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Practice Extreme Self-care for Long-term Relief of Back Pain

Once you’ve followed the BACKCoach process, learned the reasons your back hurts, addressed the contributing factors, and achieved relief from chronic back pain, the focus then shifts to maintaining your health and getting back to life. You will transition from recovery to a maintenance phase, adding the practice of “Extreme Self-Care”. 

Extreme Self-Care

After understanding the true reasons your back hurts and then addressing them, you may find that you occasionally find yourself in pain again. I like to think of this as the “Weebles” phase of recovery, as in, “Weebles wobble but they don’t fall down” from the old toy commercial.

When this happens, when you begin to feel that the pain is reemerging, when your neck muscles feel tight from the effects of stress building in your body, or when your posture fails and your back aches, you can simply go back to the basics, recollect the risk factors and what made you better, and make self-care a priority. 

You see, when you don’t take care of your body, it will tell you. At first, it may whisper by, for example, giving you an achy feeling at the end of the day. Then, if you don’t listen and you don’t respond, it will speak to you, this time louder: the pain will increase. If you still do not listen, the pain will continue to increase until you change what you are doing and take better care of yourself.

Use the BACKCoach Model of Chronic Back Pain as a guide to what may have slipped over time. Perhaps you are not moving enough, or you are under a lot of stress and not addressing the cause of the stress or its physiological response. Or maybe you have stopped paying attention to your mechanics and are falling into old postural habits. You may not be fueling yourself properly, relying on pseudostressors such as caffeine instead, are overworking, or you’ve stopped applying ergonomic principles.

Or, in some overall sense, you are simply not taking very good care of yourself. If this is the case, shift your focus to practicing extreme self-care. Make your own self-care your primary focus, beginning by asking yourself the following questions. 

What message do you send when you don’t take care of yourself, when you put yourself last? How can you expect your body to respond when you consistently don’t give it what it needs?

Then, assess the ways that you may not be meeting your own needs physically, emotionally, spiritually, and in your relationships.

Instead of looking at pain as something to combat or eliminate, consider it a message from you to you, and then listen. Assess the contributing factors for back pain and fill in any gaps that may have appeared. Then, give an honest, objective look at how well you are taking care of yourself and then find ways to provide yourself with extreme self-care. 

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Copyright ©2015-present, Mary A. Williams/Corporate Health Alliance, LLC/BACKCoach™. All rights reserved.

Strategies for a Healthy Holiday Season

The holidays can be a challenging time to stay healthy. With holiday parties, demands on our time, and treats and desserts everywhere, it can be tempting to give up and wait for that New Years Resolution to get back on track. It doesn’t have to be that way. You can still enjoy your holidays, and even some treats, without having January regrets, by following some simple practices. Make a Plan As with anything you’d like to accomplish, it helps to have a plan. What will your plans for staying healthy be this December? Think through what your upcoming week or day will be like and decide, in advance, what you would like to happen in terms of health behaviors. By making a deliberate plan, you are more likely to choose healthy and feel better. What will your healthy holiday plan be this year? Keep Moving For your overall health, and in particular if you have back pain, it is essential that you find ways to keep moving throughout the holiday season. While you may not be able to keep up your normal routines, you may be able to find ways to fit movement into your holidays. Ask yourself, can you:
  • Walk or ride a bicycle to work? Can you walk part of the way?
  • Take the stairs instead of the elevator?
  • Find ways to take mini fitness breaks and do three callisthenic exercises, such as push-ups, lunges and squats?
  • Awaken 10 minutes early to begin each day with a refreshing morning yoga routine?
  • Take a 20- or 30-minute walk each day? This could be around your neighborhood, a mid-day walk, or even two or three 10-minute walks around your block or building.
What will you do this holiday season to be sure that movement is a part of each day? Give yourself a foundation of balanced nutrition. It is easy to let nutritional habits slip any time of the year, and each year we hear reports of pounds gained during the holiday season. But, it doesn’t have to be. This year, instead of passively letting nutritional habits slide, focus on providing yourself a solid foundation of balanced nutrition by following these three simple tips.
  • Think of each meal as a protein, a complex carbohydrate, and a fruit and/or vegetable. If you stick with this basic formula, it won’t matter as much if you indulge in a cookie here or an eggnog there.
  • Eat three healthy meals or four-to-six smaller meals, whichever works best for you. Schedules and individual preferences can help determine which approach is best for you. Just try not to have more than three full meals, or get into the habit of all-day grazing.
  • Save your splurges until after a meal. You will have less spiking – followed by a sudden drop – of blood sugar and brain chemicals such as serotonin and beta-endorphin if you consume sweets or simple carbs after a balanced meal.
You could try the 90/10 rule, which is simply to consume 90% of your calories as healthy food choices, with 10% splurge foods. This way you still get to enjoy and be a part of the holiday treats, while still feeling good and maintaining your weight. Make time for self-care Between work, family responsibilities and the additional demands of the holidays, meeting your own needs can take a back seat. But it is even more important this time of year to put self-care at the top of your to-do list. Even the little things can make a difference. Take a few minutes today to think about any self-care practices that you would enjoy during the holidays. Maybe it’s taking ten minutes in the morning to relax with a cup of tea, going for a walk with a friend whose company you enjoy, or scheduling a much-needed massage. Some positive aspects of self-care are that there are no rules or criteria to meet, it can take as little as 5 minutes a day, and can vary or be a consistent routine. You get to decide what works best for you. And when you take care of yourself, you are not only benefitting personally, you will also be able to help others more. What self-care activities will you enjoy in the next week? # # #  

Copyright ©2015-present, Mary A. Williams/Corporate Health Alliance, LLC/BACKCoach™. All rights reserved.


