Bad backs and SUP

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Tang
Tang
VIC
580 posts
VIC, 580 posts
14 Apr 2010 11:29pm
Evening all,
I've got a crook back and keen to know if others are aware of any core strength training program specially designed for SUP? I've got the web-book from Jon Ham in the US, but it's not focussed on core strength.
I've only been into SUP a couple of months and have hurt it again (after 4.5 years without standing on a board, I'm a bit upset about it) - seems to be the torsion in the sacro-illiac joints from the twist and pull when paddling that affects things. Any advice on back gurus in Vic also appreciated
cheers
MickV
MickV
VIC
188 posts
VIC, 188 posts
15 Apr 2010 12:27am
Have you tried Pilates Tang. It is singularly the best exercise for a bad back that I have found.
Find one that is run by a Physio that can asses your injury.
laceys lane
laceys lane
QLD
19804 posts
QLD, 19804 posts
15 Apr 2010 9:00am
MickV said...

Have you tried Pilates Tang. It is singularly the best exercise for a bad back that I have found.
Find one that is run by a Physio that can asses your injury.


i spoken to a few people and small surf, slow turns with paddle useage seems to give sore lower backs
cheers
shunter
shunter
WA
441 posts
WA, 441 posts
15 Apr 2010 8:29am
Tang,

Not 100% sure what your problem is, however I have had a bad case of sciatica for the last four months that comes and goes.

I have been using a combination of Physio, herbalist and corrective massage and voltarine (when it gets real bad) to help it. I have also used this book "Treat your own Back" by Robin McKenzie which has a good pictorial description of exercise that are used to treat and strengthen your back and core

www.spinalpublications.co.nz or www.backcare4u.com.au

Hope you get better and back on the water soon, back pain sucks....

aussiefreebs
aussiefreebs
VIC
228 posts
VIC, 228 posts
15 Apr 2010 11:08am
Definately don't muck around with back pain, I vouch for the physio run pilates. It certainly isn't the cheapest pilates in town but they will tailor routines and exercises to you and the areas you need to focus on. My work has been all physical in the constuction industry and I have used these things on and off as required for the last 15 years. The key thing is that it is run by a physio, this can't be stressed enough!!!!
OG SUP
OG SUP
VIC
3516 posts
VIC, 3516 posts
15 Apr 2010 2:05pm
Hey Tang,

I am sitting at home at the moment with a serious back issue due to a work injury.

It originally appeared to be a bulging disk however it now appears it is caused by a swollen muscle that is crushing the Femorial and Siatic nerves.

I have previously had a laminectomy for a bulging disk and can say that if you pick the right surgeon then you will have a dream run, I did.

I researched people for 3 months before I had my surgery and used Mr Gary Speck. Cant recomend him enough!

Phill.
PTWoody
PTWoody
VIC
3982 posts
VIC, 3982 posts
15 Apr 2010 2:28pm
I swear my lower back pain is caused by sitting around doing nothing, but helped immeasurably by SUP. But then again, I'm no doctor.
AA
AA
NSW
2167 posts
AA AA
NSW, 2167 posts
15 Apr 2010 3:03pm
MickV said...

Have you tried Pilates Tang. It is singularly the best exercise for a bad back that I have found.
Find one that is run by a Physio that can asses your injury.


Could not agree more Mick!!
My life was plagued with back problems for many years.
I ruptured a disc in my windsurfing days from pumping my way around courses with a massive sail and no wind!

After years of Chiro's, Physio and pain killers I decided to take ownership and control.
A friend suggested Pilates. It changed my life, I swear.
But as a few people have mentioned, there is Pilates and there is the 'not so Pilates'. Do some research. Ask around. The good studios cost more but will get you on track a lot quicker.
Pilates done incorrectly will actually make it WORSE!
So do your research. The good studios get a name and the Physios usually run them or recommend them.

Pilates allowed me to move again and do what I loved- surf and snowboard, pain free!
Then I got hooked on MTB's and actually got fit. Now I don't do anything (pilates not required) except play on my favourite toys, but I do make sure I ride, surf, paddle or swim twice a week no matter what.

