by Diane Spicer
Hiking back pain: a hot (as in "ouch") topic!
I receive many types of questions about hiking pain.
So I know that you're here because back pain is a common problem for hikers.
To take you through how to see where your back pain might be originating, let me share my response to one hiker's question about post-hiking pain in the upper back and neck.
To set the scene:
We're going to use a "rule in/rule out" approach to uncover several reasons for hiking back pain.
None of this is medical advice, just things to consider as you think about hiking back pain.
My response to this hiker started like this:
Howdy! Back pain sucks, that's for sure.
My first thought would be in regards to your choice of backpack.
If your pack doesn't distribute the weight appropriately between your sternum (breast bone) and your pelvic area, then it's going to show up in your neck muscles and the rhomboids (between your scapulae, or shoulder blades).
It will also cause your deep spinal muscles to complain (ever notice how "pain" is in that word?).
Take a look at this for some tips on how to get a good fit from your current backpack.
Can you borrow or rent another pack, to test out this theory?
Or consider buying a better backpack, using these tips for how to shop for the right one for your body.
A desk job could be training your neck muscles to crane forward (computer work, reading, etc.), and you automatically use that same pattern on the trail.
This puts strain on your neck and upper back muscles.
Your head is as heavy as a bowling ball, and your hard working neck and shoulder muscles will get weary if you're always tugging them out of alignment with your back.
This tends to show up more quickly when you walk, as opposed to when you sit.
Try to stay conscious about your head/neck posture next time you hike.
If you have access to a trained sports massage therapist, s/he could give you some feedback about the amount of tension in these muscles, and could recommend stretches for before & after hiking.
Then, of course, it's up to you to do them!
One more idea: maybe your weight lifting routine needs to be re-designed.
If you're training some muscles to be stronger than others, that could give you an imbalance which shows up when you're bearing weight (as in carrying your pack).
And do you stretch? Sounds lame, but it really helps to keep your muscles in top shape in conjunction with your weigh lifting.
On a day hike, you can get away with a backpack that is not distributing weight correctly.
But after a few of them which result in hiking back pain, you're going to want to slow down a bit and take time to do the job properly.
What are you wearing on your feet?
If there's a significant difference in heel height, or ankle support, between week day footwear and hiking boots, that could be throwing off your back muscles.
This can show up in lower back pain more often than upper back pain.
But pain is pain, right?
Tips for finding and using the proper hiking footwear:
Yes, there is a "right way" to put on a backpack, as well as take it off.
And it involves being kind to your back.
Here's how to put on a backpack without tweaking your back, along with more tips on how to pack properly.
I hope this gives you a few ideas to explore if you suffer from hiking back pain.
Masking your back pain with self medication will get you back on the trail, but it won't uncover, and solve, the underlying problem(s).
Chronic back pain might sideline your from hiking, so it's smart to uncover its causation and experiment with ways to eliminate it from your life.
For more approaches to back pain relief on the trail and at home, including prevention, read this.
For more ideas about how to take good care of yourself:
Reduce Hiking Back Pain