Network Magazine Summer 2018 | Page 23

CEC ARTICLE 1 OF 5 ARTICLES INJURY & REHAB OVERLOOKED CAUSES OF LOWER BACK PAIN Lower back pain may be an incredibly common complaint, but its causes are not always obvious ones, writes corrective exercise expert Justin Price. any health and fitness professionals take a symptomatic approach to helping their clients alleviate lower back pain. While this strategy may prove helpful in the short term, a more complete and long term solution lies in understanding and addressing the underlying causes of this problem. In this article you will learn about two of the most overlooked causes of lower back pain and what you can do within your scope of practice as a fitness professional to help your clients so they can get back to exercising without pain or movement limitations. M 1 A forward head The average weight of a human head is between 4.5 to 5 kilograms, and its position directly affects the alignment of the entire body. When the head is forward of the body, all the structures below it, including the lower back, must adapt to maintain balance and keep the body upright. For every inch forward of its optimal alignment that it sits, the weight of the head effectively doubles, placing additional stress on the lower back (Eriksen 2004; Louw 2007). The lower back is particularly susceptible to issues caused by a forward head position because it has a natural lordotic curve that is perfectly designed to arch backwards and help pull the torso and head upright. However, when the head is forward of its optimal alignment, the lower back arches more than normal to help support the weight of the head (see Figure 1). Over time, this can lead to excessive wear, tear, stress and strain to the lower back, causing pain and dysfunction. NETWORK SUMMER 2018 | 23