As PT said - "I swear my lower back pain is caused by sitting around doing nothing, but helped immeasurably by SUP"

From my experience lying around and sitting still is the worst thing (unless you are recovering from injury). As soon as you can and whenever you can get out and get moving. Swimming is best to start off with but that black line will send you insane in the end

SUP can be OK for bad backs with the right length paddle and on flat water. I have found that surfing definitely puts a lot more twisting strain on my lower back.
If you have a bad back I suggest you tone up your paddling muscles fully before venturing into the surf. That means lots of flat water drills.

The bottom line is that if you are not fit for the sport you are trying, you will hurt yourself.
If you have a back problem Pilates is a winner as it builds up the foundations (core) to a point where you can then launch (slowly) into your favorite activities once fully recuperated.

I hate to see anyone held up by a bad back and believe that just about anyone can get over it with the right mix of rehab (Pilates) and careful choice of activities.
OG SUP
OG SUP
VIC
3516 posts
VIC, 3516 posts
15 Apr 2010 3:35pm
Hey AA,

Until you have an MRI and investigate what is goin on you dont know what the full extent of the issue is.

In my case they swore it was an L4 L5 bugle!

I agree about the dont sit and do nothing. In my case I am currently doing physio to keep up range of motion inc swiss ball and walking daily.

Loose any weight if you can always helps.

Most GPs havent got a clue all they do is treat the symptoms not the root cause.

Phill

MickV
MickV
VIC
188 posts
VIC, 188 posts
15 Apr 2010 4:13pm
OG SUP said...

Hey AA,

Until you have an MRI and investigate what is goin on you dont know what the full extent of the issue is.

In my case they swore it was an L4 L5 bugle!

I agree about the dont sit and do nothing. In my case I am currently doing physio to keep up range of motion inc swiss ball and walking daily.

Loose any weight if you can always helps.

Most GPs havent got a clue all they do is treat the symptoms not the root cause.

Phill



They're nasty those bugle's.
Sorry Phill, couldn't help myself
AA
AA
NSW
2167 posts
AA AA
NSW, 2167 posts
15 Apr 2010 5:52pm
OG SUP said...


Most GPs havent got a clue all they do is treat the symptoms not the root cause.


Yeah Phil, not knowing kills you! Look under EVERY ROCK - there is a solution somewhere. It is just finding the right one for you! Losing weight makes a HUGE difference but not easy to do with beer and pies EVERYWHERE!

My wife is the the medical game and she tells me good GP's are very, VERY hard to find.
In fairness they are often expected to be experts at everything. If you hear of a good one it is worth sharing! Like anything - do your research and watch those bugle's!


surfydad
surfydad
QLD
166 posts
QLD, 166 posts
15 Apr 2010 6:17pm
Check out this machine, www.nubax.com.au.
Tang
Tang
VIC
580 posts
VIC, 580 posts
16 Apr 2010 11:30pm
Gentlemen, that's much appreciated.

I probably should say:
1) I had bad sciatica out of nowhere every 6 months for a couple of years then in April 03 picked up a mal and "click".......had all the tests and had bulges at L2/3, L4/5 and at L5/S1. Until I got the head radiologist to re-examine my CT scans they thought I was fine - the radiographer had missed half of the issues in their report. Then I got an MRI that showed it all.
2) My other half is a GP (a good one apparently, AA and Phill!) so I have a few contacts, and have seen Gary Speck (thanks, Phill) who gave me a 50/50 chance for an op and a string of others who said you're not the one/I can fix you up/won't make any difference/who are you insured with? It was lucky, actually, as she went to uni with that head radiologist.
3) to the tune of "I've been everywhere, man"....I've tried osteos, physios, myos, massage, acupuncture, bowen, reiki, pilates, yoga, shiatsu, to name a few. I did pilates for quite a while (with a number of physios) but found it so mind-numbingly boring.

For any other sufferers, the best thing I did over the past 7 years of this damn thing has been to give away the office job, renovate the house, bodysurf 4-5 times a week and do heaps of yoga. I probably should take more of my own medicine.

AA - what's MTB?
Phill - hope you get better soon - all the chaos in my back has given me a bit of muscle/nerve interactive hell too
Shunter - if your sciatica turns out like mine, look out - hope yours improves
laceyslane - I used to much prefer large waves and big quick turns, but that's all over now...I think the last big hook I did was in April 2003....your implied advice appeals most, I must say.

