The Top Lordosis Exercise
What IS Lordosis?
Lordosis refers to the inward curve of the spine. Both the lumbar and cervical regions of the spine have “lordotic” curves. It can also be referred to as “extension” of the curve.
How much lordosis is normal?
According to orthopedic physical therapy text books, the normal curve in the lumbar spine should be approx. 30-35 degrees while standing during postural evaluation.
Reduced curves in the lumbar spine can cause increased pressure on discs, which too much lordosis increases pressure on the facet joints in the spine.
Lordosis and Pelvic Tilt: The Link To Back Pain
The degree of tilt in the pelvis has a direct influence on the curvature of the spine. If you imagines your pelvis as a bucket of water, and it was tipped forward so that you were pouring water on your toes, this would be referred to as anterior pelvic tilt. This tilt is correlated with an increase in lumbar spine lordosis. The opposite tilt, called posterior pelvic tilt, reduces the lordosis in the spine.
How To Correct Excessive Spinal Lordosis
The correction protocol for too much lumbar lordosis first starts with understanding which muscles can affect this position. Since excessive anterior pelvic tilt is directly correlated with increased lordosis, the same muscles must be addressed. Lordosis exercises must be selected based on the muscle imbalances present.
Supine Hip Extension
Lay on your back with your feet about 12 inches from your butt
Keep your feet flat on the floor and emphasize lifting through your heels
Squeeze your glutes and perform a SLIGHT posterior pelvic tilt (to lightly flatten your lower back)
As you continue to increase the tension in your glutes, lift your hips up toward the sky
ONLY go as high as you can get a full glute squeeze. Going too far up usually results in the movement “flowing into your lower back”
Hold for a count of 10 seconds, then return back to the starting position.
Repeat for 10 repetitions.
Getting good at this movement will go a LONG way towards reducing excessive lumbar lordosis!
By the way, this is only a small sample of many corrective exercises you will find in my DVD set “End Your Back Pain Now!”. Click Here To Learn More!
–Sam Visnic
Ice vs. Heat, whats better for lower back pain?
The age old question, ice or heat?
Each of these therapeutic modalities has good benefits, but here are my rules for each:
Ice:
Ice is really good for acute injuries or inflammation. Ice serves to constrict blood vessels, therefore cut off inflammation. For example, if you just sprained an ankle, or twisted a knee, and it is in the initial stages of inflammation. In terms of using ice for your lower back, the only time I have seen it work well is for strains. So, for example if you lift too much and you feel like your back is starting to tighten up, and gets an achy, burning type of sensation, not really pain, but just tightness.
Heat:
Heat is my favorite choice for chronic pain. Once you are out of the inflammatory phase, most back pain is caused by a lack of blood flow, generally referred to as “ischemia”. Application of heat pads, or packs, causes dilation of blood vessels. This is an ideal therapeutic intervention for aching lower back pain It is also an excellent modality to use just prior to corrective stretching or exercises. muscles.
How often should you do back exercises?
When considering how often you should perform exercises when you have back pain, there are a number of things to consider:
1. Should you even be doing exercises at all?? How much pain are you in?
When evaluating pain, I use a visual analog scale (VAS). For example, on a 1 to 10, with 1 being “not much pain at all, and a 10 being “worst pain I have ever felt”. Exercises are generally appropriate when you are a 6 or lower. Anything above, rest, relaxation, and even massage therapy is acceptable.
2. What kind of exercise program are we talking about?
Exercises based on your unique muscle imbalances are usually targeted at your weaknesses, as in my DVD program “End Your Back Pain Now!”, and rarely involve the actual muscles that hurt, those can be done more frequently. Doing exercises that directly target painful exercises are not a good idea unless you are being supervised by an expert.
3. What intensity level are the exercises being performed at? (Probably the MOST important factor!!)
I see a range of back pain sufferers in my clinic, from average joe and jane, to weekend warriors, to elite athletes. It may surprise you to know that when high level athletes see me for back pain, I give them deadlifts, pullups, and other full body movements to get rid of their pain. Why? They are usually much more coordinated that the average person, and are used to higher levels of physical exertion. Using this approach helps them get better faster.
The more intense the exercises are, the less often they should be performed. For example, if an advanced athlete needs to deadlift, I usually only allow them to do so 1x every 5-6 days. However, if the weight is very light, I have been known to allow 3x per week, but only for a short period of time.
The lower the intensity of the exercise, such as a Swiss ball reverse back extension (a butt exercise), may be done daily, if no significant soreness results from doing it, and pain levels are monitored.
Pretty much the same goes for light pelvic tilting, and other exercises that target postural muscle fibers. However, as mentioned, caution must be taken to ensure that fatiguing the targeted muscle group does not “destabilize” the lower back or sacro-iliac joints, and cause pain.
Testimonials
"If you've endured back pain issues, the helplessness, the frustration, the trips to the chiropractor, the osteopath, the recommendations for MRIs, the counter non-recommendations for the MRIs, the $1K+ bills, etc., etc. etc., If you're like me and you reached a point in your life where you declared, "there's got to be a better way!" then get Sam's educational DVDs and go the DIY route to taking control of your back issues. Thanks Sam." --Chris Wilson
“Sam, I just wanted to tell you how impressed I am with your knowledge and ability as a healer. You are the only person I have seen who been able to get my back out of pain and keep it out of pain. After 28 years of practicing dentistry I thought that I would have to suffer the rest of my life with moderate to severe back pain. I came to you years ago in terrible back pain you relieved that and with regular preventive visits have kept me out of pain. I am also thankful for your nutritional knowledge. After suffering from terrible intestinal pain and all the tests you fixed it by a simple dietary supplement. “Doctor” refers to a healer and even though you don’t have the title you are one in my book. Many, Many Thanks!” --John Shafer, DDS
"Having someone like Sam to refer my patients to who is as comprehensive, brilliant and caring as he is makes my job so much easier!! I feel assured that my patients are in good hands and are going to get the results they so desperately want. I highly recommend Sam to anyone who is looking to resolve their back pain easily and effectively!” -Dr. Holly Lucille N.D., R.N.