back pain

The Posture of Happiness

When someone’s unhappy, their posture shows it. Body language expresses our mood and attitude. It’s common-sense to know a friend is feeling down when their posture is slumping over. New research shows it’s a two-way street – How you hold your body affects your mental attitude and your state of mind changes how you hold your body.

Posture and Technology

Living with tech means posture can suffer as we sit, type and text for hours each day. Now researchers are finding some really significant health consequences, which is one reason posture is trending. Another is the explosion of ergonomic products from standing desks to upscale mattresses to vibrating shirts and apps to make us look and age better (or just avoid back and neck pain) by standing taller.

Doctors, chiropractors and therapists who treat muscle and joint pain call it an epidemic and say the problem and society’s slump are accelerating. More children are being diagnosed with back pain, and some professionals observe many kids with posture that’s worse than their parents, pointing to a risk for developing bodies. As well as developing minds.

Posture Research

Smart posture habits can make a big difference in mind and body. Studies show self-esteem and mood can be improved by sitting (or standing) tall, with head, torso and hips aligned. When people sit straight, their short-term memory is better, as is their reported alertness, self-esteem and energy level. Improving your body alignment can even energize you, as another study found people deprived of sleep could counter fatigue by holding their posture upright.

The Journal of Behavior Therapy and Experimental Psychiatry released a study concluding that even people who suffer with depression can improve their mood by improving posture. Hunched over posture is a diagnostic feature of clinical depression, as the person’s body literally folds in to withdraw from life. This postural breakdown with rolled in shoulders is also associated with negative emotions, anxiety, and using more “anger” words in conversation.

Researcher Elizabeth Broadbent and her team found changing people’s posture reduced their reported anxiety and negative emotions. The participants who were made to sit up tall used less negative words. And, they said the word “I” less frequently, which reflects an improvement in the directing of their attention outward.

Here is a good set of daily exercises (courtesy of PostureZone®) that you can follow on the daily basis to improve your posture:

The goal is to stand tall and align your head, torso and pelvis over your feet. As your focus shifts from the ground up, breathe slowly and let your breath guide the motion.

1- Stand Tall and relaxed. NOT STIFF. Relax, and pull your head to the ceiling. Breathe in and out, and then…

2- Ground your Feet: Slowly come up onto your toes, then down. Come up onto your heels and spread your toes apart, then back down. Roll your feet out, and then in. Now, press on all four ‘corners’ to ground your feet as you breathe in and out, and then…

3- Center your Pelvis: Arch your low back and breathe in, then pull your belly in, tuck your pelvis and breathe out. Keep your spine long and head tall as you roll your pelvis back to center. Repeat for another breath.

4- Open your Torso: Lift shoulders up and back as you breathe in, then keep them back as you lower them down and breathe out. Repeat for another slow breath, and then…

5- Lift and level your Head. Look straight ahead as you breathe in, then breathe out and lift the base of your head up (keep the head level and chin slightly tucked) to lengthen your spine. Repeat for another slow, deep breath.

Repeat. Focus on standing taller, as you breathe slowly for each step. Do this 2 or 3 times a day to relieve stress, unfold your posture and brighten your mood.

Apart from these daily exercises, a weekly visit to your chiropractor and physiotherapist can greatly assist you with improving your posture.

More Solutions to Chronic Pain

Chronic pain is a debilitating condition that affects people all over the world. In the North America, the prevalence of chronic pain is estimated at 30.7%, and spine and musculoskeletal disorders account for nearly 70 million physician office visits annually and 130 million outpatient, hospital, and emergency room visits. For persons under the age of 45, low back pain is the leading cause of disability. Back-related disabilities are also the most prevalent cause of disability in the military. To reduce treatment costs, as well as disability and absenteeism from work, acute pain cases (less than 6 weeks in duration) must be prevented from becoming chronic pain cases (more than 3 months in duration).

To address this challenge, the functional restoration treatment approach was developed in the 1980s in the United States. Economic aspects of chronic pain care were consequently addressed by a few studies. Gatchel et al clearly demonstrated the cost effectiveness of an early multidisciplinary intervention in acute low back pain patients who were identified as having a high risk for chronicity. Schweikert et al found that the cost of adding cognitive behavioral treatment to standard therapy was largely offset by lower indirect costs.

Evidence-based, novel, and cost-effective care pathways can be used to quickly and effectively triage the target-patient population at a central entry point. Treatment plans focus on a cross-disciplinary and multimodal approach to pain control utilizing evidence-based medical therapy, as well as on functional restoration and multidisciplinary pain rehabilitation programs that have been proven effective. Given the large population of patients affected by chronic back pain and the high and rapidly rising cost of treatment, comprehensive and multimodality delivery models are imperative for efficient triage, functional restoration, and pain rehabilitation.

One of the main goals of a Chronic Pain Rehabilitation Program is to wean patients off opiates so they avoid the short- and long-term side effects of chronic opioid management. The well-known side effects of opioids are nausea, sedation, euphoria or dysphoria, constipation, and itching. With chronic use of opioids, most side effects subside, as patient tolerance to side effects seems to be greater than tolerance to analgesic effects.

Sources Cited:
Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain. 2010 Nov;11(11):1230–1239.
Gatchel RJ, Polatin PB, Noe C, Gardea M, Pulliam C, Thompson J. Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study. J Occup Rehabil. 2003 Mar;13(1):1–9.
Schweikert B, Jacobi E, Seitz R, et al. Effectiveness and cost-effectiveness of adding a cognitive behavioral treatment to the rehabilitation of chronic low back pain. J Rheumatol. 2006 Dec;33(12):2519–2526.