Spondylolythesis, a condition that people tend to ask me about fairly regularly, occurs when one of the vertebrae in the spine slips out of alignment causing pain that worsens with movement.  

I talked about the condition and what you can expect to achieve through exercise in the blog What is spondylolisthesis and what should your goal for exercise be?  In this tutorial I take it a step further looking at more specific stretches and exercises that could help the condition.

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How to ‘fix’ spondylolythesis?

I’m a personal trainer, so I’m not going to talk about surgical options here, instead I want to focus on exercise. Can exercise fix spondylolythesis? The answer is it’s not likely to fix it, but it can have massive benefits for the sufferer. Exercise won’t realign the vertebrae, but the right exercises can help to build muscles to reduce stress on the spine and protect and support it...

What is spondylolisthesis?

Spondylolisthesis is a condition of the spine. It occurs when one of the vertebrae
slips out of alignment and rests on the bone, or disc, below it. It usually impacts the
base of the spine, but the issue can occur further up. The condition may be caused
by damage through trauma or fracture, or simply by genetics.

Spondylolisthesis can cause moderate to severe pain and may affect movement or
quality of life. The good news is that the condition is often treatable, and exercise
can help.

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Should you exercise with spondylolisthesis?

Suffering with spondylolisthesis shouldn’t have to stop you doing anything you
want to do, as long as you’re taking care. It is not just about the types of exercises
you should or shouldn’t do, it’s about how you go about those exercises and being
mindful of what you’re trying to get out of them.

What should your goal for exercise be?

Be...

Do you suffer from lower back pain? Or have you in the past? Chances are if it’s the latter you won’t be in a hurry to repeat the experience.

Debilitating and frustrating in equal measure, low back pain can impact your everyday and affect your sleep too, leaving you feeling miserable and exhausted.

The good news is it’s never too late to put in place a few good habits to protect your spine, strengthen the muscles around it and ultimately reduce the chances you’ll pick up a lower back injury.

In the video above you’ll find seven ideas that you can put into place straight away – so what are you waiting for?

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Build resilience to prevent injury from everyday movements

You may be conscious about hurting your back when you’re playing a sport or working out, but often you’ll find it’s the ‘normal’ movements like bending to pick up a Lego brick or twisting awkwardly to get into the car, th...

Your glutes are the big muscles of your hip, bottom and lower back - they’re the ones
you feel when you do a deep squat. And they are really important when it comes to
keeping your spine healthy. When working to their full potential, your glutes can
carry a lot of the load that would otherwise fall to your lower back meaning less risk
of injury to your spine or damage to the smaller back muscles.

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The relationship between glutes and back pain
By making sure your glutes are working hard you can reduce stress and tension on
your lower back.

Sounds easy, doesn’t it? It’s not necessarily!

Many people have something called gluteal amnesia meaning the glutes shut off
allowing other muscles to do all the work instead. This means that your spine may
not getting the protection it needs from the surrounding muscles day to day as you
move around. But worse than this, for many people, even when they are ...

People often don’t appreciate how important exercise is for the spine both in terms of building strength and increasing resilience. Incorporating simple stretches and movements into your day is a great habit to get into whether you currently suffer with lower back pain, you have in the past or you just want to protect yourself against future problems.

But the methods I show you in the video above don’t concentrate on the traditional fitness exercises you might normally expect. Instead we’ll look at three ways in which exercise can help to support your spine both now and in the future:

1. Transferable skills
2. Building resilience
3. Activating the glute muscles

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Back and spine strengthening exercises

If you suffer from a weakness in your spine, traditional exercise can cause stress to build up, creating pain or discomfort when undertaking certain movements. By instead concentrating on ...

Exercise for low back pain should be therapeutic rather than for fitness, this stage comes next. As your back becomes painful your body will tighten muscles to protect the spine but this creates a muscle imbalance.

Why does your body create a muscle imbalance?

The quick answer, to protect the spine short term but this creates a long-term problem. The psoas muscle becomes tight because it’s closest to the spine and offers short-term stability to spine. If this tightness stays long term it can put unnecessary stress on the spine and trigger back pain.

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If one muscle tightens its opposite muscle relaxes

If your psoas becomes tight your gluteal muscles (buttocks) become relaxed. The goal of exercise is to readdress this balance, it means relaxing the tight muscles (psoas) with stretches and activating the relaxed muscle (gluteals) with exercise.

What stretches loosen the psoas muscle?

Your low back

 There are two main parts to your low back, your pelvis and spine. The aim of Exercise for low back pain is to protect your spine using your muscles, tendons and fascia. To protect it they should stiffen, creating a structure to hold it in place. The better is can stiffen the more protection your muscles, tendons and fascia can offer.

Your muscles, tendons and fascia

 Your core muscles are the ones that protect your spine, tendons attach your muscles to bone and fascia hold all your muscles in position. Your core muscles should all work together, so exercises that try to isolate single muscles (like sit-ups and crunches) don’t protect your spine.

 Your Core

 It’s one unit and the sum of your muscles, tendons and fascia. If you can learn to activate all the muscles of your core you’ll increase the protection around your spine. One such way to activate all this muscles is described in the tutorial above.

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Low back pain is a condition that can be so crippling you’re afraid to move. This however, is a bad idea. Of course there is a time when rest is essential but when pain allows movement is essential to your recovery.

Exercise for low back pain

By exercise for low back pain I don’t traditional fitness exercise, I mean exercise for low back pain. They are 2 different forms of exercise, traditional fitness exercise aim to fatigue the body and isn’t pain when pain and injury is involved. Exercise for low back pain challenges muscles but doesn’t fatigue them.

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Movement for Rehabilitation

It also includes movement and in many cases the movement that triggered your pain. These movements should include everyday postures and positions that you’re already doing but doing them correctly. Moving better can reduce pressure on your low back and therefore reduce risk of low back pain.

Movements to...

Lower back pain causes can be numerous and how to treat low back pain can be confusing. What is becoming clear however, is the importance of exercise for low back pain. It’s important for me to say, I don’t mean traditional fitness exercise that you see in gyms. I mean exercise for low back pain, many of the principles are the same, even some of the exercises are the same but you’re not trying to fatigue yourself to within an inch of your life.

What is exercise for low back pain?

Once the pain has reduced, it bridges the gap from injury or pain to full health and/or fitness. When I coach people with a bad back they are generally nervous or anxious about exercise and want to avoid the problem area. They think exercise is going to make their back worse and this is only true if they start with traditional fitness exercise or the wrong exercises for low back pain.

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What is the right exer...

Non-specific low-back pain is defined as not attributed to a recognizable, known specific pathology (e.g. infection, tumor, osteoporosis, lumbar spine fracture, structure deformity, inflammatory disorder, radicular syndrome or cauda equine syndrome). Most cases of low-back pain are regarded as non-specific (a staggering 96%). A third type of low-back pain cause is a traumatic injury, such as a fall or sudden jarring of the back.

A muscle associated with the non-specific low-back pain is the psoas. It attaches to five lumbar vertebrae and the top femur. Muscle pain in the psoas is often related to tension, overuse or muscle injury from exercise or physically demanding work. You tend to experience pain either side of your lower back, during or just after activity. If muscle tension remains injuries can occur because of stress building up adding pressure to the spine and vertebrae attached to the psoas muscle.

With cases of psoas muscle tension, releasing the fatigue built up through ma...