David Lloyd

Myth Number 1

I have hurt my back so need to rest in bed until it gets better

Some bed rest may be indicated in the first day or so after the onset of back pain, but too much rest can actually make things worse. It is advisable to start some activity as soon as possible to increase strength and flexibility around the spine and to get the blood circulating which assist the overall healing process. Your doctor or physiotherapist can advise you on the most appropriate activities.

Myth Number 2

An X-ray, CT scan or MRi are the only ways to diagnose back pain

These scanning methods are useful for detecting disc or nerve root abnormalities, however, there are cases where abnormalities on scan are detected and the patient has no symptoms and vice versa. A good physical examination and history taking  from a physiotherapist should be able to identify the most likely causal factors.

Myth Number 3

Sitting up straight at all times is better than slouching

Slouching in general is not a good posture for the body, however, sitting up straight for too long is not always feasible and can be uncomfortable. Not good for low back pain! If for example you find yourself sitting at a desk for long periods, try changing positions regularly by standing up and going for a walk every so often.

Myth Number 4

I am in pain with my back, so I must have injured it somehow

Back pain can often be due to strain of the muscles that tightly surround the spine after certain movements, but it may also result from disc or bone degeneration (wear and tear), diseases, infections and some inherited conditions.

Myth Number 5

Bending over to lift a heavy box can cause a disc to just ‘slip out’

A ‘slipped disc’ is a disc that has herniated and a tear within it has allowed the inner contents to protrude beyond the normal perimeter. It may be the case that this activity may have contributed to the problem, but the ‘slipped disc’ itself will have been the result of repeated poor movements and postures over time. Picking up that heavy box or putting the dirty washing in the machine may just have been the final straw!

Claudia Grant, Physiotherapist DLL Watford Bushey