Back Care

1. Back Care Click to advance.

2. Presented by the Chiropractic Department of the National Naval Medical Center-Bethesda

3. The spine is a marvelously complex structure that is characterized by strength and mobility.

4. Instructional goals: • To teach you how to prevent back injury. • To show you improper postures and behaviors. • To show you exercises to make your back stronger.

5. Disc bulges in a 24 year-old woman are seen in this MRI. Preventing disease is always preferable to treating disease. NNMC Chiropractic

6. The spine is composed of 24 freely movable bones called vertebrae. These vertebrae protect the spinal cord and provide structure and support. Spinal Anatomy

7. The bones of the spine (vertebra) are separated by cartilage pads called discs. These discs absorb shock and allow movement. Spinal Anatomy NNMC Chiropractic

8. A complex network of ligaments and muscles stabilize and move the spine. Spinal Anatomy NNMC Chiropractic

9. Lifting Bend with your knees not with your back. Lift with your legs. Hold the load close to your body. Contract your stomach muscles as you lift. Keep your back aligned and upright as you lift. Avoid twisting while lifting. NNMC Chiropractic NNMC Chiropractic

10. Lifting • Straddle the load to keep it close to your center of gravity. NNMC Chiropractic

11. Lifting • Never bend at the waist to lift. NNMC Chiropractic

12. Pushing versus Pulling When possible push your load. Do not pull heavy objects. NNMC Chiropractic NNMC Chiropractic

13. Backpacks • Backpack straps should be worn on both shoulders. • Excessive weight bearing should be avoided in backpacks. NNMC Chiropractic NNMC Chiropractic

14. Minimize All Overhead Lifting • Avoid lifting overhead. • If you must lift overhead, use a sturdy step stool or step ladder to reduce neck and back strain. NNMC Chiropractic NNMC Chiropractic

15. Lifting • Think before you lift. NNMC Chiropractic

16. Use mechanical aids to lift or move heavy items. NNMC Chiropractic NNMC Chiropractic

17. Balance Your Burdens • Imbalanced loads can strain your neck and back. • Try to balance and lighten your loads. NNMC Chiropractic NNMC Chiropractic

18. Standing • Use a footstool to relieve lower back pain while standing: Ironing, shop work, washing the dishes, shaving, lecturing. NNMC Chiropractic

19. Gardening • Kneel or squat to garden. • Always avoid bending at the waist. NNMC Chiropractic NNMC Chiropractic

20. Housework • When sweeping use short strokes with the broom held close to your body. • Avoid large sweeping motions. • Do not bend at the waist while sweeping. NNMC Chiropractic NNMC Chiropractic

21. Mopping, Raking, Vacuuming… • When mopping, vacuuming, raking or shoveling make small movements with the implement held close to your body. • Avoid extending the implement away from your body. NNMC Chiropractic

22. Shaving • To avoid bending over a sink, a man may shave in the shower. • Using a footstool will reduce spinal stress when shaving over a sink. NNMC Chiropractic

23. Accessing a Car’s Trunk • Do not bend over the trunk.

24. Two Ways to Access a Car’s Trunk • Place a foot on the bumper to reduce lower back strain. • Use the “golfer’s tilt” and lift one leg to counterbalance bending into the trunk.

25. Getting In and Out of a Car • Do not step into a car. • Sit on the seat and then pull your legs into the car. • Reverse the process for getting out.

26. Adjust Your Work Area to Fit You • Have your chair positioned so that your hips are level or below the level of your knees. You may need to use a foot stool to accomplish this. • Use a chair with a comfortable and adjustable back support. • Take frequent breaks to stretch and move about.

27. Avoid couches and unsupportive chairs.

28. Avoid propping your legs up on an ottoman or stool.

29. Sleeping • Sleeping on your side with your head in a neutral or aligned position is a recommended posture. • Body pillows or buttresses may help reduce back and neck pain associated with sleeping. • Do not sleep on your stomach. NNMC Chiropractic

30. Sleeping • Sleeping with a cushion under your knees may reduce lower back pain. NNMC Chiropractic

31. Exercises These exercises are for illustrative purposes. Do not perform these or any exercises without the approval of a doctor. NNMC Chiropractic There is some evidence that specific exercises may benefit low back pain sufferers.

32. Your Chiropractor may recommend a progression of exercises as you improve from one level of spinal fitness to another. NNMC Chiropractic NNMC Chiropractic

33. General Fitness: • It is a good idea to aerobically exercise for thirty minutes three times per week. • People who are aerobically fit are less likely to have lower back pain. Consult your doctor before beginning any exercise program.

34. Exercises to Avoid • Leg lifts • Flutter kicks • Bent rowing • Dead lifting • Full sit-ups • Clean and jerk

35. “Remember that an ounce of prevention is worth a pound of cure.” Compression Fracture

36. For an Appointment With Bethesda's Chiropractic Clinic Call (301) 295-6289