Sounds like I need to get back into pilates, yoga and flat water for a while. A good mate has a quirky back and he rides very short boards that go with him, so I nabbed a 9'6' Naish hoping it would come with me more too. Looks like I should keep it in the rack for a few months.

Thanks very much, everyone - wishing you all good strong backs for years to come.
cheers
Tang
Chiropaddler
Chiropaddler
VIC
1 posts
VIC, 1 posts
17 Apr 2010 12:56am
Hi Guys and girls
Newbie to the sport of SUP so haven't had much to add to this forum but must say I have learnt a lot in the past few weeks reading it!!! Big thanks to all who post.
Agree with much of what is written above, Pilates (proper Pilates) remains the gold standard of exercise based rehab for spinal issues but like all therapies doesn't fix all things all of the time. Gary Speck has a good rep for being an excellent spinal surgeon.
One message I wanted to post though was a warning about spinal imaging and just what it does and doesn't show.
Imaging eg CT Scans, MRI fMRI etc all have progressed to give good quality images and disc bulges,disc prolapses(where the disc is contacting an adjacent nerve) and other pathology all looks quite nasty sometimes.
BUT!!!!!
If we were to scan 100 people with no back pain and no history of back pain
Approx two thirds of them will show disc bulges
about lots of these people will actually have disc prolapses
ALL WITH NO PAIN

So basically all the imaging needs to be taken with a grain of salt.
IF the imaging matches the clinical presentation (pain,weakness,numbness,loss of reflex etc) then the imaging is relevant.
If not it is a red herring!!

Apologies for adding to the confusion that always exists around spinal pain !!!

If I may make a suggestion Tang, just start with some very gentle short paddles on calm days/flat water and try and build up slowly. Boring and frustrating I know but most rehab is if done properly.

Cheers
blaxx
blaxx
WA
2 posts
WA, 2 posts
17 Apr 2010 12:53am
Core strength exercises are not the way to recover from pain or injury. Proof. Big strong blokes still get back problems. Flexability exercises are not the way to go either. Forget pilates, yoga ect untill you are really free of pain and feeling great .That time will come if you get things straight.

I've had a long adventure with "the" pain, recovery, pain again life of a bad back sufferer. Herniated disc- back spasms - weeks in bed - no surfing for a year ect. (5 years ago now) The one and only way to build true body strength is through correct posture. Strangely very few doctors or clinics teach this but many books are written on the subject and you can even find a tone of great exercise on you tube. I wish I understood what 10 years ago what I do now.

Search the internet and you will easily find them. A good book to start is Pain Free by Pete Egosque but theres heaps of posture realignment stuff on the net. Become familiar with all the simple recovery exercises ie Mckenzie and learn why they work. The majority of the common excecises are designed to put the s curve back into your back and they do work. Also the muscles need to be switched on and theres many ways to do this. If a physio tells you that you must build up certain muscles or muscle groups - believe me- he or she is wrong. You will go down the pain again path.

SUP is seriously heavy work so do not treat it as a rehabilitation exercise.

The most tricky thing in recovery is serching through the miriad of programs that doctors or alternitive quacks will give you - at high cost. Sometimes you give them full faith only to realise later they are not worthy.

Hope this helps - keep riding waves.
Tang
Tang
VIC
580 posts
VIC, 580 posts
17 Apr 2010 11:34am
Thanks Chiropaddler and Blaxx.

I've also heard the imaging issue from several pratitioners - my issue was that my L5/S1 had degenerated that much that there was little of it left, so it was actually quite easy to see the minimal distance. That was backed up by the head radiologist who rewrote the report. I actually received the report late in the week and picked up the scans and took them home. The report said essentially (gross paraphrasing here) that the sorts of prolapses I had were nothing to get too concerned about - that was also my GP-other half's interpretation of the report. So, while I was sore and stiff (not sickly sore) I thought, b$gger it, I may as well go for a surf....or three. And it made me worse. But I was 33 and (hitherto) invincible.

Agree with the gentle paddles, Chiro - that was what I did, building up - but the tractor beam of good small waves got the old juices flowing and I couldn't help myself. I'll have to start off slowly again now.

