Low Back Pain And Sciatica (chronic)

Hey everyone. Welcome to Yoga With Adrian. I am Adrian. And today we have a sequence for the lower back. This is something that you requested and I think it’s awesome and really dear to me because I very much believe in the healing power of yoga practice, keyword, practice. So I encourage you invite you to try this tutorial more than once. And embrace the repetition. You might favor the tutorial or click the ad to tab below so you can find it more easily. But this is something that I think if you practice regularly, will.

Really provide you some yummy benefits, and hopefully get you living pain free, in the back. So let’s check it out. Shall we Hop on the map and let’s learn yoga for lower back pain. Alright my friends, we’re going to start flat on our backs today. Using the support of the Earth to tend to the lower back. I just love all poses on the back because it reminds me that we are supported. So, if you want to go there with me. If you want to go oh.

Nevermind, can’t sing that explicit lyrics. If you want to go there with me you can just kind of take a deep breath in and already just feel relief from the idea that we are supported by the mat, by the Earth, by this moment. Feel like a little bit of consciousness goes a long way. So, take a deep breath in. Long exhale out. Then slowly we’re going to wrap the arms around the shins. Might interlace the fingertips here. And nice and slow, let the knees come.

In towards the heart. So if the lower back is already starting to talk to you, you have a couple options. Palms can come to the knees. This is great. Or again, we can interlace. Now rather than hardcore squeezing, just breathe here, relax the shoulders down. Let the weight of the elbows drop. And we have two options. We’re gonna rock a little side to side, just kind of massaging the lower back. Not squeezing like I do normally in Hatha yoga, but just kind of letting the space be. So I have an option here, or I have the option to draw.

Circles with the palms. So just take a second here on your own, because everyone’s different so hard to do yoga for this and yoga for that, because everyone’s different everyones’s experiencing different sensations. So just try to honor that and I’ll encourage you to listen to your body, be gentle, and of course, modify up, modify down as needed. So what we’re doing is drawing circles with the palms on the knees one way and in the other. Or, we’re fingertips interlaced, going left to right. Might even linger on one side.

If that feels good. And then close your eyes. Look away from the tutorial, and just take a second to feel both these things out. To check in with the lower back. Make sure you’re breathing deep. Awesome. Then when you feel satisfied, slowly overlace the soles of the feet to the mat. And we’ll inhale, reach the fingertips all the way up and overhead. Nice and easy. We’re gonna just rock the pelvis here. So, I’m gonna rock the pelvis so that the lower back becomes kind of a rainbow over my mat. If I wanted I could slip my hand underneath, there. And then I’m.

Just gonna rock the pelvis here. Get sassy. So nice and easy we can bend the elbows as I tuck the pelvis. And then exhale, tailbone down. Navel stretches long, belly stretches long. And then we switch. Doesn’t even matter what you’re inhaling on and what you’re exhaling on. Just breathe deep. And I’m sure this is gonna look great on the tutorial. But we’re just kind of coming into, almost a little sensual pelvic rock here. But it’s awesome because we’re massaging the top of the buttocks here. And we’re just loosening up, finding a little soothing movement.

For that lower back. Staying grounded to the soles of the feet. Just do a couple more, stretching the belly long, as the lower back lifts up. And then maybe drawing the navel down as we lenghten into the tailbone, lower back flush with the mat. Do a couple more on your own. Like a baby bridge, baby setu bandhasana experience. Cool. When you feel satisfied with that I got a little zen’d out there out there when you feel satisfied, we’re gonna lift the knees back up, and we’re gonna cross the ankles,.

And we have an option here. If you’re really tending to lower back relief, skip this, rock to one side and come sit up. If your lower back feels tight, and you feel like this might be good, join me in a little rocknroll up. So I’m gonna grab the outer edges of the feet and begin to rock a little, front to back. If it feels like that’s yummy, do it a couple of times, massaging the spine remember it’s all connected. If this is a great way to just kind of relieve tension, then stretch and soothe the spine. Now if you’re a little.

More sensitive today, again, we’re all different approaching this different, then just skip that move and come to crosslegged position, which is where we will all meet. I have a blanket here, conveniently. I’m gonna lift my hips up on. You can use a towel or blanket, or nothing at all. As we come to crosslegged, and bring the palms to the knees here. Nice and easybreezy, we inhale, press the palms into the knees. Extend through the crown of the head. Lift your heart, just open. Then on an exhale, chintochest, navel draws.

