Living    Monday, August 1, 2005

Straighten up for your own good health

Bernadette Sedillos Self
El Paso Times

When "Dr. Mom" nagged you about sitting up straight or not slouching as you walk, she knew what she was talking about.

Good posture isn't simply about looking good; it's as important to the body as exercising and eating a balanced diet, health professionals say.

"If your posture isn't good, it can affect your body in so many ways," said Tessie Moton, an occupational therapist with Rio Vista Outpatient Physical Rehabilitation Center, 1380-A Lomaland.

Posture -- the way in which the body is held when sitting, standing, walking, lifting or even reclining -- is about balanced "body mechanics," Moton said.

And as in a vehicle, when one part isn't working as it should, it stresses other parts and affects the whole car.

Common problems resulting from poor posture include disc degeneration, sciatica, chronic back pain, hip and knee problems, shoulder and neck pain and headaches.

All that from slouching?

Yes, and more, health professionals say.

"Aside from causing back and neck pain, bad posture can affect your balance," Moton said. "It can affect your digestive system -- from squishing your organs together in an unnatural position for long periods of time."

Bad posture can also affect a person's driving, which can be a safety hazard.

Good posture, Moton said, helps the various joints, ligaments, tendons and muscles function smoothly. However, when pressure, pulling or other strain is exerted on the joints or muscles, problems -- and pain -- can develop.

"You know that song, 'The hip bone's connected to the thigh bone ... ?' " Moton asked. "Well, it's all very true. It's like we're one big puzzle, and when one piece of the puzzle is put out of alignment, the rest of the pieces don't fit the way they're supposed to."

Back problems are the No. 2 most-common health ailment reported in the United States. They're surpassed only by the common cold, said physical therapist Harry Koster, owner of Spine & Rehab Specialists, which has several locations in El Paso.

It's estimated that at least 80 percent of Americans will have back problems at some time in their lives.

Among those who know what an aching back feels like is Rob Sifuentes of East El Paso, who still feels the aches and pains of an old injury.

"I hurt my back lifting when I was in my early 20s, and I can feel these pains that come and go," said Sifuentes, now 44. "I can't lift stuff like I used to. I really feel it when I play ball too."

Sifuentes, a maintenance worker at an apartment complex, uses a lumbar support belt when he works. It helps him keep proper posture, especially when lifting or bending.

"My wife tells me I kind of slouch," he said, laughing, and straightening out his shoulders.

Slouching can become habitual, Koster said, because most people are inclined to be a bit lazy with their posture.

"We all have to defy gravity," Koster said. "How much are you fighting gravity? Some of the reasons we slouch are natural posture -- it's kind of easier to just slouch -- and some of it is muscle weakness. Frankly, some of us are just lazy, too."

Body mechanics

The variety of activities that a person performs daily, and the position in which the body is in when the activities occur, is an important part of posture.

For example, the way you sit at work and the way your arms are positioned on your chair or computer while you work can make a huge difference in daily comfort levels.

Even the way you may talk on the phone can affect your body's mechanics. Scrunching your neck to one side while talking on the telephone is a big no-no, yet so many people do it daily, Moton said.

Sitting is one of the positions that can most hurt the back if a person gets in the habit of slouching down in a chair.

"Most people do not sit correctly," Koster said. "When you slouch, you're putting more pressure on the discs in your back, which will push them in a kind of backward direction. You can eventually cause bulging discs or other problems."

The discs to which Koster refers are the pads, or cushions, found between the vertebrae. When the discs bulge or become herniated (pushing far out), they can place pressure on the sciatic nerve, causing back and leg pain and nerve damage.

Maintaining good posture -- standing with the shoulders back and a slight curve in the small of the back -- may feel unnatural at first, but it can become second nature.

"You should always make an effort to put your shoulders back," Moton said. Moton noted that it may take slouchers a few months to reverse their hunching habits.

Moton said that because so many people work in offices today, sitting for long hours, it's important to learn how to sit properly and to have furniture that is ergonomically designed to fit the body more comfortably.

Both Koster and Moton recommend that people use a lumbar-roll pillow when sitting for long periods. Many people don't realize that slumping over in a recliner also can place unnatural pressure on the discs and the hips.

To sit properly, the middle of the back should remain straight while the small of the back should have a slight curve.

Posture can be affected by many factors including weight, a general lack of conditioning of the back and abdominal muscles and, for women, a large chest.

Being overweight also can make it more difficult to stand correctly, exacerbating back pain.

Some studies indicate that poor posture can exacerbate the "hunch back" appearance of people who get osteoporosis.

"If we sit slouchy for all our lives, in the long run, it will come back to haunt you," Moton said. "Posture impacts so many parts and functions of the body and its joints. It will come back to haunt you."

Bernadette Sedillos Self can be reached at bself@elpasotimes.com; 546-6155.

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