Why Regular Movement, not Necessarily “Exercise”, Helps Prevent Back Pain

By Mary Williams
Founder, BACKCoach™
President/CEO, Corporate Health Alliance, LLC

If you were to Google “back pain”, you’d likely come across many articles on the subject of exercise and back pain. You would read that exercise is important to prevent and recover from back pain, and learn about specific exercise programs designed to relieve it. You’d also see posts and articles touting that yoga, swimming, tennis, running, and many other forms of exercise are either great or not so great for back pain.

Unfortunately, as with many reports on this topic, reliance on specific exercise programs is misplaced, and it’s important to understand the underlying mechanism and reasoning behind the general concept of the importance of movement for creating and maintaining a healthy back.

The human body is designed to move regularly, with good postural mechanics, in order to maintain a healthy musculoskeletal system. Your muscles need to regularly contract and relax to maintain their health and elasticity, and to be ready when called upon in your regular everyday activities.

Have you ever heard of a person who, for example, bent over to pick something up and their back “went out”? What actually happened is their muscles were not regularly used enough (they were generally inactive), and became inelastic and either lengthened or shortened due to postural imbalance, and also likely chronically contracted due to life stressors. When they bent over, the muscle was ill prepared for the task and responded by vigorously tightening in a protective response. And tight muscles hurt.

If this same person had instead regularly participated in daily physical activity, with good mechanics, and dealt with life’s stressors in a healthy manner, they would be far less likely to experience the pain of their back “going out”.

While exercise programs are great – and so is yoga, swimming, running, gym workouts, golf, etc. – it’s important for us all to move regularly, daily if possible, using good mechanics. A 30-minute walk, 3-5 times a week, can do as much or more than any other preventative approach for reducing your risk of chronic back pain.

In addition, in contrast to surgery, the overprescribed opoids, and other pain medications currently in use, exercise has no negative side effects and many, many benefits, including:
• Improved overall strength
• Improved flexibility
• Improved balance
• Help maintain weight loss and improving body composition
• Improved mood, self-esteem, and energy
• Improved posture if done with balanced mechanics
• Reduced abdominal fat
• Reduced depression
• Improved cardiovascular health
• Improved blood flow to muscles, including back muscles, which increases oxygen and nutrient delivery to tissues and cells while helping to remove waste products

It is important to participate in an activity that you enjoy, because it’s far more important to regularly engage in some form of movement than it is to participate in any specific exercise or program. You’re much likely to regularly exercise, in the long run, if you find something you enjoy.

Ask yourself, what type of physical activity do you enjoy doing the most? What time of day works best for you? Do you prefer to exercise with a partner? A group? Or, do you prefer to exercise alone? Think about the ideal conditions that would most likely lead to the end result of you having movement in your weekly routine on a regular basis.

If you are regularly active during your daily life, that may be enough physical activity for you to prevent back pain, and you can supplement with a daily walk around your neighborhood or another activity when time permits. However, if you sit for most of the day, it is even more important for you to find an activity that you will regularly enjoy so that you can not only receive the benefits of movement, but also counteract the ill effects of a sedentary lifestyle.

And, again, the most important thing to remember is that your body, and your back, need to move regularly, with good mechanics, to both prevent and recover from back pain.

Copyright © 2017 Mary A. Williams, Corporate Health Alliance, LLC/BACKCoach™. All rights reserved.

Stay Back-Healthy this Holiday Season

snow-sled When it comes to the holidays, it can be difficult to keep up with any health-related progress we may have made during the year. However, while our schedules may vary from predictable routines, we can still stay on track – or at least not get too far off track – during the holidays. Allow me to share some simple tips, based on the three primary contributing factors for back pain.

  1. Movement. While getting to the gym or going out for your regular run may be challenging during the holidays, you can still find time for movement by thinking ahead and making a plan. Keep in mind that, while regular exercise is great for your overall health, it is regular movement of any kind that is important for warding off back pain.
  • Try to keep things simple or substitute a more basic routine for your usual one.
  • Consider using some of your family time to take a walk after dinner, or see if any of your family members would like to sign up for a fun run.
  • With a simple yoga mat, you can begin your day with sun salutations or another basic yoga routine.
  • Fit in strength training in 5-10 minutes with some quick lunges, squats and push-ups, or once a day take the stairs rather than the elevator.
  • If you are used to a full exercise schedule, it’s ok to reduce the amount of activity, but be sure to do something active 3-5 times each week.


Standing is the New Sitting

man standing at adjustable-height desk

There’s nothing like a catchy slogan to succinctly convey a complex concept, and “Sitting is the New Smoking” has done just that. More meaningful than the original “<Blank> is the New Black”, it’s become evident over years of research that the ease of information creation and flow brought about by technology has come at a cost to our overall health.

Prolonged sitting has been associated with pronounced increases in obesity, metabolic syndrome, and death from cardiovascular disease and cancer. Further, early research is showing that even regular exercise does little to counteract the effects of too many hours spent in a chair.

The good news is that there are many ways to make big changes in the amount of time you spend sitting each day, both at work and after hours, leading not only to reducing your health risk, but gaining improvements in creativity, focus, and energy. (more…)