Back towards the spine. We come into what I call Mr. Burns pose here, rounding forward. Breathe, breathe into the back. And then inhale, extend, tagging a little weight in the elbows here. Open the chest, the heart, and exhale. Same thing, chintochest, rounding forward. Go ahead and catch the weight in the palms. And take a couple breaths here. Stretching the skin of the back. The breath can be so healing. So take some nice, long, smooth, deep breaths here. And then slowly we’ll rock all the way back up, and come to all fours.

Nice and slow, take it easy, honor the body, enjoy this practice, this time. So we’re gonna come to all fours. If you want you can sneak in a gentle Cat Cow here. Then we’re gonna take the right leg and lift it gently all the way up into a lunge. Now again, if the lower back is tight, breathe deep. If the lower back is tweaking, you might, save this. I mean I just don’t want anyone with lower back pain to do anything that they don’t want to do. So just listen to your body, and breathe. I’m going to heeltoe, heeltoe.

My right my foot out a little bit wider than I would normally in a runners lunge. You might even turn the right toes out slightly. And we’re gonna bring both palms in towards the centerline. Now, I’m gonna curl my left toes under, walk my left knee back, and slowly sink into the hip. So what I’m doing is this might seem a little counterintuitive. But I’m streching the front of that left hipcrease. The psoas here that wraps, literally from here to here which often causes some crabby, crab crap in the lower back. So we’re finding a nice.

Opening in the front of that hipcrease. We have the palms here to support us. If you want, if you have a block, or a book, and this is just too much for you, you can lift the Earth up to you, baby. Yeah. Four fingertips is always good. Now breathe. Finding what feels good, again we’re focusing on deep breathes. And opening the front of that left hipcrease, the psoas. If, feels right, you might lift that knee for a pulse or two. But if we’re supertight then that might not be an option. And you.

Might stay up nice and lifted. Couple more breaths here. Smile. Relax the skin in the face. We got this. Then to come out we’ll come on to the fingertips. Send the sit bones back for a little stability as we walk that right heel in. And then we’re just gonna take it for a nice little counterpose here. Right heel stays in the Earth, as we relax the weight of the head over. Pulling the right hipcrease back. This doesn’t have to be a deep stretch guys. In fact, if we’re tending the lower back we should keep it nice and spacious,.

Nice and easy. So one breath here with the weight of the head over. Remember it’s all connected. Cool. Then we’ll rock back onto that right foot. Come to all fours. And nice and easy, gingerly switch to the other side. Cool. So then the heeltoe, heeltoe the left foot out now. Both palms come in towards the center line. Take it nice and slow, fine integrity. And then I will curl the right toes under, walk that right knee back. And check out, what it’s like on the other side. So again, I’m focusing on the psoas muscle or we can just.

Kind of bring your awareness to the front of that right hipcrease. Stretching it nice and long. Using the breath, to breathe, you might lift that back knee. Again, as we said before we might lift the Earth to us. If it’s really tight that might be why your lower back is hurting. So, opening up through the front body a little bit to provide relief, in space, for the lower back. Ding.One more nice, long, smooth, deep breath here. And then we come out. Nice and easy lifting the sit bones back. Walk the left heel in towards the centerline,.

And release over again. We’re not sinking all the way back. This isn’t power yoga. We’re just checking in. So keep a nice spacious vibe going on here. Weight of the head comes over. We breathe. And then we roll through the left foot. We use the fingertips for stability. And this time we’re gonna step that right foot all the way up to the left for a forward fold. Now, rule of the game here is please, please, please my friends keep your knees bent. Bend those knees, keep them soft. They can be superbent generously. Then I’m gonna take my hands to.

The belly, draw the belly in just slightly. And let the weight of the head hang over gently. Oh yeah baby. Release the fingertips. If you have a block you can kind of rest it here, or a book. This is not about the palms touching the Earth. They can go whereever they need. This is about feeling grounded through the soles of the feet, and then finding spaciousness in the lower back. So we breathe here. We use the exhale to let go. We find a little weight in the sit bones, and we use that inhale to maybe really feel expansion in the lower.

