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Yoga vs. Physiotherapy

Yoga vs. Physiotherapy: Which is Better for Lower Back Pain?

Most people will suffer from lower back pain at some point in their lives. It can make even the simplest things like sitting, standing, or walking very uncomfortable. As we age, the discs in our spine begin to lose some of their cushioning. This can result in issues such as herniated discs, which can bring about pain, tingling, and even muscle weakness if not addressed appropriately.

There are so many ways to treat back pain. Some just take pain medications such as ibuprofen or take a day or two of bed rest. Some take more powerful medications, including muscle relaxants, or ask their physician for advice. However, many are searching for safer ways to manage long-term pain.

For more chronic cases, people try physiotherapy, acupuncture, or yoga in an effort to reduce their pain. According to the National Institutes of Health (NIH), around 80% of adults will experience lower back pain at some point. For most people, the pain doesn’t last long, yet for others, it becomes chronic and lasts more than 12 weeks despite any treatment of its cause.

There are various methods of dealing with lower back pain, which range from strengthening muscles through exercise, physical therapy, and medication for pain. Therefore, many resort to other forms of therapy, like yoga. The NIH even states there’s enough evidence to support that yoga can help reduce chronic back pain in the short and long term. But is yoga better than physiotherapy? Let’s have a look.

Yoga for Lower Back Pain

Yoga is an exercise that combines breathing techniques, meditation, and physical postures. It dates back more than 2,000 years and is commonly used to improve flexibility, strength, and overall health. In the West, yoga has become well known as a way to ease stress, improve posture, and, yes, alleviate chronic pain, including back pain.

A recently published study in the Annals of Internal Medicine tracked 320 adults with long-standing lower back pain. Half did yoga, half did physical therapy, and the remaining half simply read educational materials on back pain. After 12 weeks, researchers found that yoga and physical therapy were equally effective at decreasing pain and improving functionality. Additionally, yoga participants were able to cut down on their intake of painkillers.

Yoga not only helps with physical pain but also promotes relaxation and mental well-being. Yoga is concerned with stretching and building up muscles as well as relaxing the mind. It makes most people feel better, both physically and emotionally.

Also Read:- What Is Chest Physiotherapy? Technique and Process.

Is Yoga Better Than Physiotherapy?

Although yoga has numerous advantages when it comes to back pain, but it is not a substitute for physical therapy, particularly for individuals with more serious or particular injuries. Physiotherapy tends to be more focused and targets particular muscles and areas. It’s particularly beneficial for older individuals or individuals who have more severe back issues.

But yoga can be a great addition to physiotherapy. It improves flexibility, builds muscle, and decreases stress, all of which are beneficial for controlling back pain. Physical therapy combined with yoga can be especially useful for individuals who have complicated or chronic problems.

Also Read:- 15 Top Physiotherapy Exercises for Lower Back Pain

Physiotherapy Exercises for Lower Back Pain

Physical therapists often recommend specific exercises to help relieve back pain. These exercises focus on strengthening the muscles that support the spine and improving flexibility. The following are some exercises you may perform as part of your physiotherapy treatment:

1. Cat-Cow Pose

Start on hands and knees with your back straight. Gradually arch your back up, then round it down. This stretch loosens tension in your lower back and neck. Repeat around 10 times.

2. Cobra Stretch

Lie on your stomach with your arms under your chest. Push up onto your forearms, coming onto your palms. Hold for a few seconds, and then slowly drop back down to the starting position.

3. Prone Leg Lifts

While on your stomach, keep your legs straight and close together. Lift one leg as high as you can, then bring it back down. Do the same with the other leg. This strengthens your lower back muscles.

4. Bridges

Lie on your back with bent knees. Raise your hips off the floor, creating a straight line from shoulders to knees. Hold for a few seconds, and then return your hips to the floor. This strengthens your lower back and glutes.

5. Side Twists

Lie with your back on the floor and your arms extended to each side of your body. Bend your knees to one side and turn your body in the opposite direction. This stretch loosens up tension in your lower and side back muscles.

6. Bird-Dog Stretch

Start on your hands and knees. Stretch your left leg back while extending your right arm forward. Hold the position for a few seconds, then switch sides. This strengthens your back muscles and improves balance.

