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My Lower Back Strength and Flexibility Stuff

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Sean View Drop Down
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    Posted: 2/09/13 at 8:58am
Ok, I think I've PM'd or emailed a lot of this information out so I might as well share with the whole class. Some caveats: I'm not a world class athlete, strength athlete, thrower or even decent human being. But, I learn. Albeit slowly. 
About 6 years ago I herniated a disc in my back (L5/S1, sound familiar) to the point where my left leg was in constant pain from the piriformis cutting across the sciatic and I had a drop foot, literally dragging my useless left foot around for a bit.
 
First thing's first: Talk to a good sports doc. Most other docs are going to tell you to stop doing anything. You want a guy who wants you back to top form. My sports physio was the greatest guy in the world. His attitude was always "Let's get you better so I never have to see you again." He wasn't looking for repeat business. And surgery, for anything, should always be the LAST RESORT, not the first. Getting cut on, even with the micro-stuff they have now is a traumatic experience to your body. Exhaust rehab options before you decide the knife is the plan.
 
Second: Mentality. Congrats, you screwed your back up. You are now INJURED. FOREVER. Accept this. You're like an alcoholic now. You don't get to be NOT injured. You just get to move normally and do all the other stuff you did. AS LONG AS YOU DO THE STUFF THAT KEEPS YOU HEALTHY! Lots of guys do the "Lessons repeated" thing. Try to be one that does the "Lessons learned".
 
Ok, some first response stuff:
  • Do whatever your sports doc and/or physio says.
  • Try to get routine traction done. Taking the pressure off that disc helps a ton.
  • Decent massage therapist. Your back is a ball of non-functional meat right now because it's trying to protect itself.
  • NEVER STOP MOVING. Walk whenever possible. If you have cardio equipment at home, get used to hobbling down and using it before work or anything else. Motion is lotion.
Ok, exercises and stuff, as promised.
 
Multifidus Back Pain Solution - Good book. Cheap. Educational. Gives you kind of the basic stuff to do that will, in all likelihood, become the basic template for your warmups. Takes a much different view than most people on backs. Don't fool yourself. Almost all back injuries are disc related. The muscles are probably fine. The little stabilizers are gone and you're trying to have prime movers do their job. This is like trying to do surgery with a chainsaw instead of a scalpel.
 
 
 
McKenzie Exercises. This stuff is gospel to most people who end up with a disc injury. Or are even just stiff in the lower back.
 
 
Reverse planks. YMMV but this was the one exercise that finally stabilized my back to the point of zero pain. I was still doing all the other stuff but this was the kicker. I should just make up my own damn video for this because noone else seems to have one. But it's very similar to below with some exceptions:
  • I don't balance this stuff on a bench. I just stabilize myself with something solid in front of me.
  • I just do a static hold at the top. Emphasizing holding with the lower back/glutes.
 
 
Piriformis stretching and loosening. This will help take some pressure off the back and alleviate any pressure from the piriformis pushing on your sciatic.
 
 
Core work (from Stuart McGill). He's verbose but there's some good non-flexion stuff in here.
 
 
For later on when you're moving more normally.
 
 
Defranco's Simple 6 (upper body): http://www.youtube.com/watch?v=cgxr6xAB5ZM
 
You can pick and choose for some of those. I don't do the rollover into v-sits as it never made my back feel good. Lots of the other stuff is money though.
 
 
Ok, I think that's probably more than enough to get anyone moving.
 
A note to the uninjured: adopt a lot of this stuff early and maybe you'll never BE injured.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sammy68123 Quote  Post ReplyReply Direct Link To This Post Posted: 2/09/13 at 9:45am
Another very good resource is Dr. Jolie Bookspan's "Fix Your Own Pain Without Drugs or Surgery".  Google "Fitness Fixer" and you will also find a lot of her articles that picture and expand on stuff in the book.
 
Teresa Merrick, Ph.D.
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brandell View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 2/09/13 at 12:53pm
Let me say this, the Multifitus stuff is amazing! Many of the low back issues I was having have started to clear up once I did these exercises
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Post Options Post Options   Thanks (0) Thanks(0)   Quote S McCracken Quote  Post ReplyReply Direct Link To This Post Posted: 2/11/13 at 9:59am

Great stuff Sean, most of us has been in this situation and all of the above is a must. Sticking with it after is great prehab.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Assynt Quote  Post ReplyReply Direct Link To This Post Posted: 2/13/13 at 7:15am
 
I have been doing the Mckenzie execise and reverse plank on the Med ball as advised by Sean along with a back mobility warmup as well as using a pillow for my back when sitting on the couch and it seems to be doing the trick.
 
