Top Reasons for Back Pain During Childcare

Between all the lifting, carrying, pushing, pulling, running, squatting, grabbing, and maybe even rolling, taking care of kids is extremely physical. And all of these childcare activities can cause back pain as well as other annoying aches. I consider myself fairly fit and healthy and I have experienced back pain on and off as a result of caring for my children. 

And I am not alone. A study of childcare workers found that pain in the lower back was reported by 40% of workers, followed by pain of the neck (35%), and shoulder (16%). You want to know something? My mom (aka Nana) experiences occasional back pain too. She helps us out regularly with childcare and she does her fair share of wrangling a toddler and a baby. So this post is dedicated to my mom who helps us out with babysitting every other week.

Back Pain and Childcare

 

Grandparents as our Childcare Providers

I don’t know what we would do without my mom. My kids love Nana. She plans crafts, reads stories, and chases them around the house. But, (without sharing any specific numbers) Nana is over half a century old (sorry Nana).  And let’s be real, the body just doesn’t work the same the older we get.

Also, I know my mom isn’t the only grandparent doing us all a solid and helping out with childcare. In fact, according to Popsugar Family, the latest AARP data shows that 38 percent of grandparents play the role of babysitter or daycare provider. So actually this post is for all the Grandmas, G-mas, Grammys, Nanas, and GGs completely killing it as childcare providers. And I think every single mom could learn a helpful tip or two. 

We love you, our kids love you, and most importantly we love that you watch our kids for free…so please don’t get hurt. Keep reading to find out about the impact age has on our bodies and common activities that can trigger back pain during childcare. Also, make sure to follow my simple tips to avoid back pain and what do if all else fails.

The Impact of Age on The Body

Toddler and Back Pain

Let us quick address the elephant in the room and acknowledge that as we age our bodies change. These changes can place the body at an increased risk of injury during the challenging demands of childcare.

Decreased Muscle Mass:

With age there are changes in the nervous system and muscle connective tissue impacting the function of the muscles. Also people often become less active resulting in a decrease in muscle mass.  This impacts the stability of the joints during movement. Decreased strength also places your body at an increased risk of muscle injury.

Arthritis and Stiff Joints:

Arthritis is a natural side effect of aging. We all develop some degree of arthritis as we age due to decreased muscle mass (see above), decreased cartilage, and increased wear and tear. Arthritis can cause stiffness in the joints of the hips, knees, back, and neck decreasing your ease of mobility. 

Common Back Pain Triggers During Childcare

holding baby and back pain

Lifting From Crib

When picking up a child from the crib first pull the baby as close to you as possible. Then try to stagger your legs and bend your knees while trying to keep your back straight. Avoid bending or rounding your back.

Putting In/Out of Highchair

Remove the tray to allow the child to easily slide in or out of the highchair. When picking baby up brace your core and lift with two arms.

Lifting From Floor

Assume a wide stance and bend at the knees in order to lift with your legs. Alternatively you can stagger your feet and lift via a 1/2 kneeling position. Always brace your core and avoid bending and lifting with your back.

How to pick up a toddler to prevent back pain

Holding Baby or Toddler

When holding a child avoid putting them on your hip. This places stress and strain on your low back muscles. Instead hold the baby close to your body center with two arms. Keep your core braced and stagger your feet to reduce low back pressure. When holding a toddler encourage them to wrap their legs around your torso for even less pressure on your arms and back. 

Placing in Lap

Never sit and reach out to pick up and place a toddler in your lap. Instead stagger your feet, assume a lunge position grab child and slowly lower yourself down into the seat. Better yet, encourage the toddler to climb into your lap.

 

picking up a toddler to avoid back pain

Getting Off the Floor

Avoid sitting on the floor for prolonged periods of time. It is also best to avoid positions in which your knees are bent. This can cause joint stiffness and pain which will make rising to stand more difficult. When getting off the floor try to get near a support surface you can use to push/pull up on with your arms. Assume a 1/2 kneeling position, push through your planted foot and pull with your arms.

Tips for Preventing Back Pain During Childcare

Childcare and back pain

Maintain Good Posture

Keeping good posture with your shoulders down and back, spine erect, and hips under trunk will help you avoid injury. Bad posture sets your muscles up for failure. You can read more on the importance of good posture in my post Why Good Posture Matters

Strengthen Your Core

One of the best ways to prevent injury to the low back is to have a strong and stable core. Your core muscles protect your spine and decreases the risk of overuse injuries of the low back. You can find some great core exercises in my post 5 Core Exercises for a Better Belly

Practice Good Body Mechanics

Bending, lifting, and carrying the proper way is very important in the prevention of low back pain during childcare. You always want to make sure you are picking up and holding your baby or toddler the proper way. Be sure to follow the tips above and you can read more about everyday childcare body mechanics in my post Basic Baby Body Mechanics and Break Yo Mama’s Back (Body Mechanics Part II)

Stretch and Stay Active

When you regularly exercise your muscles stay stronger and more flexible. This will aid in the prevention of injury to your low back muscles when caring for babies, toddlers, and older children.

