Sit with a lumbar lordosis!

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Did I say lumbar lordosis again?  Forgive me, but this is just as important in sitting as it is when lifting.  The correlation between individuals who sit more than four hours per day and lower back pain has been proven.  And one of the reasons is that these individuals are likely to slouch for the better part of the day.  Those of us with healthy backs can tolerate a slouched posture for 30 or 40 minutes at a time, but not much longer.

Actively sitting with a lordosis means that your own muscles are doing the work.  I cue my patients with my hand at the lower back, pushing them gently forward and up, and at the same time say “get your shoulders tall”.  I then have them maintain this posture for several minutes.    At the beginning, this can be quite tiring.  This is why I often tell the patient who sits most of the day to acquire a “lumbar roll”.  This product is basically a cylinder of spongy material with cloth enclosing it, and a strap that holds it to your chair.  When not able to sit actively with a lordosis, one should rely on it.

Lift with proper form!

The main thing that will provide safe form when it comes to lifting is the idea of maintaining a “lumbar lordosis”.  The region called the lumbar spine starts just above the lowest ribs that you can feel on your back and ends approximately at the top of the buttocks.  When most of us stand, it can be seen that this area is curved (with the concavity facing back) When we simply bend at the waist this curve starts to reverse, which raises the pressure in the discs (the gel-like mass between the vertebral bones).   Placing an object of substantial weight in one’s hands adds to this pressure.  So how do we lift to avoid this?

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Get close to the object with your legs shoulder width, or a bit more, apart. Lower your body while keeping your back relatively straight…you will lose your lordosis only slightly as you go down.  Test the load to see how heavy it is by just picking it up less than an inch.  Now you are ready for the lift itself.  Place the load in your arms comfortably and even before you start to go up, pull it as close to your pelvis and belly as you can. By pushing up using your strong thigh and buttocks muscles and keeping your back as straight as you can, execute the lift.