canal require it.