7. Toe-Touches

Stand with your feet shoulder-width apart and your arms raised overhead. Slowly arch backward to stretch the lower back, then bend forward and attempt to touch your toes. Do this stretch 10 times. It enhances the flexibility of the back.

8. Child’s Pose

Kneel on the ground and sit on your heels. Extend your arms out in front on the ground and place your forehead on the ground. This helps to stretch your back and ease tension.

9. Hip Stretches

Kneel down on one knee and put the other foot in front, bent at a 90-degree angle. Slowly push your back foot up to stretch your hip and lower back. Switch sides after a few seconds.

Conclusion

Both yoga and physiotherapy are useful methods of controlling and alleviating lower back pain. Yoga can enhance flexibility, decrease pain, and promote relaxation and is therefore a good solution for most individuals.  It works especially well when combined with other treatments like physical therapy. For more severe conditions, however, physiotherapy may be the better solution, particularly because it addresses specific muscles and injuries.

If you have chronic lower back pain, you may find that combining yoga and physiotherapy exercises works for you. Consistency is the most important thing. By following your treatment plan and doing the exercises that are prescribed for you on a regular basis, you can experience long-term relief from back pain. Always consult with your doctor or therapist before beginning new exercises, so they can help direct you.

Frequently Asked Questions (FAQs)

Q. Can yoga relieve chronic lower back pain?

Yes, yoga can decrease pain, increase flexibility, and build muscle strength, giving relief from chronic lower back pain.

Q. Is yoga better than physical therapy for back pain?

Yoga is a useful addition to physical therapy but not a substitute, particularly for more serious or specific back problems.

Q. How long does it take for yoga to reduce lower back pain?

Some individuals feel improvement within a few weeks, but regular practice for several months can provide more lasting relief.

Q. Can physical therapy exercises reduce lower back pain?

Yes, specific physical therapy exercises improve flexibility and strengthen muscles, which can reduce lower back pain.

Q. Are there risks to practicing yoga for lower back pain?

Unless performed properly, yoga can aggravate pain. It is worth practicing under the supervision of an experienced teacher, and after consulting with your physician first.

Serratus Anterior Exercises

Top 5 Serratus Anterior Exercises for Strength and Stability

The serratus anterior is a muscle on the side of your ribcage, underneath the shoulder blades, that helps with the movement of the shoulders as well as the arms. As important as this muscle is for so many daily tasks, it is usually overlooked until there is discomfort or pain in the area. To help improve shoulder mobility, as well as to help prevent injuries, it is important to maintain strength in the serratus anterior muscle. So, let’s discuss some of the best serratus anterior exercises that will keep it strong and healthy.

What Is the Serratus Anterior?

The serratus anterior is a muscle that connects your shoulder blade (scapula) to the ribs. It’s also referred to as the “boxer’s muscle” because it serves to throw punches and “the big swing muscle” because it is used for arm movement such as swinging or reaching. The muscle is found on your ribcage’s side, below your shoulder blades, and is primarily responsible for moving your arms and shoulders.

One of the primary actions of the serratus anterior is to help rotate the shoulder blade upwards, which is vital in lifting your arms above your head. When this muscle is weak or not working properly, it may cause issues with your shoulder motions and even lead to serratus anterior pain or discomfort.

What Happens If the Serratus Anterior Is Weak?

When your serratus anterior muscle isn’t working properly, it can result in scapular winging, where your shoulder blade protrudes, making it difficult to position your arms and causing the sensation of the shoulder being stuck or stiff, along with difficulties moving your upper body and pain. Weakness in the serratus anterior can also contribute to other issues, such as muscular imbalance, poor postural alignment or dysfunction, or even injury patterns to the shoulders. For this reason, strengthening the serratus anterior muscle is essential as it helps to counteract muscle weakness and deviations.

Indications of Serratus Anterior Pain

If you have any discomfort or pain in the upper back or around the shoulder blades, it could be a sign of an overworked and/or weaker serratus anterior muscle. Several common symptoms may include: 

  • Pain around the shoulder blades: Experiencing sharp or dull pain with arm or shoulder movements.
  • Shoulder stiffness: Having difficulty lifting your arm overhead or reaching toward your back.
  • Scapular winging: If you notice your shoulder blade sticking out when you raise your arm overhead and/or when you move.

