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Wednesday, September 24, 2008 LAURA MUSHKAT asks

Q: I need to loose my big stomach! I have spinal stenosis so am not sure what type of exercise is ok

CoolDue to my spinal stenosis there are certain exercises that I can do for other problems but how does one bend in order to loose weight in the stomach and love handle areas that will not irritate the spine and cause a problem? I have been told osteoporosis is also in my spine.  I diet and can walk a little but that does not seem to help with this.

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Pam Flores, Health Guide
9/27/08 6:52pm

Wonderful question... I to have spinal stenosis, so I know what you are dealing with.  I believe the best place to start is by talking to your Dr. about setting up a eval with a good Physical Therapist.  It's also important to find a therapist that has actual training in osteoporosis, because I have found that many PT's have a minimal amount of education in this area.  Ask your Dr which types of exercises would be good to strengthen your core, and back extensor muscles since it's these muscles that will eventually protect your spine from further injury and flatten you tummy.  The American Physical Therapist Assoc (APTA) has a good web site where you can look up clinics in your area.  When you go to the web site look for PT's with specialized training in osteo and spinal injuries that would include a comprehensive routine/tx for both problems. 

 

You might want to ask your Dr if there is a specific exercise or tx that will help release the pressure in your spinal canal (stenosis) as well which will help with the pain. Proper body mechanics will be of real importance to you, so you can learn how to move correctly throughout the day during normal activities that you'll face.  You probably already know what I'm talking about if it's difficult to pick things up off the floor, reach into low drawers/cupboards etc.  You'll need to learn alternate ways of doing these things without causing further problems by bending from the waist-not good.  There are many aids that can be purchased that will help with these daily obstacles.  There are so many things that can help to assist you that it would be impossible to list them all here, so ask your Dr and PT for a good catalog for daily assisted aids.  If they can't think of any just let me know I have many good ones I could list.

 

A good place to start would be to get a good sturdy reacher, so you don't have to bend from the waist to reach for things that are out of arms reach.  Reachers can be used for a lot of things like getting laundry of out the washer or dryer, or picking up light weight things of the floor, I even used mine to pick cherries off of a tree :)  But don't do things like that until you get the docs ok.

 

If you don't have insurance that will cover Physical therapy, find out how much it would cost to get an evaluation that would consist of several visits with a PT, and then have them give you a printed routine with pictures that could be followed at home.  Actual PT is best, but since some don't have insurance to cover this, you could use this approach as a substitute, but you'll have to be diligent in following your Dr and PT's recommendations, and don't hesitate to go back for assistance if you have any trouble at home. If you have to do this, make sure that during the initial visits the PT monitors your exercise for technique so you aren't doing an exercise wrong, and make sure that the routine is ordered by your Dr for your two particular problems (stenosis and osteo).  I think you'll find that sit ups and stomach crunches are no nos, and they don't work very well any way for building up your core muscles, but the good news is there are plenty of other exercises that are safe and effective.

 

Good luck with all this, and come back if you need further assistance.

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9/25/08 10:16am

hi my mum has a spinel conndition and cant do many things she finds it helps by going swimming once a week and doing a little walkin alltho she is in pain somtimes after but she has found that the pain is dissapearing slowly as she is slowly losing waight.

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9/25/08 12:18pm

You ask a good question. It's important to be sure to do the right kind of exercises -- the safe ones -- if you have osteoporosis. Here's some info for you:

 

Q & A: "What kind of exercises should you NOT do if you have osteoporosis?"

(scroll down to read the answer)

http://www.healthcentral.com/osteoporosis/c/question/77918/41529

 

Weight-Bearing (And Other) Exercises Demystified

http://www.healthcentral.com/osteoporosis/c/53591/40551/demystified

 

Best of luck.   - MG

 

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7/28/10 6:28pm

I have spinal stenosis, just had spinal surgery 4 weeks ago ,yes I'm over weight,I need to lose about 100 lbs. I believe my stomach is about 60 ibs. all by itself. I have pray for surgery to come out ok,now I praying for my weight,I believe this will help also. If there any one can help  this not a joke or for fun. Waiting by my computer for your reply.

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Pam Flores, Health Guide
7/29/10 9:31pm

Hi Rita, welcome and sorry to hear about the stenosis and weight gain.  Since you've had the surgery already, take the time to heal and when you are ready and your surgeon says it's OK, see if you can't get in to see a Physical Therapist, since they would be the best place to start in helping you strengthen and recover from surgery.  They will give you exercises based on your surgery/injury and incorporate weight loss ideas with that, that will be safe for you.  You don't want to just start an exercise routine after surgery without professional help, because that could cause more problems.  What you need to do has to be designed for you in particular and a PT can do that.  Just try to find a really good one in your area.

 

There's a link above on how to find a PT near you through the APTA.

 

Good luck...

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By LAURA MUSHKAT— Last Modified: 12/24/10, First Published: 09/24/08