Even an expensive, ergonomic chair can be bad for your back if you sit in it all day without a break. Sitting not only lessens blood flow to the discs that cushion your spine (wearing them out and stressing your back), but it puts 30% more pressure on the spine than standing or walking, says New York City chiropractor Todd Sinett, author of The Truth About Back Pain. Be sure to stretch at your desk and get up every hour to walk around. Dont assume that built-in lumbar support makes your chair back-friendlyin fact, for many people, lumbar supports dont make a bit of difference, especially if they arent positioned properly (at the base of your spine), says Heidi Prather, a physical-medicine and rehabilitation specialist and associate professor of orthopedic surgery and neurology at the Washington University School of Medicine in St. Louis.
When you strut in stilettos, your foot strikes the ground in a toe-forward motion rather than the normal heel-toe gait, stressing your knees, hips, and back, Sinett explains. "Wearing heels also alters the angle of your body so your weight isnt evenly distributed over the spine," he says. This instability can set you up for pain and injury radiating from your knees all the way to your back.
Culprit No. 3: Your beloved smartphone or tablet
Mobile technology has not been kind to our backs and necks, Prather says. "Were hovering over laptops, iPads, and smartphones all the time," she notes. "This head-down position strains the muscles in the neck, and the pain can extend all the way down your spine to your lower back." Take frequent breaks, and try to look straight aheadrather than downwhile using a laptop, tablet, or phone. You can buy a stand to help hold your laptop or tablet at a more back-friendly height and angle.
Carrying even just a few extra inches around your midsectionwhether its due to belly fat or pregnancymakes your pelvis tilt forward and out of alignment, as your body works to keep itself balanced. This can cause excessive strain on your lower back, Dr. Akuthota says. He recommends doing this easy stretch several times daily: Tighten your abs (like youre bracing for a punch in the stomach) to activate core muscles and take a load off the lumbar discs; hold 10 seconds, then release. (Pregnant? Check with your doctor before doing any exercise.)
Large-breasted women obviously carry significantly more weight in front than those who have smaller breasts. This can lead to hunching and sore neck and back muscles, Sinett says. A bra that offers proper support can actually minimize that forward hunch and relieve pain, while one that doesnt may exacerbate the problem, as you hunch or strain even more to compensate for uncomfortable straps or a riding-up band.
Culprit No. 6: Your crazy schedule
Just like the rest of you, your back muscles can tense up when youre frazzled. Muscles are designed to contract and relax, Sinett explains, but when youre stressed, they may contract so much that they can eventually start to spasm. Stress also boosts production of the hormone cortisol, which increases inflammation and can lead to achiness, he says.
Todd Sinett recommends doing this simple stretch several times a day. "We spend so much time hunched forward; this exercise helps bring you back," he says. Stand with feet about hip-distance apart, knees slightly bent. Lift your arms until theyre extended straight overhead. Bend back as far as you can without causing strain, stretching the abs. Hold for 5 seconds.
Research is debunking some classic solutions for an achy back.
New think: Therapyor time
These days, surgery is rarely recommended for back pain. Most cases get better without major interventions, usually within six weeks or so, Dr. Hilibrand says. If the pain doesnt subside, see your doctormore treatment such as injections or physical therapy may be needed. Surgery should be a last resort.
New think: Exercise
We used to be told to lie down until the pain went away, but now we know that moving around can help you feel better fasterand staying in bed can make the pain worse. "Walking or any other aerobic activity is one of the best things you can do for your back," Prather says. Exercise improves circulation to the spine and also increases healing in the surrounding muscles. Talk to your doc about what type of exercise is safe.
New think: Hands-on care
A recent study published in the Journal of the American Medical Association found that there was little difference in improvement for chronic back-pain and osteoarthritis sufferers who took the supplement glucosamine versus those who took a placebo. Get long-term relief from a person, not a pill: A skilled physical therapist can help teach you exercises to strengthen and protect your back, Dr. Akuthota says.