Blaxx - sounds like you have been to hell and back. The hardest ting is to get good perspectives from others who have been there and beaten it or at least managed the pain/recovery and are back in the water supported by a good program. I've heard posture is critical - the older brother of a good mate was fanatical surfer and now just sails - he had a laminectomy. He swears by Feldenkrais - have you tried that? Or Alexander technique? I'd love to give you a buzz if you're interested and understand more about the options you found worked. Pls let me know. I look onthe web but it is hard to separate the worthy from the not so, and as you say, it is a high cost in time, money and personal faith/motivation.

I also found a book called Explain Pain by the NOI Group in Adelaide was an excellent path to understanding pain and managing it (has a trippy picture of a person on the front, kind of Mambo-Reg-Raglus-ish). A bloke on Lord Howe put me onto it and my other half has it to lend to patients now too.

thanks again
billboard
billboard
QLD
2819 posts
QLD, 2819 posts
17 Apr 2010 1:45pm
From someone who has a lower spinal injury I cannot stress enough that your first course of action is to find out exactly what is wrong with your back. Get your GP to refer you to a good neurosurgeon and take along your xrays and mri's and get their advice and guidance. If they are a good surgeon then it is likely that they will forward you to a good physio and possibly put you on some sort of medication to assist your recovery/treatment. I have an exceptional neurosurgeon who takes care of me and she will not operate until I have no other option. Sup has pretty much kept me off the operating table for over 2 years and with the exception of a couple of small setbacks all is still going well and I am now even back riding a surfboard. This has only been possible with the help from a very good gp/surgeon/physio.
I reckon 80% of the population have a "bad back" but there are bad backs and there are spinal injuries/degeneration - find out what you have and just take things slowly with the sup until you know where you stand. Surfing is great fun and it really is a way of life to a lot of us BUT at the end of the day walking and providing for your family is more important.
GizzieNZ
GizzieNZ
4103 posts
4103 posts
17 Apr 2010 5:45pm
Last night I had a really bad strained muscle on one side of my back so slept flat on my back (am ancient was picking kiwifuit) then went for sup surf this morning.
Could feel my complaining muscles as I paddled out & at first there was some discomfort as I was paddling for a wave....but then after about three quarters of an hour was totally healed & supple.
Thanks Doctor Sup!!! (but haven't got any actual physical disabilities). These days if I have got back twinges I know that an hour of relaxed paddling would hit the spot
LizGuilhaus
LizGuilhaus
SA
40 posts
SA, 40 posts
18 Apr 2010 1:30am
HI Tang
Lots of pros and cons here for you, and all v relevant as people are turning to SUP for core strength and fitness.
I've been paddling for a year but have been a Clinical Pilates instructor for over 12yrs, the first 8 with physios in a chronic pain clinic and also sports med, so had athletes want as quick as possible fixes! The last 5yrs I've had my own business and recommend /use The NOI groups "Explain Pain" techniques all the time. My best diagnostic tool was realtime ultra sound to actually see and show the clients what their core stabilizers as they are performing the exs. I also use a combination of Feldenkrais, Pilates and a relatively new method from Switzerland called Franklin method. It's brilliant and you have the best practitioner in all of Aus there in Richmond. Bruce Hildebrand at Body Control Pilates is an ex footballer, strength and conditioning coach for the males in Aussie ballet and the best biomechanics guru I've come across in a long time. We worked on shoulder stability and strength last time he was here and not only has my endurance and power in SUP improved, my clients are amazed at how accessible it is and the immediate results mean that not only is the pain significantly reduced but it also gives a positive parameter for them to build on.
'Core strength' is bandied about a lot these days and to be certified in Clinical Pilates takes at least 3yrs, not 10training sess as part of a fitness course. In the states you need to be a physical therapist to practice at a clinical lvl. The good practitioners here have been trained by Polestar, have a human mvt degree, physios that actually practice it for themselves, and have at least 5yrs experience.
If yr ever in Adelaide yr welcome to visit me but Bruce Hildebrand is my recommendation in Melbourne. Good luck.:)
Shoki
Shoki
WA
22 posts
WA, 22 posts
18 Apr 2010 12:36pm
HI Guys,

I have suffered with a bad back for the last 10 years - I reckon it all stemmed from a bad knee which I had 6 Ops on, all that favouring one side took its toll !!

