Most of us, throughout our lives, will suffer from back pain. This may be the result of a sporting injury, poor posture, muscle imbalance, or even just from a general lack of activity. There are a lot of different types of back pain. Each may be caused from a completely different issue and therefore cause varying degrees of pain.I’m not going to go into every single case today. However, what I am going to talk to you today is about the effect that Core Stability has on the prevention of Back Pain.
First Things First... What is The Core?
The first thing that we need to talk about is the core. Many of you have probably heard of Core Stability or The Core, but how many people can actually give an accurate description of exactly what it is?
There are many experts in the back care field with varying descriptions of the core.
However, for the purpose of this article we will use the term “core” to refer to those muscles closest to the spine which provide its first initial support structure.
Collectively, these muscles are the first to activate, and therefore stabilize the spine before any movement is initiated. There are a number of other support mechanisms in place that also support and stabilize the spine, but we will talk about these in detail in future articles.
What is Core Stability?
Core stability refers to the ability of these deep, supporting muscles closest to the spine to switch on and stop the back from being pulled in every direction under the sun.
When all of these muscles work effectively together (especially the very deep muscles attached directly to the spine) you be activating what is called Segmental Spinal Stabilization.
Segmental Spinal Stabilisation refers to the ability of each vertebra to communicate to each other and work together to hold the spine in the correct alignment.
It is because of this function that your spine can be both stable and mobile. That is, it can move effectively in all different directions, but maintain its integrity all at the same time.
When all of these muscles are working effectively, your back feels fantastic. However, if any of this highly complex muscle system is faulty (e.g. if some muscles aren’t being recruited effectively (inhibited), or other muscle are doing too much of the work (facilitated)) the spine can become unstable or even out of alignment and back pain can occur.
The back and spine is designed to work optimally when it is in correct alignment. Each vertebra was designed to sit comfortably on top of each other. If for some reason they are not, then all sorts of compression can occur to the discs and even worse, to the nerves.
When all of these core muscles are doing what they were designed to do, they provide a fantastic support mechanism to allow the spine to bend, twist, flex and extend.
Unfortunately due to 21st Century working conditions (i.e. working for long periods of time in a seated position) what happens is that some of these muscles become switched off, or inhibited. This causes the spine to become unstable and to not function optimally.
We now know that these muscles are pretty important, but how do we get them to function effectively. Let me cast your mind back to the last time you had a huge Christmas meal... you ate so much that you felt like you were going to explode. I can see you nodding your head as you read this.
When you went to put your trousers on afterwards, you had to pull your stomach right in to get the last button done up. It is just at that precise moment you were activating your Transverses Abdominus, a key stabilizing core muscle that helps you to support and stabilize your lumbar vertebrae.
At the moment I am over simplifying the whole process. However, if you performed this simple drawing in manoeuvre whilst reading this article, waiting for the bus, or even sitting at your desk at work, you will begin to wake up and activate some of the core muscles.
There are several specific exercises that you can perform to gain even further benefit, and we will discuss these in a series of articles that follow on from this one.
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