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Six Stretches:
                         To Help Back Pain



www.apmhealth.com
   888.901.PAIN (7246)
Dawn Nehls, PA-C
                                                 Dawn was trained as a physician assistant through the army and has
                                                 done overseas tours in Korea, Kosovo and Iraq. She joined Advanced
                                                 Pain Management in 2006 after working in family practice and
                                                 emergency medicine for eight years.

                                                 Dawn is a registered yoga teacher with experience teaching classes in
                                                 the Sheboygan area.




DISCLAIMER:
This material is presented for informational and educational purposes only. This information does not constitute medical advice and is not
intended to be a substitute for professional medical advice. You should always seek the advice of a physician or other qualified health care
provider before beginning any exercise program. If you experience any pain or difficulty with these exercises, stop and consult your health
care provider. ADVANCED PAIN MANAGEMENT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, THAT THE INFORMATION CONTAINED IN
THESE MATERIALS WILL MEET YOUR NEEDS.




                                      www.apmhealth.com • Six Stretches to Help Back Pain                                           2
Knee to Chest
                                      Seatedthis stretch to align pelvis and stretch
                                        Use Turn:
                                         lower back and rear end muscles. Lie flat on
                                      Start this exercise in a seatedto the sky.with your
                                         your back with toes pointed position Slowly
                                      chest lifted and your back straight. leg up to
                                         bend your right knee and pull your Gently turn
                                         you chest. Wrap your arms around your thigh,
                                      your shoulders and head to one side; this will
                                         knee or shin, and gently pull the knee towards
                                      slowly turn your upper body. Use your chair
                                         your chest. Hold for 20 seconds and slowly
                                      arm, or the outsidestarting position. Repeat
                                         extend the leg to of your knee to help sta-
                                      bilize your position and hold for 10 seconds.
                                         three times each leg.
                                      Slowly twist your body back to starting posi-
                                      tion. Repeat three times on each side.




www.apmhealth.com • Six Stretches to Help Back Pain                              3
Lying Knee Twist
                                      Seated Turn:
                                        Use this movement to stretch the paraspinal
                                        muscles and strengthen the abdominal
                                      Start this exercise in a seated position with your
                                        muscles. Lie on your back with your legs
                                      chest liftedstraight out. Bend the right knee up
                                        extended and your back straight. Gently turn
                                      your shoulders and head side of your body. will
                                        and cross it over the left to one side; this Hold
                                      slowly turn your upper body. Use your chair
                                        in a position that allows you to feel a gentle
                                      arm, or the outside of your knee to help sta-
                                        stretch through the back and buttocks muscles
                                      bilize your position and your core 10 seconds.
                                        for 20 seconds. Tighten hold for muscles and
                                      Slowly twist to center. Repeat three times posi-
                                        rotate back your body back to starting on
                                        each side.
                                      tion. Repeat three times on each side.




www.apmhealth.com • Six Stretches to Help Back Pain                            4
Yoga Cat/Cow
                                        Start this more by kneeling on all fours with
                                        your hands beneath your shoulders and your
                                        knees directly below your hips. Exhale and
                                        gently arch your spine. Inhale, tighten your core
                                        muscles and round your back, like a cat. Move
                                        slowly between movements and hold in each
                                        position for 5-10 seconds. Repeat 10 times.




www.apmhealth.com • Six Stretches to Help Back Pain                             5
Piriformis Seated Stretch
                                      Seated Turn:
                                        This stretch is designed to help lengthen the
                                        piriformis muscle over time. This muscle is
                                      Start this exerciseof sciatica, orposition with your
                                        often the source in a seated radiating leg
                                      chest lifted and your back straight. Gently left
                                        pain. Sitting with a straight back, cross your turn
                                      your over your right leg placing your foot next to
                                        leg shoulders and head to one side; this will
                                      slowlythigh and tuck your right Usein towards
                                        your turn your upper body. leg your chair
                                      arm, or the outside of your knee to on your leg
                                        your buttocks. Place your right arm help sta-
                                      bilize your position and hold fora10 seconds.
                                        as pictured and slowly ease into stretch. Be
                                      Slowly twist your back straight and chest posi-
                                        sure to keep your body back to starting lifted.
                                      tion. Repeat seconds and on each side. three
                                        Hold for 20 three times alternative sides,
                                        times.




