Published August 8, 2005

 Sagario: Working is a big pain in the back for many

By
REGISTER STAFF WRITER

Back pain is the most common cause of job-related disability, and a leading contributor to missed work.

That's according to the National Institute of Neurological Disorders and Stroke. The institute also says that annually, Americans spend at least $50 billion on lower back pain.

I've experienced my own share of that billion dollar back-breaking, spine-crunching pain for the past two years, pouring money into chiropractic visits, buying countless bottles of pain relievers and sacrificing cute high-heel shoes for more sensible flats.

Learning how to prevent, and appropriately treat and reduce workers' back pain benefits employees and bosses, who both have the same goal: Productivity.

Todd Schemper , a physical therapist with Work Systems Rehab and Fitness, said one common cause for back pain is the individual experiencing one particular incident, like lifting something heavy, that can trigger a latent back problem.

For others, the cause is not as clear, said Schemper , clinic manager in Des Moines. Sometimes, improper body mechanics, repeated over time, can result in back problems.

That's where stretching programs and proper body mechanics education come in.

Something as simple as taking stretch and rest breaks throughout the day to move your body in different positions can help stave off injury, Schemper said. Standing up and rotating your trunk, reaching your arms overhead and using a wall or pole to help stretch your hips or calves are all quick exercises workers can do.

In factory jobs with a lot of repetitive movement, workers should make it a point to move their bodies in the opposite direction of the work movement so that there's balance, he said. So if you reach to your right all day, also reach to your left.

If you're already dealing with back pain, developing a stronger core - back, pelvis and abdominals - can help to prevent future back problems, Schemper said.

Sometimes, the remedy is in looking at how another part of the body is out of whack, which is causing the back to do more work.

Some jobs, like nursing, put a significant amount of stress on your back.

In fact, back and shoulder injuries are the most common injuries reported among workers at Mercy Medical Center, said Terri Trepp , Mercy's manager of employee health.

The hospital emphasizes back injury prevention with measures like its "no lift policy," which encourages nurses and nurses' aides to use available lifting equipment to move patients.

"We really push prevention," Trepp said.

In response to the growing girth of patients, Mercy has in the past several years purchased several patient lifts that can carry up to 1,000 pounds, said Maureen Allen, work compensation coordinator at Mercy. Other devices like the "Air Pal," an inflatable mattress used to transfer patients from bed to bed, and a gait belt - which gives health-care providers a more secure grip on patients when moving them - also help reduce back injuries.

Workers at Mercy are also encouraged to stay fit and work out their core muscles.

"I don't think people know that the abdominals actually do 90 percent of the stabilization of your back while lifting," Allen said. "If you have weak stomach muscles, you make yourself more prone to back injury."

Walking while maintaining good posture - with your stomach pulled in and shoulders back - is a great, simple and effective way to start strengthening that core, she said.

http://www.mayoclinic.com/ has these additional tips for staying injury-free at work:

• Leave the high-heels at home. Wear low-heeled shoes with nonslip soles instead. That will help reduce the risk of tripping and hurting your back.

• Acknowledge the cues your body is giving you. If you have to sit or stand for a prolonged period of time, change your position often. Every 15 minutes, take 30 seconds to stretch and move around.

• Practice good posture. Periodically rest one foot on a stool or small box if you're going to be standing for a long time. Hold reading material at eye level and don't bend forward to do desk or hand work while standing.

When sitting, pick a chair that supports your back, adjusting it so that your feet are flat on the floor. If the chair doesn't support your lower back, a rolled towel or small pillow can help maintain your spine's natural curve. Remove wallets from your back pockets when you sit to help maintain balance in your lower back.

Back pain can leave you feeling physically drained. It also taxes your mental and emotional state. Continuing some level of activity while recuperating helps prevent additional medical problems that arise from being sedentary, said Schemper , with Work Systems Rehab and Fitness.

Being physically active also acts as a preventive measure. It can aid individuals, in that they don't lose more strength and mobility.

"I think that people need to be patient," he said. "Back pain has shown to relieve itself in a lot of people. It just takes time."

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