I try to incoproprate core exercises into every training sessions but after reading more into lower back pain, should I bother doing core exercises that involve twists with weights etc? Or are these more risk than reward? I understand that all lifts carry a certain amount of risk and even throwing probably isnt the best for your back.
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Sean View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote Sean Quote  Post ReplyReply Direct Link To This Post Posted: 2/13/13 at 7:58am
I think it was Craig that pointed out that we're not exactly rotational athletes as much as we're ANTI-rotational athletes.
 
As such, I tend to default to this list:
  • Planks (side, front, reverse)
  • Ab wheel
  • Paloff Press
  • McGill Crunches
  • Stir the pot
  • 6" leg raises

Also, I don't feel that crunches of most sort (save for the above) have any real athletic value. We're usually stabilizing or fighting rotation to build torque, not trying to pull our bodies into a ball.

YMMV and opinions differ as always.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 2/13/13 at 10:14am

A+ thread, would read again. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 2/13/13 at 4:43pm
Originally posted by Sean Sean wrote:

I think it was Craig that pointed out that we're not exactly rotational athletes as much as we're ANTI-rotational athletes.
 
As such, I tend to default to this list:
  • Planks (side, front, reverse)
  • Ab wheel
  • Paloff Press
  • McGill Crunches
  • Stir the pot
  • 6" leg raises

Also, I don't feel that crunches of most sort (save for the above) have any real athletic value. We're usually stabilizing or fighting rotation to build torque, not trying to pull our bodies into a ball.

YMMV and opinions differ as always.
+1
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Post Options Post Options   Thanks (0) Thanks(0)   Quote RyanH Quote  Post ReplyReply Direct Link To This Post Posted: 2/15/13 at 11:49am
I have something to add to this. Had some troubles registering due to the spam protection, but Craig hooked me up.
 
I'm not a thrower, but a lifter who has lurked here for awhile.  I'm a fan of the highland events and I live in Bethlehem, PA so I have the Celtic Classic to attend evey year.
 
I haven't had any serious back issues, but I have had times where I felt my lower back was used more than it should have been when lifting.  Like most of you guys, I'm always looking for things that can improve my training.
 
I came across a review of this program: http://foundationtraining.com/home/ and decided to give it a try.  It comes in book or DVD. I got the book cheaper on Amazon.
 
The program was developed by a chiropractor with a history of back issues when he was younger who couldn't find anything he was happy with in treating his issues. He states that it won't change any structural issues, but will allow you to do more without being in pain and teach your body to move better.
 
He states that the 3 main muscle groups needed for spinal stability are the multifidus (as stated previously), quadratus lumbordum (QL) and erector spinae. He developed a series of exercises (bodyweight only-no equipment needed) to strengthen these muscles and teach our bodies to move properly, using the hips more and the spine less.  This also loosens up the hip flexors because they don't have to work as hard to maintain spinal stability.
 
The program starts with 5 exercises done 3x/week for 2 weeks.  You go through them in order and then repeat 2 more times (3 cycles).  The second phase he adds 2 more exercises performed for 3 cycles again 3x/week for 2 weeks.  The last phase, 3 more exercises are added (10 total for 3 cycles) to be done 3x/week for 2 weeks.  You just maintain after that.  The exercises are a lot harder than they look.  There also 2 stretches that I hadn't seen before.  One for the iliacus (a hip flexor that doesn't attach to the spine, but can create stiff hips) and another for the IT band, TFL, etc.
 
Since I was deadlifting I didn't want to overdue it, so I decided to only do one cycle on days I didn't lift to start.  After the first session, I noticed my posture seemed better, but nothing major.  I did the second session 2 days later at night before I went to bed.  When I woke up I noticed that I seemed to be moving differently.  I could tell that my movement was definitely being initiated more from the hips and I felt looser.  I knew that movement should start from the hips, but found a lot of times (especially lifting) that I had to think about it.  Now it became automatic. This carried over to my deadlift sessions.  I noticed my lower back wasn't getting as sore and my glutes, hamstrings and midback (where I hardly ever got sore from deadlifts) were more sore than usual.  I'm starting a new training cycle where I will be power cleaning and I'm excited to see if it cleans up my movement for them.
 
I would highly recommend this program to anyone.  My spine feels more stable, my hips looser and I move better.
 
 
 
 
 
 
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