www.apmhealth.com • Six Stretches to Help Back Pain                             6
Cobra Stretch
                                      Seated Turn:
                                        This movement is helpful to stretch tight
                                        abdominal muscles and the lower back. Start by
                                      Start this your stomach with your legs extended
                                        lying on exercise in a seated position with your
                                      chest with palmsyour back straight. Gently turn
                                        and lifted and planted on either side of your
                                      your shoulders and head to one side;flat on
                                        head with your forearms and elbows this will
                                      slowly turn your upper body. Use your chair
                                        the ground. Slowly, push your body upwards,
                                      arm,your weight is resting on knee forearms. Be
                                        so or the outside of your your to help sta-
                                      bilize to keep your hips on the ground.seconds.
                                        sure your position and hold for 10 Once
                                      Slowly twist comfortableback to starting posi-
                                        you reach a your body position that gently
                                      tion. Repeat three times on each side. lower
                                        stretches your abdominal muscles and
                                        back, hold for 10 seconds. Slowly return to
                                        starting position and repeat five times. If you
                                        have more flexibility in your lower back, try
                                        straightening your arms.




www.apmhealth.com • Six Stretches to Help Back Pain                           7
Restful Pose
                                      Seated Turn:
                                        A common pose in yoga, the restful child’s
                                        pose can help you relax your body. Position
                                      Start this exercise in a seated position with your
                                        yourself on the floor on hands and knees with
                                      chest lifted and your back straight. Gently turn
                                        your knees just wider than hip distance apart.
                                      your shoulders and head to one side; this will
                                        Turn your toes in to touch and push your hips
                                      slowly turn your upper body. Use your chair
                                        backwards bending your knees. Once you
                                      arm, or a comfortable seated knee to help sta-
                                        reach the outside of your position, extend
                                      bilize your positionfully and allow10 seconds.
                                        your arms forward and hold for your head
                                      Slowly forward into a relaxation position. Hold
                                        to fall twist your body back to starting posi-
                                        this pose for 20 seconds and slowly return
                                      tion. Repeat three times on each side.
                                        to starting position. Repeat three times.
                                        For modification if you have shoulder pain,
                                        place your arms on either side of your body,
                                        extending towards your feet.




www.apmhealth.com • Six Stretches to Help Back Pain                           8
For More Information
                                        If you would like more information about
                                      Seated Turn: Management please call
                                       Advanced Pain
                                        888-901-PAIN (7246) or contact us directly
                                      Start this exercise in a seated position with your
                                        using the “Contact Us” section of our webpage
                                      chest lifted and your back straight. Gently turn
                                        on www.apmhealth.com.
                                      your shoulders and head to one side; this will
                                      slowly turn your upper body. Use your chair
                                        eNewsletter
                                      arm, or the outside of your knee to help sta-
                                      bilize your position and hold for 10 seconds.
                                        To receive other eBooks and updates from
                                      Slowly twist your body back to starting posi-
                                        Advanced Pain Management, visit our website
                                      tion. Repeat three times on each side.
                                        and sign up for our eNewsletter today.




www.apmhealth.com • Six Stretches to Help Back Pain                            9

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6 Stretches To Help Back Pain

