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You don't need to go to an in-person exercise class to lower your back pain

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You don't need to go to an in-person exercise class to lower your back pain

Around 39% of adults in the United States deal with back pain, according to the Centers for Disease Control and Prevention. Research shows that lumbar stabilization exercises and stretching and strengthening exercises can help reduce back pain. One of the reasons exercise could be beneficial for diminishing those aches or twinges is because it lowers inflammation. Studies reveal that just 20 minutes of exercise has anti-inflammatory effects. There are different types of exercise, and working out at home is more convenient and affordable, offering you the privacy and comfort of your own space. A new study reveals that a specific type of online exercise class could also help your back pain. Let’s look at the research. 

The study

Shkrabaanthony / Pexels

In a study published in Jama Network Open, the researchers categorized patients into two groups:

  1. Yoga group 1 — participants received virtual hatha yoga classes.
  2. Waitlist group 2 — participants were on a waitlist for yoga.

The study participants were Cleveland Clinic employee health plan patients in Florida and Ohio. Patients in group 1 were given detailed workbooks and video recordings to help them safely practice yoga at home. The trained teachers demonstrated using supportive props like chairs and blocks to adapt poses when necessary.

The study results

man doing yoga at home wearing white shirt on blue yoga mat and wooden floor hand raised in air
Kraken Images / Adobe Stock

When the study began, the participants reported back pain levels of around 6 out of 10. After six weeks, group 1, who practiced yoga, reported that their pain levels dropped to 4. After six months, pain levels declined to 3. Group 2, who didn’t practice yoga, noted that their pain levels remained the same.

74% of participants were taking some type of pain medicine at the start of the study. Six months on, over half of the patients in the waitlist group were still taking ibuprofen, aspirin, opioids, and other pain medicines. Less than one-third of the yoga group continued taking pain relievers.

Patients with back pain who took 12 weeks of online live-streamed yoga classes also moved more easily and slept better than individuals on the wait list for the classes.

If you’re dealing with chronic back pain, it’s best to consult with your healthcare provider, doctor, or physical therapist to rule out any underlying health problems. It’s possible that for some people, yoga could aggravate certain issues.

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The benefits of yoga

man and woman working out on floor push up yoga mat plank in gym
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Yoga is a meditative movement where you perform specific physical poses and postures while focusing on deep breathing. There are more fast-paced types of yoga that can raise your heart rate higher or slower and gentler practices.

Growing research highlights the many benefits of practicing yoga, such as:

  • Lower stress and anxiety.
  • Decrease back pain.
  • Improve the quality of life in those with chronic conditions.
  • Stimulate brain function.
  • Help reduce the risk of heart disease.
  • Enhance muscular strength and body flexibility.
  • Improve sleep.
  • Promote and improve cardiovascular and respiratory function.

The takeaway

Man and woman doing triangle yoga pose on mat indoors on wooden floor
Nomad Soul / Adobe

The study’s senior author noted that pain levels were cut in half when patients practiced yoga. Online yoga classes are more accessible and allow you to be guided by an experienced yoga teacher while still working out from the comfort of your home. You don’t have to travel to attend in-person yoga classes to get the benefits.






Fitness

Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune

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Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune
A Shift in Scientific Understanding Reveals That the ‘Runner’s High’ Stems from a Complex Cocktail of Chemicals, Including Endocannabinoids, Which Can Be Triggered by Adjusting Duration and Social Context. The widely reported phenomenon of exercise-induced euphoria—often known as the “runner’s high”—is rooted in specific alterations to neurochemistry that generate feelings of hope, calmness, and social […]
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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

Hip soreness is a terribly common issue—it’s something that I certainly suffer with—so I’m always trying to get to the bottom of where this soreness originates from and what you can do about it.

According to Dr Shady Hassan, MD, an interventional pain and sports medicine physician and the founder of NefraHealth, immobility is the root cause of this discomfort.

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

Modern exercise culture has spent years glorifying exhaustion. The harder a workout feels, the more effective people assume it must be. Sore muscles became badges of honor, while gentle movements were often dismissed as ‘not real exercise.’ 

A man lifting a dumbbell. Image credits: Andres Ayrton/Pexels

However, according to a new study, some of the most efficient ways to build muscle strength may happen during the slow, controlled moments people usually ignore—walking downstairs, lowering weights, or carefully sitting into a chair. 

Study author Kazunori Nosaka, who is the director of exercise and sports science at Edith Cowan University, argues that eccentric exercise—a type of muscle action that occurs while muscles lengthen under tension, may offer a more practical alternative. Its opposite, concentric exercise, is the shortening (lifting) phase where muscles produce force to overcome resistance.