Back. The exhale to ground down, find stability. Can grab the elbows here if you like. Let’s take one more nice long deep breath in, and then we let it all go. To come out of this forward fold today, we release the palms or the fingertips to the mat, by bending the knees generously. And then slowly, nothing fancy here, come back to all fours. Cool. Cross the ankles, nice and easy, we walk it back through. Texas. And come back to the back for our final posture for the lower back.

Yea. Hug the knees into the chest. Feel that space. Yeah. Starting to feel better. Starting to feel good. And then we’ll send the fingertips left to right. You know I like to call this Texas T. And we’ll scoop the tailbone up, draw the knees up towards the heart, and then this is not about forcing. This is about, again, gentle, finding ease, creating space in the lower back. So I’ll gently melt the knees towards the right side. And rather than keeping the knees practically hugging up towards the heart like we normally do, give yourselves.

A little more space. So again, rather than drawing the knees all the way up here, I’m letting myself have a little more spaciousness, a little more, just space. So I breathe here. I can take that left palm, of course, guide it a little deeper into the posture. I’m breathing now again, into that psoas lower back, outer edge of the hip. Yummy. So I’m encouraging us to start here as a way of just again, moving with ease but you can, of course, hug the knees up and play with anything in between. Couple more breaths here,.

You might turn to rock onto the right ear. Then on an exhale, nice and easybreezy. Melt it back through center. Itch your nose if you have an itch, and then send it to the other side. Here we go. Again, I’m giving myself a little more space using the right palm to guide and get a little deeper. I’m not anchoring anything. I’m just kind of letting gravity do its job. Nice, long, smooth, deep breaths. Turn it onto the left ear if that feels good. Softening through the face, and again, we breathe. Cool.

Gently, making your way back to center, you can end with a nice flat back fullon body stretch. Or, so ask yourself what feels better. Open, or we’ll turn over onto our bellies and come into a Child’s Pose. Belly comes to the top of the thighs as we release here. This is so great for lower back. You can do this in your bed. Find a little gentle rock. If you need even more space you can bring the knees out here with the part and hang out here. Sometimes even fingertips between. Nice. And you wonder why they call this the.

Back Massage Therapy How to for Sciatica Pain Relief Treatment, CranioSacral Techniques

Greetings again! This is Athena Jezik. We’re gonna work on some more tutorials and explain some things out. Sciatica seems to be a problem that many many people suffer from so i thought i would go through a little bit more sciatica work and explanation on how i deal with sciatica. There’s many different techniques that people have but for me this has been the most effective and i’m also learning that there’s different types of things that come from that area. Sciatica usually is pain coming from about here. When it’s real bad it will run down the leg. It’s a.

Nerve pain so it runs as though it’s a like a hot iron or a hot rod going down the leg. Very uncomfortable. Sometimes there’s pain though in other parts of the hip which isn’t really the classic sciatica but it does still involve things similar because there’s so many nerves that come out of this sacral area. So that’s another thing that i’ve been discovering. So not everything that happens with the pain and going down the leg is maybe the classic sciatica but it doesn’t matter because in my opinion naming a lot of things doesn’t really do anything except for.

Make it a disease and then a disease is only by law treatable by the western medical people. So that’s just names and labels. The thing is we want to get people out of pain. We want to move them into a space of being able to function well. So in that pain area of the hip impinging nerves and creating bad sensation or pain down the leg we’ll call that the sciatica pain and of course it comes from here and I find that it is always got a direct connection to the positioning of the sacrum.

That also has a direct connection to the position of the sphenoid bone at the occipital base and I’m gonna show you a little bit of this. I’ll just show it to you now. Excuse me it’s early in the morning and I’m kind of foggy today. So the sacrum is sitting here and in that sacral bone there is a lot of nerves that come out from here. These little holes are where they come out of so if that is position a little bit crooked on there, which happens quite a.

Bit then we’re gonna have this pressure. The nerves are not going to be coming out with the proper alignment and the nerves are gonna have pressure on them when they are twisted a little bit. sometimes this bone can be in a position that’s a little more like this or it can also be an a combination of that particular pattern so it’s important to be able to allow this bone to be able to lengthen down. This is something better done if the body can do it itself. If it’s forced into it, it doesn’t always mean that it’s going to hold.

