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Low back pain affects millions of people in the UK, causing severe discomfort, and reduced quality of life. While back pain is not usually serious, it can result in time off work and make even the simplest tasks, like putting on your socks, impossible.
And for most of us, the only practical treatment are painkillers and a bag of frozen peas. And if the back pain shows no sign of clearing up, then a referral to a physiotherapist.
However, a new study from Macquarie University, Australia has revealed a surprisingly simple and effective method for preventing recurring episodes of back pain....
Researchers at Macquarie University's Spinal Pain Research Group conducted a clinical trial involving 701 adults who had recently recovered from a bout of low back pain.
The results, published in The Lancet, showed that participants who followed an individualised walking program combined with physiotherapist-guided education sessions experienced significantly longer periods without back pain recurrence.
Professor Mark Hancock, the study's senior author, reported:
"The intervention group had fewer occurrences of activity limiting pain compared to the control group, and a longer average period before they had a recurrence, with a median of 208 days compared to 112 days."
While the exact mechanisms are not fully understood, Professor Hancock suggests several factors contribute to walking's effectiveness:
Gentle oscillatory movements
Loading and strengthening of spinal structures and muscles
Relaxation and stress relief
Release of endorphins
One of the biggest benefits of walking is that it's accessible to almost everyone
Dr Natasha Pocovi, the study's lead author, emphasised:
"Walking is a low-cost, widely accessible and simple exercise that almost anyone can engage in, regardless of geographic location, age or socio-economic status."
The study also found that the walking program was highly cost-effective, reducing both healthcare seeking behaviour and time taken off work by approximately half.
The study's findings highlight the effectiveness of walking in reducing the recurrence of low back pain.
Participants who followed an individualised walking program combined with physiotherapist-guided education experienced significantly longer periods without back pain recurrence.
Beyond these immediate benefits for back pain, regular walking also offers a wide range of other health advantages that can contribute to overall wellbeing. Here are some of the key additional benefits of incorporating regular walking into your routine:
Cardiovascular Health: The NHS reports that walking can reduce the risk of cardiovascular diseases by up to 35% (NHS, 2021).
Mental Wellbeing: A study published in the British Journal of Sports Medicine found that walking for 30 minutes daily was associated with improved mental health and reduced symptoms of depression (Kelly et al., 2018).
Weight Management: According to Public Health England, regular brisk walking can help maintain a healthy weight and reduce the risk of obesity (PHE, 2020).
Bone Health: The National Osteoporosis Society states that weight-bearing exercises like walking can help maintain bone density and reduce the risk of osteoporosis (NOS, 2022).
Improved Sleep: Research published in the journal Sleep Health suggests that regular walking can improve sleep quality and duration (Kline et al., 2019).
As this research demonstrates, sometimes the simplest solutions can be the most effective. By incorporating regular walks into your routine, you may not only reduce your risk of low back pain recurrence but also improve your overall health and wellbeing.
1. How much walking is recommended?
he study involved individualised programs, but general guidelines suggest aiming for at least 150 minutes of moderate-intensity activity per week, which can include brisk walking.
2. Can walking help if I'm currently experiencing back pain?
Yes, the NHS recommend walking to help ease back pain.
3. How should I start a walking program if I haven't been active?
Start slowly by walking for short durations, such as 10-15 minutes, and gradually increase the time and intensity as your fitness improves. It's essential to wear comfortable, supportive shoes and to choose safe, flat walking routes.
4. What should I do if I experience pain while walking?
If you experience pain while walking, stop and rest. If the pain persists, consult your healthcare provider or physiotherapist for advice. It's important to listen to your body and avoid pushing through severe pain.
5. How does walking compare to other exercises for preventing back pain?
Walking is a low-impact exercise that's accessible to most people, making it a great starting point. It can be combined with other forms of exercise such as stretching, strengthening exercises, and yoga for a more comprehensive approach to preventing back pain.
This article is for general information only and is not intended to treat or diagnose medical conditions. If in doubt please check with your GP first.
References:
Pocovi et al. (2024). Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial. The Lancet. DOI: 10.1016/S0140-6736(24)00755-4
NHS. (2021). Benefits of exercise. https://www.nhs.uk/live-well/exercise/exercise-health-benefits/
Kelly et al. (2018). Walking on sunshine: scoping review of the evidence for walking and mental health. British Journal of Sports Medicine, 52(12), 800-806.
Public Health England. (2020). Health matters: physical activity - prevention and management of long-term conditions. https://www.gov.uk/government/publications/health-matters-physical-activity/health-matters-physical-activity-prevention-and-management-of-long-term-conditions
National Osteoporosis Society. (2022). Exercise and osteoporosis. https://theros.org.uk/information-and-support/looking-after-your-bones/exercise-and-osteoporosis/
Kline et al. (2019). The bidirectional relationship between exercise and sleep: Implications for exercise adherence and sleep improvement. Sleep Health, 5(2), 172-180.