The back eventually needed surgery - or rather I went for it thinking it would be a miracle cure - needless to say it was not !

Anyway I have got back into surfing for the last 3 years and now SUP surf - its better than popping up all the time from prone surfing. After some sessions the back feels better for getting wet but sometimes I wake up in a bad way - might be my crap bed which we are finally changing..... I have physio on a regular basis and he's great - keeps me moving and keeps me optimistic .....he's a surfer too....

I've asked a few guys on the forum for technique advice etc and I reckon stopping your stroke level with your feet is good and also bend from your knees keeping you back straighter. I have got to practice this more as I get lazy and too excited for the wave....

Also I reckon that bending / twisting is bad- look in a mirror and practice your stroke - if you bend and twist its awful if you have a bad back- but hey its sooooo difficult when all you are trying to do is paddle fast to catch a wave

My motto - keep moving and do what you love - even when I have back pain a good surf keeps me happy....

all the best

Rob
blaxx
blaxx
WA
2 posts
WA, 2 posts
19 Apr 2010 1:14am
I believe most of the posture techniques are good. Alexander, Feldenkreas ect but I would advise to stay away from those that put the mindpower near the forefront. Most of us are just to scepitcal or cynical to do that mind power stuff (I am anyway). I would also steer clear of anything that is physically demanding as we need to use a program that fits in with work, family and recreations (a phycally demanding lifestyle). Not only untill you feel fine but for the rest of your life. Classic example is how many people (medicle practitioners included) will tell you to swim laps. Try doing laps 3 days a week and working 40 hours a week in a physically demanding job. Then surf 10 times a month, go to yoga classes ect - forget it. You will only let yourself down.

I have also moved away from class type excercise as they seem to incorperate too much strength work. Classic is Iyenga yoga classes. Man those teachers love to see you push yourself hard. They sit around all day (while I'm working) and come for an hour to let me pay to do 400 downward dogs. Slight exaguration but you get the drift. On top of that you try to keep up with your class mates who are great at being fit.

80% of the exercises I do are on the floor or against a wall. The most complicated mechanical device is a chair and no lifting is required. This isn't to say the exercises are a walk in the park but there's minimal sweat required. Leave the sweat and strain for more interesting activies like surfing. I keep a brief diary wich keeps me honest and it records times, excersises and how I feel. The exersises are a mash of those found in these books -

Pain Fee by Pete Egosque,

Muscular retraining for pain free living by Craig Williamson,

The yoga back book by Stella Weller,

Light on yoga by B K S Iyengar.

You tube - Fittoyou personal trainer Sciatica exercise video by fittoyou1

You tube - How to save money and recover faster from disc-related injuries part 1,2 and 3 . by DrGeorgeBest. His advice on frequecy of excersises will explain why home based (do them yourself) excercises are the key.

To sum it up I believe the Egosque book is of the most help and do it yourself homebased excercise (combined with nutrition) is necessary for good spinal health.

Good physical health leads to good mental health -

Any questions feel free to ask or ask me to contact you. Hope this helps. Keep surfing. blaxx

XXL hazza
XXL hazza
NSW
78 posts
NSW, 78 posts
19 Apr 2010 7:29am
With a crook back for over 7 years ,and MRI showing disk at L5/S1 does not exist anymore.Numbness to the feet and weakness to both legs day in day out.
I have tried Physios and its only a temporary relieve.
My doctors have told me surgery is the only solution.BUGGER that...
I still work hard (structural steel builder) and surf heaps and also paddle flat water and starting at surf .I have found that if you take a antiinflammatory the night before and a pain killer the morning before the surf you will feel fine for a couple of hours.
I'm not trying to tell you that is the solution to your problems ,just suggesting so you can have some water time with out pain.
Surgery is the only way to fix a bad problem or you can put up with the pain for the next 10 years and it will fuse it's self.

XXL Hazza
Towny
Towny
NSW
903 posts
NSW, 903 posts
19 Apr 2010 9:21pm
chek australia,Go see Jan Carton she'l sort your out,she is on the goldy www.chekaustralia.com.au
Piros
Piros
QLD
7303 posts
QLD, 7303 posts
20 Apr 2010 1:06pm
This makes my back ake just watching it , check out the core strength in these girls amazing.

