A Review of a Swiss Study Supporting Exercise For Back Pain & Sciatica

Swiss researchers found that exercise, donewhen they were pain free. Ultimately, it must be
properly and under supervision, helps reduce backrecognized that the back pain patients
pain and sciatica, particularly low-back pain. Aexperienced pain less often, and to a lessor
Swiss study, conducted in December 1999, noteddegree, then before the study commenced.
that an exercise program consisting of low-impactDr. Charles Edwards, a physician and professor of
aerobics may be quite effective in reducing backsurgery at Baltimore's, University of Maryland
pain, particularly pain affecting the lower back. TheSchool of Medicine, noted that both in his personal
study maintained that low impact aerobics maylife and his professional dealings with patients, he
indeed offer the back pain and sciatica sufferer ahad found the use of exercise to be a significant
viable alternative to physical therapy and weightfactor in reducing and/or relieving lower back pain.
training alone, that adding low impact aerobics toEdwards went on to maintain that because the
an exercise and therapy program significantlyresearchers had shown comparable findings
reduced pain levels in less than three months oramong and between these very different
less.modalities, that the research would make a
The study, published in the journal Spine, notedsignificant contribution to the literature supporting
that low impact exercise, like aerobics, can reducethe use of exercise as a means of treating low
or eliminate chronic low-back pain as effectivelyback pain and sciatica. Edwards went on to
as an exercise program of exercise machines,conclude that it may be said that exercise
weight lifting, and physical therapy, alone.counters the effects or, as he put it, the vicious
According to the research findings, the mostcycle, of sedentary life associated with a
impressive data suggested that a combination ofdecrease in activity. The decreased activity
the three modalities, or treatments, administeredassociated with back pain and sciatica leads to
in concert, proved to be equally effective inweakness, stiffness, and even atrophy (shrinking
significantly reducing or even eliminating not onlyand/or loss of muscle tissue when not used) in
pain frequency, but its intensity and the disablingchronic back pain and sciatica sufferers. The loss
effects leading to an inability to perform even theof muscle tone and tissue is followed by a
most rudimentary tasks associated with dailydecrease in the production of endorphins (naturally
living.The research was conducted by Anne F.produced opiates or pain killers in the body), this
Mannion, Ph.D., Müntener M, Taimela S, andleads to increased pain sensitivity. The decrease in
Dvorak J. from the University of Zurich-Irchel andendorphins and the increased pain sensitivity of
the Schulthess Clinic, Zurich, Switzerland. Thechronic back pain and sciatica sufferers, is almost
researchers enrolled 132 chronic back paincertainly a factor in prescription pain medication
sufferers, dividing them in to three groups: oneabuse, as chronic back pain sufferers attempt to
group was assigned to a sub-grouping of two oralleviate their suffering.
three patients, their treatment modality was liftingEdwards concludes by noting that this is a very
weights for an hour; the second group wasreal physical pattern that develops, and exercise
assigned traditional physical therapy, one-half hourhelps to restore and preserve normal physiology
in duration; and, the third group of subjects wasor bodily functions, in chronic pain sufferers. I
enrolled in a low impact aerobics program, an hourwould argue that it is also, and equally, a
in length.psychological pattern, one that contributes to the
All three groups met for a period of threewell-being of the back pain and sciatica sufferer
months, twice a week. The pain level of eachwhen he or she is actively engaged in an exercise
patient was scaled at the beginning of treatmentprogram.In conclusion, the following findings are
and then assessed again after three months.Afterinformative: one, in working with and treating
the test period, Dr. Mannion and her fellowpatients displaying symptoms of chronic lower
researchers discovered a quantitative andback pain and sciatica, low impact aerobics is just
qualitative difference in the pain experienced by allas effective a treatment modality as exercising
three treatment groups. In other words, thewith machines, lifting weights or even physical
patients not only had less pain overall but theytherapy; second, after 3 consecutive months in
had an improved standard of living, as related toone of the three test groups, back pain sufferers
the ability to involve themselves in the day-to-dayusing one of the three treatment strategies
functions of life. Interestingly, it was discoveredreported a significant overall reduction in low back
that no significant difference between thepain and sciatica; and finally, the researchers
different treatment modalities existed, all threeinvolved in the study, and others interviewed, all
groups achieved virtually the same level of painsuggest that exercise breaks the vicious cycle of
relief. The back pain sufferers participating in thea sedentary lifestyle, decreased activity, that
study noted not only a lessening of overall painleads to stiff muscles, weakness, atrophy and an
but they also observed that there were nowincreased sensitivity to back pain and sciatica.
periods when pain was not evident at all, periods