Alter Your Activities

Prolonged bed rest is usually not advised. Bed rest can weaken muscles and slow recovery. In most cases, your doctor will recommend that you continue normal activities as much as is tolerated. Stay active within the limits of your pain and avoid activities that worsen the pain.

Guidelines for activity include:

• Avoid excessive, prolonged, or forceful bending or twisting of your back.
• Do not lift heavy objects. Learn the proper way to lift even light objects, using your knees rather than your back for leverage. If necessary, have a physical therapist or ergonomic specialist teach you proper body mechanics for daily activities.
• When lifting, squat down next to the object, hold the object close to your chest, maintain a straight back, and use your leg muscles to slowly rise.
• Plan ahead and ask for assistance with lifting or moving heavy objects.
• Avoid sitting for long periods. When you do sit, choose seats with good lumbar support. You may be able to use a standing desk at intervals to help avoid prolonged sitting.
• Avoid standing for long periods as well. If you need to stand, place a low footstool in front of you and alternate placing each foot on it for a period of time. This will take some of the load off your back.
• Consider job retraining if your work requires a lot of heavy lifting or sitting. Ask whether your company has someone who specializes in helping redesign the workplace for the restrictions an individual with back pain requires.

Practice Good Posture

Poor posture and slouching can put more pressure on your lower back. Stand and sit straight, and avoid sitting up in bed.

Follow a Home Exercise Program

Exercises to stretch and strengthen the back and stomach muscles should be done regularly. You may also want to include balance exercises that work the trunk muscles.

A low-impact aerobic program will further improve your physical fitness and help you maintain a healthy weight. Choose exercises that you enjoy and that you can do on a routine basis. Activities that are back-friendly include walking, swimming, or biking. Exercise also can help you manage stress. Check with your doctor before starting any exercise program. The 2008 USDA Physical Activity Guidelines Advisory Committee Report recommends at minimum 2 hours and 30 minutes a week of moderate aerobic activity, and strengthening exercises at least 2 days a week.

Lose Weight If Needed

Maintenance of good weight is important for your overall health. While scientific evidence is inconclusive as to how much obesity contributes to back pain in general, extra pounds can increase pressure on the spinal muscles and discs. Follow the dietary and exercise plan recommended by your doctor. To lose weight, you have to consume fewer calories than you expend. To maintain a healthy weight, eat an equal number of calories to those you expend. Even more exercise than minimum recommendations may be required to lose weight.

If You Smoke, Quit

Smoking may contribute to degeneration of the discs in the spine. Also, smokers risk possible re-injury to the back during a coughing attack. Smoking can adversely affect healing if you are having back surgery. To heal properly, you should quit smoking at least 2 weeks before a spinal fusion procedure and stay tobacco-free for 6 months afterwards.

Manage Stress

Stress can increase muscle tension. Take time out to relax, exercise, and practice relaxation techniques. If you need support or assistance in reducing stress, you may want to try some of the following techniques:

• Cognitive-behavioral therapy
• Counseling
• Stress management classes
• Relaxation techniques
• Breathing exercises
• Meditation
• Yoga

Modify Your Environment

Certain changes to your workspace, attire, and home can reduce the stress on your back:

• Avoid wearing high-heeled shoes.
• If you sit for long periods of time, use a stool to bring your knees above your hips.
• Avoid having objects, such as a wallet, in your back pocket while sitting.
• Use a lumbar support pillow when sitting or driving.
• Sleep on a firm mattress.
• Avoid sleeping on your stomach.
• Sleep on your side or on your back with a wedge or pillow under the lower part of your legs.
• Find a mattress that suits your body and how you sleep. Everyone is different, so it may take time to find one that works for you.

While some people think that using shoe inserts will prevent back pain, so far there's not a lot of evidence to support this.