Instead of demanding maximum effort, these movements appear to train muscles while placing less stress on the body.  

“The idea that exercise must be exhausting or painful is holding people back. Instead, we should be focusing on eccentric exercises which can deliver stronger results with far less effort than traditional exercise – and you don’t even need a gym,” Nosaka said.

Muscles work differently on the way down

The study examines decades of earlier research on eccentric exercise rather than presenting a single laboratory experiment. It focuses on a simple but often overlooked detail of human movement, which is how muscles behave differently depending on whether they are shortening or lengthening.

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When someone lifts a dumbbell, climbs stairs, or rises from a chair, muscles shorten as they generate force. Scientists call this a concentric contraction. Eccentric contractions happen during the opposite phase—when the muscle stays active while stretching. 

Examples include lowering the dumbbell back down, descending stairs, or slowly lowering the body into a seated position. According to the review, muscles can tolerate and produce greater force during eccentric actions while using comparatively less energy and oxygen. 

“Eccentric contractions are distinguished by their ability to generate greater force than concentric or isometric contractions, while requiring less metabolic cost,” Nosaka notes.

Researchers believe this happens because muscles act more like controlled braking systems during lengthening movements, resisting gravity rather than directly overpowering it. As a result, people may gain strength without putting the same level of demand on the cardiovascular system. 

This difference could make eccentric exercise especially useful for individuals who find traditional workouts physically overwhelming.

“Eccentric exercise training provides numerous benefits for physical fitness and overall health, making it suitable for a wide range of individuals from children to older adults, clinical populations to athletes, and sedentary to highly active people,” Nosaka added.

Gravity may be doing more training than we realized

To support this argument, the study brings together findings from several earlier research works. For instance, one study from 2017 tracked elderly women with obesity who repeatedly walked either upstairs or downstairs over a 12-week period. 

While climbing stairs is normally considered the tougher workout, the women assigned to walk downstairs showed stronger improvements in measures including blood pressure, heart rate, and physical fitness. The results suggested that resisting gravity during downward movement may provide a surprisingly powerful training effect.

YouTube videoYouTube video

The review also discusses eccentric cycling, where participants resist pedals driven backward by a motor instead of pushing them forward in the usual way. 

Although the movement feels unusual and requires concentration, earlier studies found it improved muscle power, balance, and cardiovascular health while feeling less exhausting than standard cycling workouts.

Another important part of the review addresses muscle soreness, one of the main reasons eccentric exercise never became widely popular outside rehabilitation settings. People often experience delayed onset muscle soreness, or DOMS, after unfamiliar eccentric workouts. 

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“Unaccustomed eccentric exercise is often associated with muscle damage characterized by delayed onset muscle soreness (DOMS) and a reduction in muscle force-generating capacity lasting more than a day. However, this effect diminishes or at least is attenuated when the same eccentric exercise is repeated (known as the repeated bout effect),” Nosaka explained

Many eccentric exercises require little or no equipment. Slow squats into a chair, heel-lowering movements, controlled wall push-ups, or even maintaining posture against gravity can activate eccentric muscle work. 

Moreover, some studies referenced in Nosaka’s review suggest that just a few minutes of these exercises each day can still produce measurable improvements in health and strength.

The future of fitness may feel less punishing

The findings challenge the mindset surrounding fitness itself. Many people abandon exercise routines because they associate physical activity with pain, fatigue, or lack of time. Eccentric exercise suggests that effective movement does not always need to feel extreme. 

If future research continues to support these findings, eccentric exercise could influence far more than gym routines. It may reshape physical rehabilitation, elderly care, injury recovery programs, and public-health recommendations aimed at increasing physical activity among sedentary populations. 

These exercises also place lower demands on the heart and lungs while still strengthening muscles. They could help people who are unable or unwilling to follow intense training programs.

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Nosaka suggests that “we should establish eccentric exercise as standard practice, and make it common, accessible, and widely accepted as the ‘new normal’ of exercise to improve life performance and high (athletic) performance.”

However, this does not mean eccentric exercise is a universal replacement for all forms of physical activity. The current paper is a review of previous studies, and its findings still need to be validated through experiments and large-scale clinical trials.

Nosaka also notes that “Future studies should investigate mechanisms underpinning the effects of eccentric exercises in comparison to other types of exercises (e.g., isometric exercises, concentric exercises, aerobic exercises),”  

This could help scientists design safer and more personalized exercise programs for different age groups and health conditions.

The study is published in the Journal of Sport and Health Science.

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