Pain and Exercise

As the research into the relationship between pain and exercise continues, it appears that exercise is universally agreed upon as an important part of the picture to improving symptoms and / or day to day functional capacity. The mechanisms for why exactly exercise helps is still being uncovered but it seemingly goes beyond simply ‘strengthening your core or glutes’ for back pain or ‘activating VMO’ for knee pain etc. In this study the authors found that improving deep and lateral abdominal activation did not improve clinical outcomes for chronic low back pain. ‘It is conceivable that the mechanism of action for this type of treatment (exercise therapy) does not concern trunk muscle function or segmental stabilisation, per se, and instead resides in some other positive influence of the treatment program such as improvements in self-efficacy, coping strategies, catastrophising or fear-avoidance, changes in cortical organisation, or simply a positive therapist-patient interaction / relationship’. This doesn’t mean any old exercise will simply help all conditions. Seek the guidance from an appropriate exercise professional and find something you enjoy. ‘Spine stabilisation exercises in the treatment of chronic low back pain: a good clinical outcome is not associated with improved abdominal muscle function’ Mannion et al, European Spine Journal. 2012 #exercisephysiology #physio #london #kensington #pain #movement #exercise #movementismedicine #gym #body #swimming #cycling #fun #motionislotion

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