Ask the doctor


No more backpain

Are you sitting up straight?Studies show that walking relieves back pain.
Super—because if you slump, slouch, orBut if your posture is poor, you may be
hunch through the day, you may join the 80taking a step backward instead. Bearing
percent of Americans who will suffer fromweight on one side or hunching as you walk
back pain at some point in their lives.may  cause  you  pain  over  time.
Recent research confirms that what you do
every day can trigger soreness or spasms. SoSherry Brourman, a Los Angeles–based
whether you’re at home Googling for aphysical therapist who specializes in
great deal on Jimmy Choos or sashaying down“gait training,” healed her back
the street in those heels, you can saveproblems by making a habit of walking the
yourself some discomfort by babying yourright way. Her advice: Unlock your knees and
back.  Here’s  how.concentrate on keeping both your ribs and
your pelvis “stacked.” Relax your
1.  Forget  the  salutebuttocks and pull your stomach muscles into a
“soft hold” (no clenching). Your
“Good posture is not standing like afeet should roll from heel to ball. Think
soldier at attention,” says Arthurbalanced, not rigid, and don’t put too
White, MD, a renowned back surgeon and authormuch pressure on your heels. Brourman
of The Posture Prescription. That Generalrecommends practicing four times a day for 5
Patton stance puts pressure on the spine.minutes  until  the  stance  feels  natural.
Instead, White recommends standing in a
relaxed, balanced manner. And you should4.  Lighten  your  load
check your stance throughout the
day—when you’re waiting for aChances are one side of your body does double
latté, say, or an elevator—andduty, from carrying a toddler around to
adjust  as  needed.schlepping your laptop home. And playing
favorites throws off your posture, which can
That’s what Jean Schatz of Wrentham,really strain your muscles, says Daniel
Massachusetts, started doing after severeMazanec, MD, head of spine medicine at the
back pain threatened to end herCleveland  Clinic  Spine  Institute.
dental-hygienist career. “When I
reposition myself, it always feelsThe best solution: Switch shoulders or hips
better,” she says. “I’veperiodically. Duh, right? But breaking this
actually had people tell me that I lookhabit is not always that easy. Try resting
taller.”your purse on your left shoulder on the way
to work, then shifting it to your right
2.  Put  your  feet  firstshoulder on the way home. Also, whatever
you’re carrying, be sure that you keep
High arches, flat feet: These foot problems,it  as  close  to  your  body  as  possible.
among others, can sabotage your posture and
lead to an aching back. Women are5.  Slump  less,  break  more
particularly vulnerable; they suffer from
four times as many foot ailments as men. AndBetween work, Web surfing, and TV watching,
narrow, ill-fitting high heels are enemyyou probably spend most of your day sitting,
number one. But doctors agree thatwhich is murder on your back. Throw poor
custom-made corrective shoe insertsposture into the equation, and look out. A
(orthotics) can improve most of theselandmark Swedish study shows that sitting
troubles. There are even “dress”upright increases the force on the spine by
orthotics for your pumps. “Orthotics140 percent, compared with standing; slump,
can tilt the alignment into balance andand  that  number  rises  to  185  percent.
relieve back stress,” says Robert
Shmerling, MD, a Harvard Medical SchoolRules to sit by: Line up head over shoulders
associate  professor.and shoulders over hips, rest on your
“sitz bones” (the two bones in
They can be expensive, though—$250 toyour rear end), and place feet flat on the
$400—and generally aren’tfloor with legs at a 90-degree angle. And
covered by insurance. But moderation candon’t just sit there; take breaks
help, too. Wear those Choos for meetings andevery 45 to 60 minutes to prevent strain,
parties, but for extensive walking, slip onrecommends Norman J. Kahan, MD, director of
comfortable shoes (heels no higher than 1 1Sports and Occupational Medical Associates in
inches,  or  2  inches  for  wedges).Cupertino, California. He advises getting up
and stretching. Neck rolls, chin tucks, and
3.  Walk  this  waybending back with your hands on your hips can
unkink muscles.



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