Running and Walking May Be Good for Your Back

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People who run or walk regularly have healthier and stronger spinal discs than non-exercisers do. This is very reassuring because some doctors tell patients with back pain not to run because they think that the jarring of the foot striking the ground will damage discs and injure backs, even though there isn’t data to support such opinions.

That said, if your back hurts when you run, you should stop running. Walking will offer much of the same benefit with less jarring.

The vertebral bones of the spine are separated by pads called discs that absorb the shock of hard exercise such as running or lifting weights. The nerves that supply your body branch out from the spine between the vertebral bones where the discs are located.

With aging or inactivity, the discs weaken and can be squashed between the much-tougher vertebral bones. A squashed disc can protrude between the vertebral bones and may pinch nerves, which can cause excruciating pain.
(lotan/Shutterstock)
lotan/Shutterstock
Scientists have known for hundreds of years that a lack of exercise weakens muscles and bones, while exercise strengthens them. But until recently, no good studies have shown that exercise also strengthens discs.
Some doctors believe that rapid movements and pressure will damage discs, but several animal studies have shown that a regular exercise program strengthens discs, makes discs larger and stronger, and strengthens discs in rat spines.
Now, there are data showing that a regular exercise program strengthens human discs and is probably the most effective means of treating many cases of back pain caused by weak or damaged discs. We also have strong MRI data showing that people who run or walk regularly have larger and stronger discs that contain more fluid to pad and protect them from injury.

Back Surgery Has an Incredibly High Failure Rate

A spinal fusion includes surgery to remove at least part of a disc and a bone graft to fuse the upper vertebral bone to the lower vertebral bone. Reports show that regular back exercises are usually more effective than this surgery to treat back pain caused by disc compression.
In spite of this evidence, the number of spinal fusions performed in the United States increased progressively until 2012. Then the rates of spinal fusions decreased, primarily because Blue Cross of North Carolina and several other insurers refused to pay for the procedure. This implies that the rate at which some surgical procedures are done is driven by the willingness of insurers to pay for a procedure.

My Recommendations

  • If you have back pain, you should check with your doctor for a specific diagnosis and treatment.
  • Specific daily back exercises are the primary treatment for most causes of chronic back pain. Realize that some conditions can be worsened by exercise.
  • If you have a condition that is treated with exercise, you should get instructions from a physical therapist who can teach you specific belly and back exercises and how to use exercise machines properly. Improper exercise can worsen your condition.
  • Start off with very low resistance, and stop immediately for the day if the pain worsens. The best indicator of damage from exercise is pain. Listen to your body.
  • Try to exercise every day, and don’t do anything that increases pain in the injured area.
Originally published on DrMirkin.com
Gabe Mirkin
Gabe Mirkin
Author
Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D. brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is one of a very few doctors board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology.
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