Safe Movements: Coughing and Sneezing

Taking extra care at times when you must cough or sneeze is important for controlling back pain. Preparing yourself in the event you must cough or sneeze is a strategy you can use to protect your spine and keep back pain from escalating.

How can I benefit by learning this skill?

Coughing and sneezing can take a toll on your sore low back. Rapid trunk flexion and forceful abdominal pressure, which are common during a violent coughing spell or sneeze, can actually herniate a weakened spinal disc. Positioning your back before you cough or sneeze may help protect your back from pain and further injury.

How do I perform this skill?

Just before you cough or sneeze, lean back slightly while placing one hand behind your back for support. At the very moment you cough or sneeze, bend your knees slightly. Another way is to place your back against a wall or door jamb as a way to keep your back straight so it doesn’t lurch forward when you cough or sneeze.

Are there other recommendations I need to be aware of?

If you find that you continue to have coughing spells and the need to sneeze, see your healthcare provider to explore helpful options.

What should I watch out for while doing this skill?

A forceful cough or sneeze can cause back pain to flare. It can also put a weakened disc at risk of injury. Take a few seconds to position your back before coughing or sneezing.