Spinal rehabilitation exercise is commonl;y prescribed to assist in healing and to prevent future exacerbations of back pain. A typical program involves strengthening the muscles of the back and abdomen commonly referred to as the “core”.
In the 1980’s the great Czech neurologists and manual medicine practitioners, Vladimir Janda and Karel Lewitt developed a protocol for integrating spinal rehabilitation with manipulative (chiropractic) therapy. They contributed to a comprehensive system of evaluating various functional pathologies such as stiff joints, tight muscles and weak muscles are all part of a chain of events that benefit from chiropractic and specific spinal rehabilitation exercise. They also described common postural and muscular imbalances that they termed Upper Crossed Syndrome and Lower Crossed Syndrome and the proper treatment protocol.
In the 1990’s Dr John Tatone traveled with a group of U.S. chiropractors to study under Drs Janda and Lewitt at the Prague School of Manual Medicine located at the Charles University Hospital in Prague, Czech Republic. He has brought their procedures back to his office and incorporates them into his daily practice to the benefit of his patients.
A short instruction is offered in the office for these exercises to be done at home.
The muscles of the core, when strong, provide the support to the spine and take the place of the “back support belts” that are commonly used.
Generally a small commitment of 15 minutes 3-4 times per week can have a significant protective effect on preventing injury to the back. In the same way that we brush our teeth daily even though our teeth don’t hurt. Spinal exercise can maintain a healthy back and prevent pain.
In the same way that brushing one’s teeth helps to prevent tooth decay, a simple home program with minimal time commitment can keep the core muscles strong, prevent injuries and help save from the time and costs of undergoing treatment.
Spinal rehabilitation exercise can be done at home and costs nothing to do.
These exercises pose no risk to the back, rather, they help prevent the risk of injury or exacerbation.
Losing excess weight, avoiding smoking and any other tobacco use, avoiding a sedentary lifestyle, simple aerobic exercise such as walking and healthy diet all all merge to help in staying free of pain.