If you’re experiencing any of the above symptoms, it’s worthwhile to strengthen the serratus anterior muscle with some simple exercises.

Also Read:- What Is Chest Physiotherapy? Technique and Process.

Serratus Anterior Exercises

Now that we understand the importance of the serratus anterior and how weakness can lead to pain and limited mobility, let’s look at some exercises for the serratus anterior, which will strengthen this muscle and reduce discomfort.

1. Scapular Pull-ups

Scapular pull-ups are an excellent exercise to engage your shoulder muscles and build your serratus anterior. They involve less range of motion compared to regular pull-ups, yet they still engage your back and shoulders.

How to do it:

  • Grab a pull-up bar with your arms fully extended, letting your body hang.
  • Do not bend your elbows, but rather initiate a small pull using your shoulder muscles to engage the shoulders.
  • Squeeze your shoulder blades together, then return to the starting point.
  • Do it for a few sets of 5-10. This will help you with shoulder mobility

2. Wall Slides

If you want to build up your shoulders (and serratus anterior), wall slides are a great way to do it.

How to do it:

  • Place your back to a wall and your feet shoulder-width apart.
  • Bend your elbows at 90 degrees and put your arms against the wall.
  • With your back and arms against the wall, slowly slide your arms along it.
  • Just hold at the top and slide back down.
  • Repeat for 10-12 reps. It works the serratus anterior and helps stabilize the shoulder.

3. Bear Crawl

The bear crawl is a fun full-body exercise that works the shoulders, body and serratus anterior.

To do a bear crawl:

  • Start on your hands and knees, making sure your hands and knees are shoulder-width apart.
  • Move one hand and opposite foot in unison and crawl forward.
  • You should keep the body low to the ground as you change sides. 
  • Do 2-3 repetitions of 15-20 seconds. The exercise will activate your serratus anterior and work your shoulders.

4. Dumbbell Pullover

The dumbbell pullover is an exercise in weightlifting involving the chest, back, and serratus anterior.

How to do it:

  • Lie back on a bench, holding a dumbbell with both hands above your chest.
  • Slowly lower the dumbbell behind your head, with your arms straight.
  • Pull the dumbbell back up to the initial position.
  • Repeat for 8-10 reps. This movement helps in targeting the muscles of the upper body, including the serratus anterior.

5. Diagonal Shoulder Walks

This exercise increases shoulder stability and helps strengthen the serratus anterior. 

How to do this exercise:

  • Stand with your feet shoulder-width apart, with the dumbbells held out to the sides like a T, at a light weight.
  • Lift the dumbbells, making the arms parallel to the ground, and slowly come back down. 
  • Be sure not to let your body move or swing your arms to lift. 
  • Repeat 2-3 sets of 10-15 reps. This will target the serratus anterior while increasing shoulder stability.

Also Read:- 15 Top Physiotherapy Exercises for Lower Back Pain

Conclusion

The serratus anterior muscle is crucial for shoulder mobility and upper-body movements. Strengthening this muscle can help alleviate pain and discomfort, improve your posture, and decrease the risk of injury. When you include these serratus anterior exercises in your workout, you will improve shoulder function and reduce the risk of scapular winging or other shoulder conditions

If you are experiencing serratus anterior discomfort or pain, these exercises can be a great start. Just keep consistency in mind, and you will see changes in shoulder strength and mobility!

Frequently Asked Questions (FAQs)

Q. What is the serratus anterior muscle?

The serratus anterior is a muscle linking the shoulder blade to the ribs and helping in shoulder movement.

Q. What happens if the serratus anterior is weak?

Serratus anterior weakness can cause shoulder pain, stiffness, and scapular winging.

Q. What are the exercises to strengthen the serratus anterior?

Scapular pull-ups, wall slides, and bear crawls can be performed to strengthen the serratus anterior.

Q. What are the common signs of serratus anterior pain?

Pain at the shoulder blade area, a problem moving the arms, and stiffness of the shoulders are some typical signs.

Q. How frequently should I exercise serratus anterior?

Do serratus anterior exercises 2-3 times a week with adequate time given for recovery to get optimal results.

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