Strength training with back problems..help!

I have mild levoscoliosis(spine curves to the left) of the upper back and degenerative disc disease(narrowing) of L4-L5, L-5 S1 discs in my lower back. It bothers me so much at my factory job that I had to be put on tramadol and I usually take either tylenol or ibuprofen in addition to it.It is recommended that I find another job by my doctor. I just returned to working out. The doctor recommended yoga,stretching, and walking. She said I could lift weights but not heavy. I used two machines Wednesday that I believe aggravated my back because I was in worse pain tonight. I had used a ab machine that did a crunching motion that also utilized the spine and I did a lat pull down. Should I just not do exercises that work the back?

Replies

  • passenger79
    passenger79 Posts: 257 Member
    My partner has lots of problems with his back due to his manual job. He was recommended to do mobility exercises first before weights as honestly he struggled to just do a squat with a barbell .We are doing Stronglifts together and he is getting better.

    Some aggravation is to be expected I have no serious back issues but the first time I'll start a new exercise it would be painful after.

    I would definitely say to do back exercises to strengthen your back along with yoga but start slow and maybe get a PT for a session or two to make you program taking in consideration your medical issues?

    I'm sure someone else will reply with good advice on how to utilize weight training to help your back and which exercises to do

  • PikaJoyJoy
    PikaJoyJoy Posts: 280 Member
    I would consult with your doctor or with a physical therapist. There are quite a few ab/core exercises that can aggravate back issues like sit ups and crunches (ab machine definitely included in this).

    As for the lat pulldown - unless you were going too heavy too fast and not properly positioned, I'm not entirely sure how it'd have aggravated your condition.

    Are you following a workout routine that is having you use these machines?

  • Rose18l
    Rose18l Posts: 147 Member
    Lat pull down if done correctly should only activate the lats so shouldn't have that much effect on the spine. If I were you I would see a physical therapist to give you some excersises. As most personal trainers may not know what is best for your back
  • sijomial
    sijomial Posts: 19,809 Member
    My Osteopath describes the ab crunch machine as "the osteopath and chiropractors friend" as it creates so much business for them. He is really dismissive of it and recommends people don't use it at all.

    Surprised lat pull down would aggravate your conditions as it extends (stretches) rather than compresses. Has the correct form been demonstrated to you as I see a lot of people using what is a good machine in poor ways?

    Yes you should do exercises that work your back muscles but you do need professional guidance and more than likely need to start really slow/low and work up progressively over an extended period of time.

  • rich89tor
    rich89tor Posts: 6 Member
    I have deal with back pain by doing all my strength exercises in the pool. My physical therapist recommended me to try pool therapy and I have never felt better.
  • middlehaitch
    middlehaitch Posts: 8,486 Member
    Yoga was recommended, why not give it a go before you dive into lifting.

    I do Iyengar yoga and it really focuses on the back, core strength and mobility.
    I find it complements my lifting too.

    Do find a class or a studio with a yogi that you are comfortable with, as opposed to YouTube yoga.

    I agree with everyone else, a physio would be best for starting strength training. Then you will learn how to strengthen your body without agrivating your back or injuring yourself further.

    Walking with good posture (can't emphasize the posture enough) would be an excellent place to start.

    Cheers, h.
  • h1udd
    h1udd Posts: 623 Member
    I have found most machines have attributed me to back problems/shoulder problems / general injuries. I "think" when I was new to lifting that I didn't have the core or overall strength to handle that sort of weight freely so it was easy to overuse a muscle group/ligament buy hitting too much weight on an isolated movement.

    since moving to free weights, the weight I lift has gone down but my core strength and use of all the supplementary muscles has improved as you need the WHOLE body to lift a weigh not just the muscles being hit.

    even then though I found I would get shoulder issues thanks to overhead presses etc

    then I tried picking up kettle bells instead of the bar bell .... 2 months of using a bell has cured my shoulder issues and my lower back soreness ....... I "guess" this is due to the freemen of movement in allowing the scapula etc to move where it needs to and not lock it in to what the other shoulder is doing

    Consider lighter free weights and kettlebells rather than machines
  • bribucks
    bribucks Posts: 431 Member
    The ab machine is likely what aggravated your back. I have to be careful with my back too for an exercises.

