Low Back Pain

re: Low Back Pain

Eileen — Tue, 16 Jun 2009 23:56:34 GMT

If after strengthening and they still have pain, look for myofascial restriction which is often at the TL junction. Releasing that fascia as well as the strengthening are a great combo for accelerated rehab. That and Pilates based rehab.

Good luck with your career!

re: Low Back Pain

Michael — Mon, 01 Jun 2009 20:48:10 GMT

Remember to not chase the low back in patients with LBP and forget to address the areas "linked" into this region. Many patients that are not responding to "text book" treatment will improve when you address leg strength and balance issues that often are noted to be present in patients with LBP. The "Core" doesn't only include the abdominals...

Michael

www.therapyeducationconsulting.com

re: Low Back Pain

Jane Goude — Wed, 27 May 2009 04:51:42 GMT

Veronica,

I remember when I first discovered the power of single leg stance. It was in the kitchen of a home health patient...much later in my profession than you are now. Congratulations for being ahead of the game.

Christie,

Great insight. Your comment brought to mind Barbara Headley's articles which always challenge my perspective. The body is an amazing creation. But it is easy to get in a rut about how we view it. Thanks for keeping our eyes open.

re: Low Back Pain

Christie ,, — Fri, 22 May 2009 01:26:23 GMT

As a PT certified in mechanical diagnosis and therapy and have also taken extensive pain classification courses, I present this question to you on which to ponder.

Do think people develop LBP due to the weakenss, or is the weakness there because of pain inhibition.

I have my own opinion, but consider this when you work with your patients...as a hint to my opinion...if you can abolish the patient's pain, retest the single limb stance and see what happens!!!

As PTs, we too often jump to the conclusion that weakness is the cause of pain, yet we all learned long ago that pain is inhibitory. Why do we forget this when we enter the clinic?

In the end, a "weakenss" does not always need to be treated...it needs to have the pain abolished to allow for full function. So despite what we were taught in PT school, we DO have to treat pain.

Good luck.