Because there’s a bunch of stuff underneath there. The network of the facial structure, the membranes under that that will twist like a nylon stocking and so if it’s forced back it will go back but because of the underlying structures there it will pull it back into that odd position. This is translating up into the head and because I’m a cranial sacral therapist and I’ve been doing it for so many years I have a lot of understanding how these connections are made. So right in there where the.

Purple and the yellow come together is the sphenobasilar junction. The sphenoid bone is the yellow bone right here and so that bone touches all the other bones and it does relate directly to the sacrum at this joint. So if this sacral structure is sideways, crooked on there, that’s going to be placed and it’s going to be like so The same thing is gonna happen at at the head. This sphenoid bone is going to be out in a similar manner because it’s a counterbalance for what’s going on with the body. So it keeps.

Things balanced so that we feel somewhat straight. So that’s areas that I look for in work around low back pain particularly down in the sacral area. I do not like to do the hard pushing with the elbow. For one thing You can get through muscles that way but your elbows are not very sensitive as to what you’re really doing and what structures you’re on and i have found that when i’ve tried to work elbows even forearms the bones and the bony surfaces. it’s just too rough. I don’t feel good about it. It.

Doesn’t feel productive so I don’t use that method. Also sometimes when the nerve is affected there’s inflammation. So in my opinion the way that I see things is by driving yourself into that nerve, through those muscles with a bunch of inflammation going on is not really going to help the problem. So there’s little things like that that I pay attention to that I don’t know if many other people take a lot of that into account because we do get sort of a technique to loosen things up and.

It doesn’t always provide for us the thoughts of what’s happening at the subtle anatomy level. So I test this just by checking at the occipital base and at the sacrum to see the position of everything and once the position is established then I can go in and work with the sacrum in order to correct it. Sometimes this will be corrected quickly and sometimes it’s not corrected as quickly and I believe that a lot of that is because it’s maybe not a true quote sciatica but there’s other stuff going on maybe in the hip joint.

There might be some kind of misalignment in the pubic arch. There might be some kind of a rotation in the hip as well so other things have to happen. So here I’m just giving a little drag on the sacrum and letting it loosen up and letting it swim around and my other hand is at the occipital base. Just steadying the dural tube. And so there I just wait a little while and then I will soften the muscle area around there. I work really differently. It just kind of depends.

So much of my work is intuitive. There’s somewhat of a protocol that I follow but each person presents things differently. No two bodies are ever the same. No injury patterns are ever the same. So flexibility is important to be able to move from various techniques and not follow things too rigidly particularly in pain problems and issues Then the other thing that i will do is to get my finger at the base of the sacrum. Excuse me, at L5 S1, which is right in this area here L5 S1.

So try to put some distance between there because that’s where the jamming probably tends to be. Sometimes it’s at the coccyx. And I’ll show you that technique as well. So with that you just do a little stretching integrating in with the muscles integrating in with the tissues and then just waiting for it to move. This is going face down. There is a better way to do the sacral pull when they are on their back but this way will also open it up. Either way is fine and my other hand up here is also feeling some rotation and.

Some movement coming up the spine. So as one area of the spine is off every little vertebrae is affected to some degree. There’s a little bit of adjustment that they have to make in order to keep the misalignment aligned and the bodies just gonna do that it’s gonna work within the framework that it has and it’s gonna normalize whether a pattern is there. And so there now we’re getting it softened and now there’s a little bit of a stretch happening. I’m stretching downward with the hand that’s on the L5 S1.

And I am taking a little bit of a stretch upward. Just a little traction. No deeper than the fascial level. So we have skin, fluid, then fascia. So I’m three layers down and giving a little stretch there and i’m feeling quite a bit of rumbling going on and there is a separation happening between L5 S1 And it just swims around and the sacrum is trying right now to find its way back to the proper position. It’s a good idea, if you know cranial work to also balance it at the spenoid.

Level because the sphenoid bone, if not corrected, can pull this thing out. Sometimes this will correct the sphenoid bone but it’s a good idea to check both. She just had a couple pulses. There’s a lot of activity going on. Even though she’s not suffering from sciatica or any kind of hip serious pain problems there’s still a lot of activity going on, which is correcting little misalignments in there, which is a reason that we should be paying attention to maintenance. Even though we’re not hurting, we might wanna have.