Treating Back Pain

childcare and back pain

Rest

If you unfortunately hurt your back muscles you want to give yourself a day or two of rest. Try to avoid strenuous movements and lifting or carrying anything heavy. Your muscles need a bit of rest and time to heal.

Ice

Ice is a great way to reduce inflammation in the muscles. Applying ice is best for a new (or acute) injury and should be used in the first 24-36 hours after an injury. After 36 hours it is ok to try heat which will bring blood flow and help to loosen tight muscles.

Stretch

After an injury to your back you want to be sure to stretch and move the muscles. This will aid in the healing process and reduce pain and tightness. You can find some great stretches for your low back in my post Motherhood and Low Back Pain

Resume Activity

After a day or two of rest it is good to gradually ease back into activity. Of course you want to go slowly and start with activities that do not place excessive strain or pressure on your back. You should always check with your doctor if you continue to experience bad or unrelenting pain in your back.

Other Physical Side Effects of Childcare

 

Unfortunately, back pain is not the only complaint people have during childcare. Childcare is very physical and you may be experiencing pain in your:

Click on any of the above to read the associated post related to each of these body parts. Each post will include more detailed information on causes of the pain, pain prevention strategies, and possible treatment options.

Holding Babies and Toddlers and Back pain

Sharing is Caring

Thank you Grandparents for helping take care of our kids! We know it’s not always easy. Our children are busy, heavy, little balls of joy. So take a little extra time to protect your back with these helpful tips. Be sure to share this post with any loved ones, friends, or family who help take care of children. I believe we all could benefit from one or two of these tips to prevent back pain, no matter your age.

Monica

Back pain when caring for babies and toddlers

How to Head Off A Headache

Life. It’s full of twists and turns, highs and lows, joy and stress; and if you’re a mom of littles you may experience all of these emotions in a matter of minutes. I mean, the “terrible threes”…woof. Trying to understand the psyche of a three year old can be quiet the headache. But you know what’s even worse? Actually having a headache while trying to parent, work, or just live life. A headache can be very disrupting. It can prevent us from attending events, being with loved ones, or being productive. So what causes headaches anyways? Sometimes it is things out of our control like hormones or our environment. But in some cases it’s actually in our control and there are things you can do to help heed off a headache.

Common Causes of Headaches

Unfortunately headaches are fairly common. According to the WHO it’s estimated that 50-75% of the world’s population has experienced at least one headache in the last year. There are a variety of common causes of headaches. These include

  • Diet
  • Alcohol
  • Environment
  • Hormones
  • Lack of Sleep
  • Stress and Muscle Tension

Knowing what causes your headaches can be critical in preventing a headache onset. Triggers such as our environment (smoke, seasonal allergies, excessive light) and hormones are not something we can completely control. But diet, alcohol consumption, quality of sleep, and muscle tension are all possible contributors that we can modify or change in order to head off a headache onset.

what causes a headache

Musculoskeletal Causes of Headaches

I am going to elaborate on the role our muscles can play in causing headaches. Muscle tension is one of the biggest contributors to tension type headaches. A tension headache is described as a diffuse generalized mild to moderate pain or tightness wrapping around your head. Tight muscles or muscle knots are often the cause of this pain.

Muscles can cause what is known as referred pain, meaning that the pain travels to different areas of the body separate from the specific location of the tissue injury or “problem”. This is what happens in the case of musculoskeletal related headaches. The muscles of our upper trap (shoulders), jaw, and the back and front of our neck can all cause referred pain around our head, eyes, ears, and even teeth.

Common causes of muscle related headache pain include:

  • Bad posture
  • Car accident (or other whiplash type injury)
  • Jaw issues (TMJ, jaw clenching)
  • Muscle strain from repetitive activities (i.e. lifting overhead, or holding a baby)

Tips for Headache Prevention

How to Avoid a Headache

Luckily you can often prevent or reduce the frequency of headaches with some small modifications. Make sure you are using good posture when sitting, working, or reading. Be sure to check out my post all about why good posture matters for tips on posture. Ensure that the repetitive activities you are doing as a mom or otherwise are with good body mechanics. I have two posts for new moms and seasoned moms on body mechanic tips. For treatment of an injury or jaw issues you can speak with your doctor about a referral to physical therapy. Yes, we work on jaws too.