Started my first one on one pilates class last night....very hard but I can already feel some relief in my back

(Pinched this from GizzieNZ)

teatrea
teatrea
QLD
4177 posts
QLD, 4177 posts
20 Apr 2010 2:09pm
Thats Crazy Piros , all i can say about backs is explore every option before you go under the knife , beacause once you have it will never be the same.
Tang
Tang
VIC
580 posts
VIC, 580 posts
20 Apr 2010 10:27pm
That's great, everyone - thank you.

surfydad said...

Check out this machine, www.nubax.com.au.


Surfydad - the nubax machine looks good, and I was especially stoked that the bloke had used it to overcome a surfing injury and was back surfing again, but I must confess to outright scepticism of anything on Today Tonight. I wonder has anyone used one and had good results? The theory makes sense and the Uni of WA connection does add a degree of authenticity.

billboard said...

BUT at the end of the day walking and providing for your family is more important.


Billboard, I agree - that's why it's taken me over 4 years to try SUP - the kids are now big enough that I don't have to pick them up all the time. My issue now is that if I don't do some form of surfing soon they will have a clinically insane father to deal with.

GizzieNZ - lucky you.

LizGuilhaus - great advice, thanks. I will be in Adelaide from the 20-24 Sept at the National Coastal Conference and will send you a separate email and come and see you for sure!

Shoki/Rob - agree re the twist etc - my back makes me paddle straight and no bending over or twisting, though paddling for a wave can be distraction!

Blaxx - thanks, and it sounds like you should write a book yourself! I would really appreciate a chat and will send you a separate email. I find the hard part is having the full-on job, young kids and trying to sort through the myriad options to settle on a routine that works.

XXL Hazza, mate it sounds like you're near the bottom, but after reading some of the other posts I wonder if there isn't a bit of light there? I'm in no way an advocate of surgery, but is there a chance it's a last resort? Notwithstanding Teatree's last comment, a good mate of mine has been telling me to get it done (of course he doesn't understand the millions of variations in the ideal back for operating on) as one of his mates had great success with a lower fusion and is back in the water etc. Just wondering......with the right surgeon, as other posts say? Whatever your decision with it, all the best.

Towny - thanks, Chek looks good

Piros - Ouch. Ouch. Ouch. Good luck with the one on one - it's much better than a class. You'll be the Ross brother before you know it, and when you do, can you You Tube it so we can watch?

Teatree - sagely advice indeed

That's just great, everyone, I'm stoked for the response. Keep the good ideas rolling.
cheers
Tang
Deisel
Deisel
13 posts
13 posts
21 Apr 2010 3:57am
Tang,

I have been surfing many years in Hawaii on all types of boards but when I got my SUP. I hurt my lower back. It is very tough on your body when you are learning and trying to catch waves. You end up in very unnatural positions that comprimise your back. I found Dr. Jolie Bookspan on the internet and followed her advice. It healed my back really quickly.

Some key points.

1-Don't do any forward bending where you round your back, especially in yoga class (Downward Dog is allright but don't round your back or try to grab your feet)

2-Stretch your hip everyday, all day with lunges. A tight hip from sitting is what pulls your back out.

3-Do upward bending like the Superman exersizes every day, maybe when you watch TV. This helps to push the disc back in and stretch the other way because when we sit all day we are stretching forward all day.

Trust me. It works. Look her up on the internet and read the books or just follow the free info on her website. You should feel a difference in a few weeks of doing this. Just wanted to let you know my experience and hope it helps. I surf SUP almost everyday now with no pain at all in my back. Aloha from Oahu.
goatman
goatman
NSW
2151 posts
NSW, 2151 posts
21 Apr 2010 12:27pm
Invaluable stuff guys! I have had a minor back thing for a while now as well.

Diesel, I just checked out Dr. Jolie Bookspan and have downloaded all the info - describes me to a tee - thanks!
Tang
Tang
VIC
580 posts
VIC, 580 posts
26 Apr 2010 10:13pm
Hey thanks Diesel - looks great - I'll download it too. Enjoy that warm water!
cheers
Tang
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