Pilates for persistent low back pain
Low back pain is a common problem, it affects around 1/3 of the adult UK population every year. Approximately 20% of people with low back pain (that is, 1 in 15 of the population) will consult their GP about it.
Pilates exercise can make a difference in low back pain management as it can improve spinal stability and joint mobility, thus, reducing stresses on the spinal joints. Mobilising the spinal restrictions and strengthening the instability is the goal of our exercises.
Read why Pilates exercise can be beneficial for the the early management of recurrent or persistent low back pain
The effects of back pain
Work related low back pain is a major ill health condition in Great Britain and across the EU more generally.
In 2014/15 the working days lost due to work related back disorders was 2,957,000 days with the average number of days lost per case of 13.3 days.
What is recurrent or persistent low back pain?
According to the national Institute for Health and Care Excellence (NICE), non-specific low back pain is tension, soreness and/or stiffness in the lower back region for which it is not possible to identify a specific cause of the pain. Several structures in the back, including the joints, discs and connective tissues, may contribute to symptoms.
Recurrent or persistent low back pain is defined as a person presenting with non-specific low back pain that has lasted more than 6 weeks but less than 12 months.
Pilates for persistent low back pain can make a difference in their management.
Our evidence: What are the current guidelines for non-specific low back pain?
“There is a generally accepted approach to the management of back pain of less than 6 weeks’ duration. What has been less clear is how low back pain should be managed in people whose pain and disability has lasted more than 6 weeks. Appropriate management has the potential to reduce the number of people with disabling long-term back pain, and so reduce the personal, social and economic impact of low back pain” Low back pain in adults: early management – NICE guidelines [CG88]
The NICE guideline covers the early treatment and management of persistent or recurrent low back pain:
Consider a group exercise programme, specifically a mind–body or a combination of approaches for people with a specific episode or flare-up of non-15 specific low back pain with or without sciatica.
These recommendations are in very much in line with Pilates rehabilitative exercises.
Ageing and functional ability:
In Britain, as in many developed nations, the populations, including worker populations, are ageing. The studies on functional capability indicate age-related changes in functional capabilities of adults and it is generally agreed that as we age we are not able to perform to the same level as when we were young (Savinainen et al., 2004; Atwood, 2005; Kowalsi-Trakofler et al., 2005; Kenny et al., 2008; Welch et al., 2008). http://www.hse.gov.uk/statistics/
The guidelines recommend a one-to-one supervised exercise programme may be offered if a group programme is not suitable for a particular person. We offer one-on-one sessions.
Our team of Pilates instructors can provide exercise modifications for your ability during your back rehabilitation.
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Spine or back disorders reported to General Practitioners scheme (THOR GP) according to main attributed task THOR-GP, three-year aggregate total 2012 to 2014 Available: https://www.gov.uk/government/collections/taking-part-research-using-taking-part-data