Journal/Movement

Why rest is making your back pain worse.

The most well-meaning piece of advice your doctor ever gave you.

Pain Academy FacultyApril 15, 20264 min read

If you’ve had back pain for more than a few weeks, someone has told you to "take it easy." Skip the gym. Don’t lift anything. Lie down. Wait it out.

It’s the most well-meaning piece of advice your doctor ever gave you. It’s also, for chronic pain, almost always wrong.

What rest actually does to a sensitized nervous system

  • Tissues lose tolerance, muscles, fascia, and joints adapt to the smaller demands you give them, so the next normal movement feels harder than it should.
  • The brain’s map of your body shrinks. Areas you stop using get represented less clearly, and unclear maps are exactly the conditions that produce pain.
  • Avoidance teaches the threat. Every time you skip a movement because it might hurt, you tell your nervous system the movement is dangerous.
Motion is lotion. The nervous system trusts what it does often.
, Adriaan Louw, PT, PhD

What to do instead

You don’t need to push through pain. You need to move under it, small, intentional doses of the exact movements you’ve been avoiding, just below the threshold that lights the alarm.

Done daily, those small doses tell the nervous system: this is safe. We do this every morning. There is no threat here.

That’s not "working out." It’s rewiring. And it’s the foundation of every Pain Academy movement routine.

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