Just a few things to add about sleeping and exercising the back. I’ve pretty much gone through all of McGill’s performance books and there’s a few things that were really interesting.
One is that bed rest tends to cause back aches… so if you tend to hurt in the morning, it’s because lying in bed is indeed hard on the back. This helps explain why sleeping with something under my lumbar is so much more comfortable for me.
With regards to training the back, he’s found that absolute strength doesn’t necessarily help back pain, and the notion of strengthening the back is often misguided. Apparently endurance in the spine’s stabilizers is more important than strength. He puts the emphasis on proper technique and proper motor patterns. A lot of the work he does with his patients has less to do with strengthening excercises and more to do with teaching people how to lift and move in ways that spare the back from stress, and also teaching people to improve their sense of body position and awareness so they keep their spine in a safe position no matter what they’re doing.
He challenges the idea that streching the back or otherwise working to improve back flexibility for it’s own sake is good. Basically his opinion is that the spine should never be worked through it’s full range of motion under load. Learning to keep the neutral posture is the key, and flexibility training for it’s own sake may hurt some people.
Don’t flex the back or do any back stretches or exercises first thing in the morning. The disks absorb water overnight so when you wake up the spine is at its most unstable. He advises against flexing the spine for about an hour after you get up. DO NOT DO BACK STRETCHES OR EXERCISES IN THE MORNING!!! Especially situps!
One thing that I found very refreshing is that he was not at all down on lifting. He has great respect for the Soviet athletic programs and even mentioned some of Westside’s techniques and had EMG data comparing their squat technique to a normal squat! And yes the Westside guys get a lot more out of their glutes! He also considers the overhead squat to be an excellent exercise! He didn’t have any particular problems with weightlifting or powerlifting, his concern being that many people lack the technique and flexibilty to lift safely. Bottom line- as long as you lift properly and keep your back neutral you should be fine. This is especially refreshing compared to the Matt Fuhrey BS that is occasionally discussed around here- consult the experts and Matt sounds like a stupid ass…
One of the overriding themes of the book is that you should avoid flexing the spine as much as possible. Twisting doesn’t help either. Keep the spine neutral, braced and locked to the rib-cage under all circumstances.
Strengthen and learn to use the glutes. Apparently most North Americans don’t and it can be a problem for our backs. But again, proper activation is more important than strength.
Eliminate activities that cause back pain and NEVER do anything that causes pain. In the case of the back it is virtually never appropriate to work through pain. And it’s important to really think about what you do throughout the day that may be aggravating the back.
Anyway, I would highly recommend this book, and will probably pick up his other book on back disorders, just to further fortify myself.
Nick