Bigger guys aren’t always better? Lower back pain lifetime prevalence rate of more than half? Professor Wang Chuhuai, Director of Rehabilitation Department of Huangpu Hospital, The First Affiliated Hospital of Sun Yat-sen University, said frankly: clinical research statistics found that neck, shoulder, low back and leg pain is “devouring”, including the love of sports people, sedentary, and even professional athletes’ health. With the urban population work pressure and work intensity increases, chronic muscle strain, neck, shoulder, lumbar and leg pain, frozen shoulder, osteoarthritic diseases of the sick groups show a trend of youthful expansion; modern lifestyle should be born under the computer shoulder, keyboard hand, tennis elbow, high heels, knee pain, and so on, “fashion disease” is also more and more obvious to affect the quality of life! And fitness exercise is not the right way, even if six-pack abs wrapped around the waist, may still be damaged. Experts say that, in addition to drugs, physical therapy, surgery and other traditional treatment methods, exercise therapy has become an important new way of treating low back pain internationally, is the new concept of low back pain treatment. “Never give up on your own active exercise, which is definitely superior to traditional methods in the long run.” He said. Big only the deeper muscles are weaker Reporters recently met two professional badminton players who were receiving suspension exercise rehabilitation treatment in the rehabilitation training room of the First Hospital of Sun Yat-sen University in Huangpu Hospital District. “It may take quite a while of rehabilitation treatment before returning to the playing field.” A male player told reporters. According to his own account, he had accidentally strained his lower back during a practice session. “Cantonese use ‘big only man’ to describe the body strong muscle prominent men, but we found in the clinic, in fact, whether it is love fitness lads or professional athletes, there is a common cognitive misunderstanding, thought that the practice of two pectoral muscles, six-pack abdominal muscles, etc. means that the body is good, do not get hurt. In fact, when the exercise is not right, especially back injuries are still very easy to occur. This is because although the body’s peripheral muscles developed, but the deeper muscles are likely to still be weak, in the ‘external strong dry’ state.” Prof. Wang Chuhuai explained. He said that many young and middle-aged people will go astray in fitness training, one-sided pursuit of peripheral muscles strong and powerful; and the popularity of women’s favorite yoga, seems to be soft and safe movements, but there have been some patients with physical injuries, it is easy to challenge the limbs limit amplitude, making the injury worse. “In fact, to be strong and healthy, disease and injury difficult to invade, should consciously train the body’s deep stabilizing muscles.” He cited examples, like the rotator cuff of the shoulder joint, the medial femoral obliques of the knee joint, and the posterior portion of the gluteus medius of the hip joint are considered local stabilizing muscles, which play an important role in the stability of the joints; while the most important stabilizing muscles of the lumbar vertebrae are the transversus abdominis muscle and multifidus muscle, and the stabilizing muscles of the cervical vertebrae include cervical longissimus muscle, cephalic longissimus muscle, and multifidus muscle, among others. “Only by making the muscle stabilization factor higher, the chances of injuring the lumbar, back and neck in daily life accidents, as well as in sports accidents, can be truly reduced.” He said. The incidence of neck, shoulder, back and leg pain may be second only to colds “In modern society, neck, shoulder, back and leg pain is a very common condition, and it is very difficult for people to completely escape from its ‘visit’ during their lifetime.” Prof. Wang Chuhuai said one of the most common causes of neck pain and lower back pain is misuse or overuse, which leads to muscle pain. “Other major causes include direct injury, degenerative changes triggered by old age, and stress fractures that occur in young athletes.” He said. He told reporters that neck, shoulder, back and leg pain is tricky to treat and has a high recurrence rate because of its diverse clinical manifestations and complex pathologic mechanisms. “Currently, there are a wide range of treatment methods, mainly including drugs, traction, physical therapy, massage and surgery, etc., but either treatment should be combined with exercise and functional exercise in order to make the treatment effect thorough and long-lasting, and to reduce or prevent recurrence.” The expert mentioned that in the most common degenerative diseases in orthopedics, most patients face a problem where pain is relieved at rest and worsened by exercise. “This suggests that there may be joint instability and uneven distribution of stresses during exercise, which leads to micro-trauma due to the inability of the tissues to withstand the various loads of daily life, and degeneration of the tissues and pain occurs when repeated micro-trauma accumulates and exceeds the rate of tissue repair.” He said such conditions must be individualized and a proper anti-relapse training program must be developed through evaluation. Exercise therapy has become a new trend in the treatment of lower back pain “Chronic neck and low back pain, for example, China’s traditional rehabilitation techniques such as traction, massage, massage, etc., the actual operation of many by virtue of the personal experience of the therapist, the lack of systematization, standardization, and failed to transition from the ‘experience-based’ to the scientific type’. At the same time, the above often too much emphasis on passive treatment techniques such as manipulation, due to the lack of adjustment and training of the body’s own motor system, the therapeutic effect is usually poor, and not lasting.” Prof. Wang Chuhuai said. According to the department’s physical therapist Lin Koyu, it has now been confirmed that chronic diseases of the motor tissues are related to physiological changes in the body. “The most important changes as a person slowly moves into middle age include muscle atrophy, reduced cardiovascular function, and reduced stabilizer muscle strength and endurance. Some people feel joint pain when they move around, but it’s actually due to a decrease in the local stability of the joints, and the main reasons for this include atrophy of the local stabilizer muscles and their coordination disorders with the overall movement muscles. And we are trying to restore the body’s muscle strength, endurance and cardiovascular function by carrying out suspension exercise rehabilitation training.” He said. Prof. Wang Chuhuai explained that the corresponding exercise treatment for patients with neck, shoulder, back and leg pain has become an important new method that is internationally respected. “The main goal of its treatment is to maintain spinal stability, restore normal muscle function, address recurrence from the etiology and improve patients’ quality of life. Studies have also shown that emerging technologies such as suspension exercise rehabilitation methods have significant advantages in the long-term effects of treatment relative to traditional treatment.” Europe and the United States economic account: chronic low back pain, lower back pain loss of hundreds of billions of dollars “for chronic low back pain, lower back pain, our country for the time being, there is no clear prevalence and economic account, but such diseases are similar, by drawing on the incidence of Europe and the United States, it is very good to see some of the end of the story.” Prof. Wang Chuhuai told reporters that in developed countries, the lifetime prevalence of such diseases is usually 50% to 70%, with an annual incidence of 5%. “Ninety percent of acute lower back pain recovers on its own within 6 to 12 weeks without treatment, but the recurrence rate is high. It is estimated that about 7 to 11 percent of all lower back pain patients can turn into chronic lower back pain that lasts longer than 12 weeks.” It is known that the annual economic losses due to chronic low back pain exceed$100 billion in the United States and more than 20 billion euros per year in Germany.