Tips to Heal Your Headache

Be sure to check out my post about good posture and exercises for improved posture as step one for headache prevention. But if you continue to experience frequent headache due to muscle tension try these tips to help heal your headache.

 

 

 

heal your headache1.Neck Stretches – Check out my post What Causes Neck Pain to see a comprehensive list of great stretches for your neck. But one of my go-to stretches is an upper trap stretch. Gently drop one shoulder and pull your head to the opposite side. Hold for 30 seconds and repeat.

 

 

 

 

 

head off a headache

2.Self Upper Trap Release– A great little trick for getting rid of muscle knots or tension in the neck is by doing a self upper trap release. Make your hand into a “c” position. Face your palm towards you. Bring your hand to your sore shoulder (upper trap). Press your finger tips into your muscle and gently pull forward and down. Hold for at least 30 seconds or longer.

 

 

 

get rid of a headache3. Tennis Balls – Use two tennis balls in a sock to reduce muscle tightness and tension in the muscles in the back of your neck. Place two tennis balls in a sock. Lay down and play the tennis balls at the base of your neck. Gently roll over the top of the tennis balls letting the balls press into the muscles of your neck. For more equipment for massage of tight muscles be sure to check out The Best & Cheapest Ways to Massage Yourself At Home.

 

What’s next?

If I have said it once, I’ve said it 48,567 times; the key to avoiding pain and feeling well is to have strong supportive muscles. Important muscle groups to work to prevent muscle tightness associated with headaches include your core and your mid back muscles. For easy at home exercises to work these muscles head over to:

 

Hasta la vista headaches!

Monica

how to get rid of a headache
stop a headache

Break Yo Mama’s Back (Body Mechanics Part II)

Body mechanics
basic body mechanics
Body mechanics to avoid back pain

I know what you might be thinking; “body mechanics again?…boringggg, not reading this post.” But stop! Don’t go! My number one goal is to try and help moms (or anyone who cares for children) avoid or treat their everyday aches and pains. And changing the way in which we perform our everyday movements is one of the easiest ways to avoid pain and injury. 

One of my first ever blog posts (Basic Baby Body Mechanics) was about simple tips to avoid back pain as a new mom with a new baby. But unfortunately the opportunities for body mechanic errors doesn’t end after the newborn or baby phase. Motherhood in its entirety is a high risk job where potential for body aches, pains, and strains lurks around every corner.

After I had my son I had terrible low back pain from constantly bending over too low to change his diaper, or pick him up out the crib, and carrying the car seat. And gosh darn it, I’m a physical therapist!… I should know better!

So I quickly righted my wrongs and changed how taking care of my baby and my back pain went away. Thank the lord! But if I knew what I should be doing and wasn’t even doing it I imagine there are a lot of other moms or child caregivers out there making the same body mechanic mistakes.

So I thought it was time for a mom body mechanics part II post. Between holding your kids, bath time, laundry, and groceries moms need to be extra careful about how they are performing these everyday tasks. Please don’t break your back mama! Forget about cracks, check your mechanics and make sure your are doing these activities correctly.

Holding Your Child

How to hold your child

Don’t Do This:

Avoid holding your child on one hip or with one arm. Avoid holding your child for prolonged periods of time if possible. This can lead to neck and back aches and strains.

Do This:

Hold baby, or toddler, (or 9 year old…no judgement) with two arms near your body center. If possible wear your baby using a baby carrier or wrap. Stagger your feet to reduce the pressure placed on your low back. I have these two below and they are life savers (well actually back savers) 

Grocery Shopping

how to avoid back pain

Don’t Do This:

While shopping don’t load up a basket at the store with more than four light items. If your basket will weigh more than 5-10lbs just grab a cart. Avoid leaning over far into your car to reach and pull out groceries. Avoid loading up one arm with several heavy grocery bags.

Do This:

Always use a shopping cart (instead of a basket) at the store if you are picking up more than four light items. Before taking heavy grocery bags out of your car pull the bags as close as possible to you and then pick them up. Try holding the bags as close to your body center as possible. Avoid over loading your body with heavy bags.

Giving a Bath

Giving baby a bath

Don’t Do This:

Avoid standing and bending over at the waist to reach your children. Avoid lifting kids up out the bathtub using your low back. Avoid being in a prolonged position being bent over reaching or bathing your kids.

Do This:

Use a folded up towel or a knee pad product to kneel down as close to the tub as possible. Keep your back straight and core tight while kneeling. Quickly wash, rinse, etc and then return to tall kneeling or take a seat while watching your kids (assuming your kids are old enough to sit and play in the tub safely independently). Lift kids up out of the bath by bending your legs.

