By Sarah Key
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Additional resources for Back in action: straight answers to back pain and its relief
If the spinal link is significantly irritated by the incident, the local spinal muscles may go into reflex spasm to protect the injured part, holding it rigid to prevent as much movement as possible taking place. The muscle spasm is painful in itself (as is any muscle in low-grade cramp) and it may be felt as hard and uncomfortable cords of muscle, like railway tracks either side of the spine. The spine becomes rigid and loses its gentle lumbar curve; doctors speak of loss of lumbar lordosis. When this happens, the pressure on the intervertebral disc is immense and the consequences can be dire.
The capsule is the sleeve of soft tissue which binds the two bones of a joint together. The inner lining of the capsule is called the synovial membrane. The role of this membrane is to ooze fluid, called synovial fluid, which oils the bony machinery of the joint. Synovial fluid is magical stuff which scientists have found impossible to duplicate synthetically. It’s a pity that some man-made oil cannot be squirted into all those painful, audibly squeaking joints to ease their troubled toil! 7 A normal joint acts like a hydraulic sack.
Mobilisation can help to some extent. Manual tinkering injects some looseness into the tightly held segment so that it can imbibe fluid and ‘grow’, thus relieving the pressure on the disc wall. But best results come with tummy exercises. They shore up the spine within the torso, thus reducing the burden on the sick disc. The increased intra-abdominal pressure from the sit-ups thrusts the spine skywards, lifting pressure off the disc wall. It’s just like squeezing a toothpaste tube with the cap screwed on; as the grip tightens, the tube forces itself upright.