Back pain or other chronic aches? Here’s how to garden safely to avoid pain : Shots

Back pain or other chronic aches? Here’s how to garden safely to avoid pain : Shots
To garden without triggering chronic pain like back pain, choose careful positions recommended by a physical therapist.
To garden without triggering chronic pain like back pain, choose careful positions recommended by a physical therapist.

When I look at the economic news: the housing crunch, the high cost of groceries, or the possibility that AI will render my professional skills obsolete – I often come back to the same thought: I should start growing my own vegetables.

Financial savings and fresh produce aside, research shows gardening and spending time in nature has been shown to reduce stress, depression, and anxiety. For people like me who live in cities where community gardens are popular, there’s evidence that gardening helps build a sense of community with neighbors.

And of course, the regular, moderate-intensity exercise of planting, weeding, and pruning can supports general health.

This story was adapted from an edition of NPR Health, a newsletter covering the science of healthy living. To get more stories like this delivered to your in-box, click here to subscribe.

Sounds like a win all around. But there’s a problem. Like about 20% of adults in the U.S., I live with chronic pain, including many with back pain. Mine is in my pelvis and legs, and it can make repetitive bending or crouching very uncomfortable.

Fortunately for me, this spring I’ve been seeing Rebecca Stephenson, a clinical specialist in physical therapy at Newton-Wellesley Hospital in Massachusetts. She has a passion for plants — in her own garden she grows flowers like sedum, coleus, peonies, as well as herbs — and has a lot of ideas about how to modify gardening activities to prevent pain.

She says gardening can benefit people with chronic pain. “You’re exercising, breathing outside in nature and getting good lung expansion. You’re also using your arms and legs in a coordinated way.” Luckily she says, “there is a way to garden so that you don’t hurt yourself and end up in pain afterwards.”

Here are some of Stephenson’s tips for getting your hands in the dirt, without the hurt.

Try sitting with your legs spread out and your back supported with a stadium chair.

Leif Parsons


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Leif Parsons

Pace yourself

Like any physical activity, Stephenson says you can build endurance for gardening, step by step. Don’t overdo it. “It’s happened to me where I’ve gone out for four or five hours, and it’s going to cost me for two weeks.” But her professional training helps her stay grounded. “I come at it from underneath. Instead of going over your limit, I try to come under,” she says.

“What I really recommend is to take your garden project and see how you could split it up into smaller pieces and be very reasonable about the amount of time that you’re physically able to do it. So it might be a half an hour, it might be 15 minutes, it might be an hour, and then take a break, change your body position, do some stretches,” she says.

Embrace ‘functional bracing’

“Sometimes people wear a back brace just for gardening, and that gives them a little bit more of a reminder to be

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Op-Ed: Does physical therapy get the job done for extreme pain?

Op-Ed: Does physical therapy get the job done for extreme pain?

Continual suffering influences 1 in 6 folks in the United States and around the globe, and is the most prevalent bring about of disability. Nevertheless medicine’s desperate tries to address serious soreness sparked the opioid epidemic. And while lots of promising non-opioid therapies exist, some of them recently produced, clients face innumerable boundaries in accessing them.

To overcome the opioid epidemic, it is not plenty of to just lessen how quite a few opioids doctors prescribe. We require to be ready to supply clients evidence-based mostly solutions. Yet for that to come about, we need to also superior have an understanding of the essential character of long-term suffering, which is as considerably an emotion we feel in our minds as it is a physical sensation professional by our system.

Acceptance and commitment remedy and exercising are the two safer and extra effective for chronic discomfort than opioids, which can in fact enhance how a lot those with long-term discomfort damage.

“As a hospice nurse, I sense I have a quite fantastic knowing of suffering management,” stated Jeanne Dietrich-Harrison, whose son died of an opioid overdose past calendar year just after he was approved the prescription drugs for chronic pain that resulted from pancreatitis. “Even with dying people we use a multidimensional approach, not just opioids.”

Sad to say, expert services this kind of as physical and cognitive therapy had been hit tricky by the COVID-19 pandemic, with the closure of numerous ache rehabilitation facilities. And supplied that there are only 74 certified suffering rehab facilities in the whole United States, the need to have and need considerably exceeds the offer of these potent cures even in the most effective of occasions.

Developments that find to defang the emotional and psychological facets of soreness provide a ray of hope for those people who hurt endlessly. On the internet multidisciplinary programs have been shown to be helpful for serious soreness. Other improvements involve telemedicine for harm reduction solutions for patients who are approved opioids enlargement of on the net team therapy and soreness training sessions and higher versatility in dwelling delivery of prescriptions.

A new variety of cognitive remedy referred to as ache reprocessing remedy — which in accordance to researchers teaches people that “the mind actively constructs principal chronic discomfort in the absence of tissue problems and that reappraising the leads to and menace worth of suffering can lower or get rid of it” — led to 52% of back again pain sufferers remaining pain-free of charge, in contrast with just 16% of all those who obtained standard care.

The look for for alternate solutions for long-term ache has started to push the really boundary of what constitutes procedure. In November 2021, the Food and Drug Administration accepted the very first digital actuality system proven in randomized clinical trials to help folks with serious lower back again pain. The system incorporates tactics these kinds of as distraction, leisure, behavior modification and raising bodily consciousness, in day-to-day virtual reality classes above

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