  • 1. Six Stretches: To Help Back Pain www.apmhealth.com 888.901.PAIN (7246)
  • 2. Dawn Nehls, PA-C Dawn was trained as a physician assistant through the army and has done overseas tours in Korea, Kosovo and Iraq. She joined Advanced Pain Management in 2006 after working in family practice and emergency medicine for eight years. Dawn is a registered yoga teacher with experience teaching classes in the Sheboygan area. DISCLAIMER: This material is presented for informational and educational purposes only. This information does not constitute medical advice and is not intended to be a substitute for professional medical advice. You should always seek the advice of a physician or other qualified health care provider before beginning any exercise program. If you experience any pain or difficulty with these exercises, stop and consult your health care provider. ADVANCED PAIN MANAGEMENT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, THAT THE INFORMATION CONTAINED IN THESE MATERIALS WILL MEET YOUR NEEDS. www.apmhealth.com • Six Stretches to Help Back Pain 2
  • 3. Knee to Chest Seatedthis stretch to align pelvis and stretch Use Turn: lower back and rear end muscles. Lie flat on Start this exercise in a seatedto the sky.with your your back with toes pointed position Slowly chest lifted and your back straight. leg up to bend your right knee and pull your Gently turn you chest. Wrap your arms around your thigh, your shoulders and head to one side; this will knee or shin, and gently pull the knee towards slowly turn your upper body. Use your chair your chest. Hold for 20 seconds and slowly arm, or the outsidestarting position. Repeat extend the leg to of your knee to help sta- bilize your position and hold for 10 seconds. three times each leg. Slowly twist your body back to starting posi- tion. Repeat three times on each side. www.apmhealth.com • Six Stretches to Help Back Pain 3
  • 4. Lying Knee Twist Seated Turn: Use this movement to stretch the paraspinal muscles and strengthen the abdominal Start this exercise in a seated position with your muscles. Lie on your back with your legs chest liftedstraight out. Bend the right knee up extended and your back straight. Gently turn your shoulders and head side of your body. will and cross it over the left to one side; this Hold slowly turn your upper body. Use your chair in a position that allows you to feel a gentle arm, or the outside of your knee to help sta- stretch through the back and buttocks muscles bilize your position and your core 10 seconds. for 20 seconds. Tighten hold for muscles and Slowly twist to center. Repeat three times posi- rotate back your body back to starting on each side. tion. Repeat three times on each side. www.apmhealth.com • Six Stretches to Help Back Pain 4
  • 5. Yoga Cat/Cow Start this more by kneeling on all fours with your hands beneath your shoulders and your knees directly below your hips. Exhale and gently arch your spine. Inhale, tighten your core muscles and round your back, like a cat. Move slowly between movements and hold in each position for 5-10 seconds. Repeat 10 times. www.apmhealth.com • Six Stretches to Help Back Pain 5
  • 6. Piriformis Seated Stretch Seated Turn: This stretch is designed to help lengthen the piriformis muscle over time. This muscle is Start this exerciseof sciatica, orposition with your often the source in a seated radiating leg chest lifted and your back straight. Gently left pain. Sitting with a straight back, cross your turn your over your right leg placing your foot next to leg shoulders and head to one side; this will slowlythigh and tuck your right Usein towards your turn your upper body. leg your chair arm, or the outside of your knee to on your leg your buttocks. Place your right arm help sta- bilize your position and hold fora10 seconds. as pictured and slowly ease into stretch. Be Slowly twist your back straight and chest posi- sure to keep your body back to starting lifted. tion. Repeat seconds and on each side. three Hold for 20 three times alternative sides, times. www.apmhealth.com • Six Stretches to Help Back Pain 6
  • 7. Cobra Stretch Seated Turn: This movement is helpful to stretch tight abdominal muscles and the lower back. Start by Start this your stomach with your legs extended lying on exercise in a seated position with your chest with palmsyour back straight. Gently turn and lifted and planted on either side of your your shoulders and head to one side;flat on head with your forearms and elbows this will slowly turn your upper body. Use your chair the ground. Slowly, push your body upwards, arm,your weight is resting on knee forearms. Be so or the outside of your your to help sta- bilize to keep your hips on the ground.seconds. sure your position and hold for 10 Once Slowly twist comfortableback to starting posi- you reach a your body position that gently tion. Repeat three times on each side. lower stretches your abdominal muscles and back, hold for 10 seconds. Slowly return to starting position and repeat five times. If you have more flexibility in your lower back, try straightening your arms. www.apmhealth.com • Six Stretches to Help Back Pain 7
  • 8. Restful Pose Seated Turn: A common pose in yoga, the restful child’s pose can help you relax your body. Position Start this exercise in a seated position with your yourself on the floor on hands and knees with chest lifted and your back straight. Gently turn your knees just wider than hip distance apart. your shoulders and head to one side; this will Turn your toes in to touch and push your hips slowly turn your upper body. Use your chair backwards bending your knees. Once you arm, or a comfortable seated knee to help sta- reach the outside of your position, extend bilize your positionfully and allow10 seconds. your arms forward and hold for your head Slowly forward into a relaxation position. Hold to fall twist your body back to starting posi- this pose for 20 seconds and slowly return tion. Repeat three times on each side. to starting position. Repeat three times. For modification if you have shoulder pain, place your arms on either side of your body, extending towards your feet. www.apmhealth.com • Six Stretches to Help Back Pain 8
  • 9. For More Information If you would like more information about Seated Turn: Management please call Advanced Pain 888-901-PAIN (7246) or contact us directly Start this exercise in a seated position with your using the “Contact Us” section of our webpage chest lifted and your back straight. Gently turn on www.apmhealth.com. your shoulders and head to one side; this will slowly turn your upper body. Use your chair eNewsletter arm, or the outside of your knee to help sta- bilize your position and hold for 10 seconds. To receive other eBooks and updates from Slowly twist your body back to starting posi- Advanced Pain Management, visit our website tion. Repeat three times on each side. and sign up for our eNewsletter today. www.apmhealth.com • Six Stretches to Help Back Pain 9