If bathing a small baby place the baby bathtub on the counter or bath the baby in a sink so you can stand with the baby at waist height. (Obviously NEVER leave the baby unattended)

Doing Laundry

how to avoid back pain

Don’t Do This:

Depending on the set up of your washer and dryer this can be a tricky one. Try to always bend at the knees and not the waist. Avoid picking up too much laundry at one time and avoid twisting your back while keeping your feet planted. Try not to carry a laundry basket on the hip or with one arm.

Do This:

Bend down to grab or put in clothes using your legs, not your back. Always keep nose over toes and turn your whole body or take a small step to put clothes from the washing machine into the dryer or into a laundry basket. Carry laundry basket with two hands close to your body center.

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Final Thoughts About Body Mechanics:

Ok listen. I’m a realist and I know that some things are unavoidable or out of our control. Parenting is busy, messy, craziness and sometimes you just need to get sh*t done. I get it. But help me help you and try to remember these tips to protect your low back; especially if you already suffer from low back pain.

You can find some easy stretches for low back pain here. And the besides practicing good body mechanics the best way to prevent low back pain is to have a strong and stable core. Learn some great core stabilization exercises. here.

Good luck!

Monic

4 for 4 (Four Resistance Band Exercises for 4 Muscle Groups)

4 resistance band exercises
4 band exercises

I recently had a patient who told me he wasn’t doing his home exercise program because felt like “he wasn’t getting much out of the exercises”. Ohhhhhkayyyy, not the greatest excuse. I guess he felt as though the exercises were too “low key” and he wasn’t making the most out of his time. Upon further discussion I learned that he enjoyed exercises that strengthened more than one body part. And I totally get it. I mean when you only have so much time in your busy life you want to be efficient and effective. So I thought I would share these four simple band exercises that are highly effective for prevention of pain in four different body parts.

If you only have a minute to squeeze in exercise you want to make sure you are getting the most bang for your buck, right? Well I’m going to share with you four exercises that are good for your core muscles, your hips, your knees, and even your pelvic floor. All you need is an exercise band and something to hold onto if your balance is less than ideal.

Resistance band Exercises

These exercises are a favorite amongst therapists in the clinic and loved by patients. They are easy to work into your day because you can do it while watching TV, waiting for food to warm up in the microwave, or as part of your daily exercise program.

So don’t wait any longer and give these four band exercises a try:

4 Way Hip Standing Resistance Band Exercises:

1. Hip Abduction:

Hip Abduction

Place the band around your ankles. Stand upright with your core braced and your shoulders down and back. Use a chair, countertop, or other support surface for balance. Keeping your body in an upright standing position kick your leg out to the side slowly and with control. Keep your knee locked straight and avoid leaning your body. Repeat 10 x on each leg.

 

2. Hip Extension:

Hip extension

Perform the exercise with the same instruction as above. However, kick your leg backwards keeping your knee locked straight. This is a small movement and you should feel it in your gluteal region. Repeat 10 x each leg.

3. Hip Flexion:

hip flexion

Perform the exercise with the same instruction as above. You will likely want to turn sideways and hold onto the support surface with one hand only. Kick your leg forwards keeping your knee locked straight. Keep you core brace and your hips tucked under your shoulders. Repeat 10 x each leg.

4. Hip Adduction:

hip adduction

Stand upright with your core braced and your shoulders down and back. Keeping your body in an upright standing position kick your leg across your stabilizing leg. Keep your knee locked straight and avoid leaning your body. You should feel this working your inner thigh. Repeat 10 x on each leg.

Repeat these exercises for 2-3 total sets.

A word about resistance bands:

There are many different resistance bands on the market. I personally use therabands. Resistance bands have varying resistance levels based on color. Generally the lighter the color the easier the band. The Theraband brand in order of lightest to hardest resistance level goes yellow, orange, red, green, blue, purple. For all exercises that require use of a band find a color that makes it challenging to complete the full 10-12 reps. As you get stronger you should think about increasing the band resistance or increasing the repetitions.

 

If you are just starting to exercise you can perform these without the band. But using the band requires your moving leg, your stabilizing leg, and your core to be tight and activated throughout the routine. These exercises build strength in your TA core muscle, your gluteal muscles, and your stabilizing pelvic muscles which are important in prevention of pain in your low back, hips, knees, and pelvic floor.

What’s next?

These 4 moves are a great compliment to any workout routine. Those who suffer from back, hip, and knee pain would highly benefit from incorporating these stability exercises. These moves are also great for runners to increase pelvic and core stability.

For more great exercises check out some of my earlier posts:

5 Exercises for A Better Belly

6 Pelvic Stability Exercises You Should Be Doing

How to Get Rid of the Mommy Pooch

HIIT the Stairs!

Happy stabilizing!

-Monica