    You will have to learn what sort of movements hurt your back. Is it bending, twisting, or exercises where your lower back isn’t supported? For example, I can do weighted Russian twists fine, but leg lifts put too much strain on my lower back. This might look different for you, however.

    A good place to start is planks, which generally don’t irritate the spine. I also suggest yoga like your doctor said - just don’t push yourself too hard; move slowly and stop when something feels off.

    https://www.spineuniverse.com/wellness/exercise/weight-lifting-back-pain

    http://backpainandpostureclinic.com/weightlifting--bodybuilding--with-back-pain

  • JewRob63
    JewRob63 Posts: 47 Member
    I have been using the HASfit you tube lower back rehab. It has been a great help. Work slowly on and and back strength exercises. Slowly work on these don't go for weight do the exercises slowly.
  • Wheelhouse15
    Wheelhouse15 Posts: 5,575 Member
    Look around for a certified medical exercise specialist or certified kinesiologist as these people are experts in working with your doctor and/or physio to address your specific needs based on your medical condition. I would avoid asking for advice on general forums like this.

    If you are having problems finding one speak with your doctor or physio or contact your local university or college about where their kinesiology grads tend to go when they graduate.

    Good luck to you.
  • Azdak
    Azdak Posts: 8,281 Member
    I have mild levoscoliosis(spine curves to the left) of the upper back and degenerative disc disease(narrowing) of L4-L5, L-5 S1 discs in my lower back. It bothers me so much at my factory job that I had to be put on tramadol and I usually take either tylenol or ibuprofen in addition to it.It is recommended that I find another job by my doctor. I just returned to working out. The doctor recommended yoga,stretching, and walking. She said I could lift weights but not heavy. I used two machines Wednesday that I believe aggravated my back because I was in worse pain tonight. I had used a ab machine that did a crunching motion that also utilized the spine and I did a lat pull down. Should I just not do exercises that work the back?

    No, you should not do crunches or any type of an machine. For now I would avoid any core exercise that puts the back in flexion. Unfortunately it’s been several years since I worked with some with scoliosis, so I don’t have exercises at my fingertips.

    Overall, I would suggest starting out with bands rather than weights or machines. The resistance curve for a band is a little more forgiving.

    You want to choose exercises that promote trunk and core stability. Simple things are: step ups, incline pushups, single arm rows, single arm high rows. Planks are probably ok, but may be too much right now—bird dogs and lighter weight pallof presses might work also.
  • I might be repeating something from above but your back is part of your core. You need a strong core for proper form to work other muscle groups properly. Work on core and mobility strength. See improvements there and the back exercises will improve which will make an overall difference in your workouts of other muscle groups.
  • lorrpb
    lorrpb Posts: 11,463 Member
    I have similar problems. I think you just have to do some trial and error to see what is tolerable. I find that an exercise that aggravates it one day is ok on another day and maybe something different aggravates it that day. I can find no pattern at all. My doctor said my problems were way past what a particular exercise does or doesn't affect, so just do what is comfortable for me.

    Based on what I've read other people on here say, a lot of docs will say don't lift heavy but they don't really know what they're talking about, they're just afraid of it in general. Personally, no doctor has told me that and I've seen many.
  • canadianlbs
    canadianlbs Posts: 5,199 Member
    I have mild levoscoliosis(spine curves to the left) of the upper back

    could be what made the pulldowns a problem for you. i can't comment at all about what would or wouldn't be safe for you, but i do know i spent a little time with one of my thoracic vertebrae out of whack and it definitely did things to anything that i tried to do that involved thoracic extension and using the lats.

    there's also the fact that lats connect to about half of your spine and the top of your pelvis as well. so if your pulling mechanics are wonky due to the scoliosis, it's not completely far-fetched to imagine that having a downstream effect.

    you MAY find it helpful to do a few things to activate and strengthen your lower traps, but i say that only because it turned out that getting stronger there helped me to stabilize my shoulderblades in a better position, which in turn meant that i could pull more 'straight', and so forth. but i'm not a person with the kinds of issues you have, so use caution.