Why We Have Low Back Pain

In this NPR story about back pain, some old myths about back pain persist - the biggest one is that strong abdominals will help relieve back pain. I understand the opinion that the shape of one's spine (a "J" spine, as compared to an "S" spine) may be why some indigenous cultures don't have back pain, but too much is missing from this discussion.

Back pain is a functional adaptation to stress caused by chronically contracted muscles that will not release.

The answer to back pain is simpler than people realize: for the majority of back pain sufferers, back pain slowly develops over time due to what they do repeatedly in their daily life. Whatever you do consistently becomes a habit in your central nervous system, brain, muscles and movement. The inability to sense what you are doing and why - and choose to change it in the moment - results in a  loss of control over one's muscles, movement, and for many suffering from pain, their lives. Efficient, easy, effortless movement and personal freedom go by the wayside.

Thomas Hanna, Ph.D, author of the book, Somaticsputs it this way:

....the almost epidemic prevalence of pain in the lower back is not specifically a medical problem. that is, it is not a condition of break down of some kind, a disease process...it is actually something that is in some sense a kind of psychological, or emotional process. The prevalence of back pain has everything to do with the kind of lives that we live and the kind of society in which we live. Now if I were to try and put a finger on the most general pathology of urban industrial society...I would say that the pathology is that of proprioceptive illiteracy. Most human beings grow up losing the ability to perceive internal events in their own bodies.

He describes the Green Light Reflex (the Landau Response), a reflex that is invoked automatically every time there is a "call to action - " an urgent  Tanzanian-Trip-3-474deadline, or the need to rush to get somewhere. The brain contracts the  muscles of the back to move the body forward. Reflexes are neutral, helpful and often life-saving. Yet if you live in a society where this reflex is evoked thousands of times a day your brain gradually habituates to the reflex to the point where you can no longer - voluntarily - relax, nor control your back muscles. The back muscles (as well as gluteal muscles, hamstrings, shoulder muscles) can become rigidly and painfully contracted.

Indigenous people have different stresses from those in industrialized western culture, but what they have to a greater extent than us is movement. They move more than they sit; they move slowly, they differentiate their movement, they squat, and, as they walk, their pelvises move. Their pace of life is slower. It is not a "are we there yet?" culture.

Try this somatic exercise for relief of your back pain.

If a group of indigenous people were to sit in front of a computer for 40+ hours a week, drive cars in rush hour traffic, drastically reduce their movement (except the occasional workout), or be subjected to technology that demand constant attention, they would likely develop back pain. It is their environment, their lifestyle, and their attitude toward life (rather than their spines) have more to do with why they suffer less from back pain than most western societies.

We adapt to our environment for better or worse. If you want the perks that come with our stressful western industrialized society you would do well to incorporate the wisdom of movement and awareness of indigenous cultures.