Some kind of session just for tweaking. I see a number of people who come in regularly every four to six weeks just to be tweaked with cranial work And I myself have an hour and a half session with somebody once a month. And I love it when I get it. It took me a while to find somebody that I felt was at my capacity. Okay and then the other position is just to lay the hand on the sacrum here and curl the fingers at L5 S1 and give a little bit of traction this way.

This is a little tricky because you have to keep the palm of the hand pretty secure and the fingers have to bend so there’s quite a lot of technique in the hands in order to get the right feeling. And the hands have to work independently because I’m right at the sacral coccyx junction and I’m stretching downward on that while I’m allowing the movement, which is a little bit of a swaying motion at L5 S1. There’s a downward traction as well as this being loose to be able to align.

At the same time it’s being tractioned downward. Okay and there’s some movement happening. These techniques will usually give quite a bit of change to the pain. It doesn’t mean that one time is going to give total remedy to the problem but it does begin to correct that space. Once that’s corrected then we can go in and also work into the muscles, much deeper into the musculature. And the only reason i work into the musculature is to loosen the muscles so that they’re not sinching down around those nerves.

Because if they are sinching around those nerves then they are not gonna let go really easy even though the alignment happens so i just worked really deeply into these glutial muscles for the purpose of the muscle again, not the purpose of the nerve. And I’m careful if I go into the area where the sciatic is the main place where you can feel it. I do not go into that with a lot of deep pressure because again I don’t like going into the inflamed areas and I don’t like going into pain.

With a lot of pressure. I don’t think in my work it gives me the better results. Okay and then up front and there is many areas of the hip to take and loosen. And along the ridge of the hip as well coming from the sacrum. Working all that. And of course both sides are benefited. I won’t do too much on this side. Both sides have benefited by that. You can even go into the attachments of the hamstrings. In fact it’s a good idea to make sure that the.

Quadriceps and hamstrings are well stretched. With this there’s also some stretches that can be done with the leg, but I will show that at another time So basically what i do is corrected the position of the sacrum to alleviate the pain of the sciatic pain or hip pain. Thank you very much! This is Athena Jezik. Please subscribe to our channel and you should also visit our new website because we have over 1300 tutorials on our channel I know it can be a little difficult to navigate and find the tutorials that you want to see but if you visit us at.

Lower Back Pain Immediate Relief With Acupuncture Case Study

A The reason for acupuncture was due to John, my son. Sort of saying try it, I got nothing to lose. I tried everything else, apart from having surgery again. So let’s try it. I tried it and it is obviously working. Q What’s your impression of acupuncture before you tried it A That was just a load of rubbish that somebody stuck needles into you and it supposedly worked. But since being here, in the first half hour of needles being stuck at the back of my hand. I had pain relief.

If I wasn’t happy about it, I would be quickly to tell you, No, this is not working. This is not for me, cause of 4 years having pain, taking handful of pills everyday to about to where I am nearly forgetting to take the pills and the pain threshold has gone down dramatically. Anyone Who knows me and sees me and says, Hey you Allan is walking straighter His facial expressions are better, I am very quick to tell them why and how. A lot of remarks are, I pity he didn’t find them 4 years ago, cause it would have.

Physical Therapy NYC Testimonial Relief From Lower Back Pain and Sciatica

Hi, my name is Matthew F. I came back here in August, late August in 2013. I was complaining from lower back pain, sciatica and discomfort sitting for long period of time, staying for long period of time. And in September, I was diagnosed with two bulging disks, two pinched nerves on my left leg and one on my right. And I started physical therapy from that point forward. And now, I’m in November 2013, I am able to sit for a long period of time without extreme pain and discomfort as well as standing due to all the physical therapy I’ve been.

How to Read a MRI of a Lumbar Herniated Disc Lower Back Pain Colorado Spine Surgeon

We’re going to look now at a lumbar spine MRI of a patient that has a disc herniation and again we see the side view spinal cord ending here nerve roots coming out and the white being cerebral spinal fluid the water these are the vertebra these are the discs the L one two two three and three four discs are normal the white on the inside the jelly is full of water the dark plies in the tire normal here at the four five level there is a degenerative disk you don’t see the.

Normal white of a normal disc and you see a small tear in the back of the disc right there at the five one level it looks somewhat like the four five level as it’s dark in the disc but you can see a complete rupture at the back of the disc and a disc herniation here which is filling up the spinal canal this is a typical disc herniation you can look at it now from the topdown view and will come down to the five one level no better yet.

