Yoga is just as helpful at treating lower back pain


Yoga relieves lower back pain as effectively as physiotherapy, research suggests.

Lower back pain affects four of every five people in the UK at some point in their life, and is one of the most common medical complaints seen by GPs.

Yet despite most people experiencing the problem, there are few effective treatments.

For decades powerful painkillers have been doled out in their millions to relieve the agony of back pain – but growing evidence suggests the drugs are ineffective for the complaint, as well as being highly addictive.

Now researchers have found yoga may be a useful tool for people who struggle to ease their pain.

Researchers found yoga was as safe and effective as physical therapy for restoring function and relieving pain in patients with chronic lower back pain

Experts at Boston Medical Centre carried out a randomised control trial on 320 people with lower back pain, who were either assigned to weekly yoga classes, physiotherapy sessions, or simply given an educational book and newsletters about coping with back pain.

After 12 weeks of classes the programme was stopped, but patients were encouraged on to carry on with the yoga at home.

A year after the start of the project the researchers assessed whether the patients had improved.

The results, published last night in the Annals of Internal Medicine journal, revealed yoga was just as good as physiotherapy for easing pain and allowing people to resume normal active lives.

ANOTHER STUDY THAT FOUND THE SAME…

Yoga can help relieve the agony of back pain, a major review of medical evidence found in January.

The practice is an effective way to improve mobility and ease the chronic discomfort, experts at the University of Maryland said.

They found yoga was twice as likely to improve the condition than simply doing back exercises – and also improved overall physical quality of life. 

Despite researchers estimating that powerful opioids are prescribed for roughly 40 per cent of cases, painkillers are ineffective for back pain.

The review, published by the respected Cochrane Library, found doing yoga exercises under guidance from an instructor can effectively reduce chronic lower back pain within six to 12 months. 

Researcher Dr Robert Sopa, said: ‘We found that yoga was as effective as physical therapy for reducing pain intensity and improving people’s physical function.

‘We found that patients doing the yoga in the study reported that their pain intensity went down, that they were able to be more physically active. A number of patients were able to reduce or stop pain medication.

‘Our study shows that when yoga is made available and affordable to a diverse population, people of both sexes, people who are disabled, people of different races and economic backgrounds, are receptive to yoga and more importantly can benefit from it.’

He added: ‘A structured yoga programme for patients with chronic low back pain may be a reasonable alternative to physical therapy depending on patient preferences, availability, and cost.’

In an editorial, published in the same journal, Dr Douglas Chang at the University of California at San Diego wrote: ‘In light of the complex factors affecting both diagnosis and outcomes in chronic low back pain, any single treatment approach is unlikely to prove helpful to all or even most patients.

‘Nevertheless, as Saper and colleagues have shown, yoga offers some persons tangible benefit without much risk.

Lower back pain affects four out of every five people in the UK at some point in their lifetime

YOGA TO BATTLE THE BLUES

Yoga can ease depression symptoms, according to the largest study to ever investigate the link between the exercise and the mental health disorder.

More than half of sufferers who take weekly yoga classes experience a minimum 50 per cent reduction in their symptoms, the research added.

The team at Brown University also reported both improved social functioning and overall health.

The effect did not occur until six months into starting the exercise, suggesting that the benefits of yoga may accumulate over time. 

‘In the end, however, it represents one tool among many.

‘Thoughtful physicians will try to determine what fits a patient’s anatomical diagnosis and psychosocial situation.’

Most cases of back pain are caused by lifting a heavy object badly, or bending awkwardly, and in most instances will go away within a few weeks.

But half of patients see a recurrence of the problem within 12 months. And for some people back pain can last for years or come back in waves.

Yoga has been practiced for more than 5,000 years, having developed in India as a system of gentle exercise, breathing techniques and light meditation.

The activity is famously practiced by celebrities including Madonna, Gwyneth Paltrow, and Benedict Cumberbatch.

For many people, it is closely tied to religion and philosophy, and in Britain alone, more than 3,600 people belong to the British Wheel of Yoga, the national governing body for yoga which defines the pursuit as a Sanskrit word meaning ‘union between mind, body and spirit’ and a ‘philosophy’.

But for thousands of others it is merely a popular way to keep fit and remain calm amid the pressures of modern life.

These two different approaches came to a head in 2012, when a yoga group was banned from a church hall in Southampton, because a priest said the practice was a Hindu religious activity and therefore not in keeping with the Catholic faith.