A Slipped Disc and the Alexander Technique:
quick relief or lasting solution?

Why Discs Slip

A disc prolapse (slipped disc) is the result of too much pressure on the intervertebral disc. Typically, pressure on the front part of the disc squeezes it backwards causing it to rupture. The core of the damaged disc then sometimes presses against a nerve root. Since this squeezing of the disc is associated with a forward bending of the spine, patients are often advised to avoid bending forwards.

Though apparently sensible, this is not good advice. If you follow it, it will make you stiffen for fear of leaning forwards. All that stiffening is a big extra strain on your back, yet you will still bend it anyway. Why? The same reason you bent forwards in the first place: your harmful habit of movement. [note]

Harmful Habits of Movement

There is a fundamental difference between the way a back is meant to be worked and the way most people use theirs.

The human spine is meant to move all of a piece, with no stiffening and very little bending. Bending should not be in the spine. The bending should occur above and below the spine: between head and spine, and between spine and legs. Moving in this way leaves the spine with all its joints very supple and flexible.

Most people habitually bend when it would be better to fold. They bend the top of their spine every time they need to move their heads. That makes them bend the lower spine when they really need to fold their legs, by bending their hip joints.

Is that difficult to understand? That’s because I’m describing you.    smiley

Even if you have had special instruction in bending your legs to lift, I’m sure you still bend your back as well. The instruction ignores the real problem: why you bent your back in the first place.

The instruction only adds yet another habit to the one already there: a new habit of stiffening your back to try and keep it straight. It’s small wonder that disc prolapses and other back problems are so common.

Summing Up

Most disc prolapses are down to harmful habits of bending the back. To stop putting pressure on your discs and allow them to heal, you need to get rid of these harmful habits.

This is what the Alexander Technique does so brilliantly. To benefit, you need Alexander lessons. To see why, read on.

A Chance to Heal

You’d think, having found out what you are doing, you could simply choose to stop. If it were that simple, I would not need to be writing this: someone would already have told you all you needed to know.

Somebody may have shown you that your hip joints are much lower than you thought. You may know that where you thought they were is really part of your back and that you’ve been bending your lumbar spine instead of your legs. Even so, though you know all this, you still can’t let your hip joints do the bending. It feels too wrong.

It feels too wrong. This is the problem: these harmful habits are always associated with a feeling. You feel that what you are doing to bend is what you have to do to bend. When you try to follow instructions to bend your legs, you usually feel that you are doing as asked. Yet, nine times out of ten, you are still bending your back.

This misleading feeling of movement, this unreliable kinaesthesia, is the root problem. You can explore this root problem here.

Read “How to heal the pain in your back if you’ve a slipped disc” for practical ways to help yourself.

Note

When people do learn to avoid bending their lumbar spine, it is by severely over-tightening the back muscles to counter-act the strong muscular pull which is what was bending it in the first place (and still is trying to bend it). This then means a vast increase in back tension. This tension, often excruciatingly painful, is no more than a tug-of-war between the muscles up the front and the muscles down the back. It does nothing useful. It does mean a serious loss of flexibility, a dangerous increase in the pressure on all the joints (even if that pressure is momentarily more evenly distributed), and an arching of the lower back. This arching is just as debilitating as the forward bend it is supposed to correct — not least because it seriously interferes with the person’s ability to breathe.

So you see, when patients are given back-strengthening exercises to correct a so-called “weak back”, they are not being done any favours at all.
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Further Resources

Here are some ways I can help you further.

Wherever you live

  1. If you’re not already getting my free weekly article delivered to your inbox, then go here to get it.   Subscribe to “Back in Action”  (It’s free)
    When you subscribe you also get to download “The Hows & Whys of Semi-Supine”. This free e-booklet is indispensable to anyone serious about strengthening their bad back (or further strengthening an already-strong back).
  2. Repoise is our membership site for people who are serious about improving themselves (and getting out of pain as they do that). When you join, you will:–
    1. Have daily access to me. Together we will work out what’s going wrong for you and how to fix it
    2. Learn from reading other Repoise members’ questions and following their progress as they work with me
    Find out more about joining Repoise here.
  3. I’m writing a book about my work. It will come out on the 1st December 2010. If you’re getting the free weekly articles, I’ll send out more details about the up-coming book as soon as the information is available.

If you’re in Liverpool (or can get to Liverpool)

  1. I’m also running Friday lunchtime group lessons. Go here for details.
  2. There’s nothing better than individual lessons. Ring me on 0151 708 6172 to talk to me about booking individual lessons. (Leave your number so I can get back to you).

If you’re further away and can’t get to Liverpool

  1. There’s still nothing better than individual lessons. Here’s where you can find a teacher near you in the UK or elsewhere
  2. I suggest you also do the things I listed above for everyone:–
    1. Read my weekly articles
    2. Get direct day-to-day guidance from me by joining Repoise.
    If you’re having plain Alexander Technique lessons from someone else, you still need to learn the Smiling Back Method of the Alexander Technique. You’ll get a lot more out of your lessons when you do.


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Book image. “The Hows & Whys of Semi-Supine” by Philip Pawley. Including: The little-understood real reason why Semi-Supine is so important - Detailed instructions on how and when to lie down - Persuade your boss to beg you to take rests at work.
Medical Proof

Medical Study proves lasting effectiveness of the Alexander Technique for low back pain.

Published in the prestigious British Medical Journal on 19 August 2008, this randomised controlled medical trial compares Alexander Technique lessons, exercise and massage for chronic and recurrent back pain.

British Medical Journal video on the Alexander TechniqueBritish Medical Journal video

Clients’ Stories
Jean kept falling over after a hip replacement
Lady with a Hip Replacement

“My teacher is Philip Pawley and I can thoroughly recommend him: he’s patient, kind and knows what he’s doing. He’s given me a new life.”

Rob is a yoga teacher
Yoga Teacher

“My interest in the Technique came from my interest in yoga. At the time when I heard about it, I thought that this would be a useful thing for me to learn — just a development of what I understood yoga to be.”

Margery was disabled by osteoporosis
Lady with Osteoporosis

“Since starting with the Alexander Technique, it has boosted my confidence tremendously. It does so much more besides just helping you with the osteoporosis.”

Caroline is an opera singer
Opera Singer

“I have got enormous benefit out of a series of thirty-minute sessions with Philip Pawley. My whole stance has improved and I’m singing better.”

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