Loren Fishman, MD, Medical Director of Manhattan Physical Medicine and Rehabilitation in New York City and author of ‘Cure Back Pain with Yoga’, writes an interesting article on easing back pain using alternative treatment methods.

Alternative Therapies to Ease Back Pain

Non-invasive alternative therapies are often compatible with conventional treatments for back pain, have a relatively lower cost and can sometimes be done at home. Trying one or a combination (medicine, yoga and pilates, for instance) may significantly reduce pain. Remember, alternative therapies are not a substitute for medical diagnosis and treatment, and if used improperly they may cause injury. Space limitations prevent discussion of all therapies available for treating back pain, so here are just five of my favorites.


Stretching, movement and relaxation combine in the ancient practice of yoga, which has been used for centuries to treat orthopedic problems and improve general health and well-being. Consistent practice of yoga helps with posture, strength, balance and flexibility and can be preventive as well as curative for back pain. Even a few weeks of consecutive practice can make a difference. My choices are Iyengar and Anusara schools of yoga because of their attention to positioning so that spinal elements relate to one another properly, their therapeutic focus, and documented low rates of injury. I did a large study on yoga injuries that may be of interest.

Standing poses without twists such as Trikonasana (Triangle) and the Virabhadrasana (Warrior) series are generally good for spinal alignment, often lessening the pain caused by nearly every type of back pain.

A friend of mine who had a herniated disk found quite a bit of relief just from sitting correctly in a half-lotus. A recent clinical study published in the Annals of Internal Medicine found that 12 weeks of yoga, done by adults, was effective in reducing chronic low back pain.

Alexander Technique

The Alexander technique, developed more than 100 years ago by Frederick Alexander, helps students become aware of and stop habits and muscle use that may be contributing to pain. Mild, hands-on work and instruction for postural improvement teaches students techniques for sitting, walking, standing and many other activities of daily living. Students who praise Alexander technique sometimes tell me they feel it has “lengthened” them or “created more space” in their spines. Some believe that the Alexander technique works through release of tension, decompression of the spine, more balanced muscle activity and improved flexibility.

In a study published in the British Medical Journal, researchers discovered that patients who had 24 Alexander technique lessons during a year experienced just three days of discomfort due to back pain, compared to 21 painful days for those receiving conventional medical care. A short course of six Alexander technique lessons (plus exercise) had a better result than either massage or conventional medical care.


This is a method of retraining the body using two methods: in classes where students learn Awareness Through Movement (ATM) and in one-on-one sessions where Functional Integration (FI) is used to analyze a movement that students then practice in several variations. I find it interesting that Feldenkrais identifies movement patterns like like rushing, teeth clenching, jerking and straining so that the student can gain control of these habits and they can be changed. Feldenkrais is said to aid in body awareness, and sometimes includes body work to help relieve muscle tension, spasm and myofascial tightness.

While more research is needed to confirm the benefits of Feldenkrais, many of my patients have told me that practicing this subtle, gentle exercise program has helped them with chronic low back pain.

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For more information on some of these alternative therapies to ease back pain, here are links to some of our previous articles:
Alexander Technique

Have you tried an alternative therapy to ease back pain? Let us know what’s worked for you by leaving a comment below.

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