Yoga for Low Back Pain Relief: Alternative No Longer

A growing number of medical professionals are finding that yoga can provide relief for some low back pain sufferers. Within the past few years, findings from well- designed, peer-reviewed studies have begun to move the practice of yoga beyond the category of alternative therapy.

One widely cited study from Annals of Internal Medicine followed three groups of adults (101 people total) with chronic low back pain over a 12-week period, comparing their experiences with yoga, conventional physical therapy or a self-help book. Yoga yielded significantly better results overall, with benefits that included reduced pain and improved back function. Importantly, these benefits lasted at least 14 weeks after the yoga intervention ended.

Researchers have not yet determined how yoga helps relieve low back pain. Among the possible hypotheses: Yoga increases muscle strength and flexibility, reduces muscle tension, decreases fear and avoidance of movement and reduces psychological stress.

Is Yoga Right for You? Yoga isn't the answer for everyone with chronic low back pain. The study only looked at the effect of yoga in people with back pain caused by minor issues, such as muscle strains and sprains. If a more serious condition, such as a herniated disk, scoliosis, spinal stenosis, spondylolisthesis or a vertebral compression fracture, is responsible for back pain, it may be best to avoid yoga altogether. To be safe, check with your doctor before you begin a yoga program.

Not All Yoga Is the Same. If your doctor gives you the green light, make sure you know exactly what type of yoga is being taught before you sign up. Some schools of yoga like Kundalini, Ashtanga and Bikram ("hot") yoga are fairly specialized and may be too challenging for beginners. Viniyoga and Iyengar yoga are appropriate for newcomers and those with physical limitations such as back pain.

Regardless of the type of yoga you choose, it's important to find a qualified instructor who is experienced in teaching people with low back pain. Your doctor or physical therapist may be able to recommend a teacher.

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