We will start at three four here and here is that jelly filled donut the normal jelly on the inside the donut on the outside the sack of nerves here all of these black dots are the nerve roots the back of the disc is flat to concave this is normal we come down from that level to the four five level and here is a small tear in the back of the disc this is called an annular tear but the nerves behind that tear are not compressed therefore this patient shouldn’t have any nerve pain from this tear.

Chronic Lower Back Pain Its Problems and What You Can Do James Steele II Full Length HD

Stage again here uh. is a man that just got his bachelor’s degree last year from seventh in solely university and is also working on is phd’s gonna talk about highintensity exercise the lower back give them a round of applause and james feel sick it say purple uh. nelson uh. rick here finance and okay guys right uh. i’m hoping that this focusing aborted its image as a bit of apprehensive about talking about this topic she does is big interests of my obviously and in my phd and i’ve been.

A lot of intensive research on it so to me is very interesting and so i think quite quite a lot about how to relate to you guys ab i’m radio i kind of full of al have more to talk about how happen apartments you how unpretentious the nature of clinic by back pain is i mean like that do his had back pain got back i know some of that time that’s only about eight thirty which or sponsor research biggest quite interesting but they had just risk i give you an introduction of how our cargo in.

Circuses allotted boss that i would say you know has again to back pains that we’ve like these that i i just finished my basses uh. degree in applies for science and before start that i was very interested in complex eisenhower relates that uh. health and fitness despite a shady and definitions and and the fact that excise can have on on the body so i i wanted in the floods both sides agree with uh. with my main focus being on excise physiology and at that time i was getting introduced a kind of concepts of high intensity.

Training and show you guys are aware of what today doug mcgrath uh. off the jones and i i was reading the bear works as read my menses works at the time uh. hands kunkel incidently wedding bill two seven two so it’s not my degrade uh. one of my lectures that was involved with them some research using that uh. medics equipment we specifically had at medics lumbar extension machine there and that is quite interesting that i was just reading boulevard today’s but some time and i kind of a ride to the university and was like max max that.

Would i know that name from out aliya opportunism in the back and i got involved in the research in a kind of stem from their redevelopment houston high intensity training went back with all the research um. as for the convinced by the evidence supporting and then move free kind of the same way off the progress from high intensity training grover norquist’s and i’m leaving for it’s a sent testing and then rehabilitation fill up back in the other possibility as well looking for the researchers orlow big holes.

In understanding of um. that probably what might be the main causative factor back pain and potentially how we can try and tree that i’m trying to be either prevent it or rehabilitated for people who do safra so today’s talk i’m gonna try and zach kind of a personal decision of what will be why karva that will what was it you guys and you go part time yet exactly genesis says said united is really really annoying let’s just have this chronic pain s around you at the whole time we’re currently in a minute popping up up and.

Down it’s really annoying and you hirings are things in the conference is well if you go about backing that poster don’t look so tracked it doesn’t really convey kind message you want states to maybe women or other other people you china at the relationships of three to talk about it was important to care about it living in a discuss maybe maybe what you know why is it separate prevalent unit so if you’ve got a semi people of color the figures are really high if it’s a hard as they’ll be something that’s that’s causing as something.

That’s having a real impact on and something that’s meaning that it’s going to you know that it’s kind of time in society cynicism light my guide is uh. and based on my reading around the lectures of what remains of like associations of low about paying off and what i think has the most influencing factor a wide the majority of people suffer from it but any other kind of cupboard ni what you can actually do about it because it is so well in the pain this is causing it.

All of this might be causing is me the main factor now with a day it’s good to have some information of the how can you talk about how can you do with that how can you do something about how can you bring the situation because this is the main reason while you guys again getting information and learning how to apply and improve unite your life basically i’m gonna spend the time just just kind of going over what what i’m doing in and uh. the impact i kind of envisage.

Of my research is going to have until june bit about what specific areas on looking at one looking at them and how that kind of like is involved with with and about henry and then we’ll connect they must be tough questions uh. just in case any of you on the web alone racial messed it up mats the love that the bond five rumbled up and that’s when my main area of intro testers so anyone’s go questions above that well below that i want to step outside my area of expertise sat ideally i can give you an.

Opinion barefoot and i’ll tell you i don’t know uh. and style of the above the question benefiting inbetween those five that a bright i’ve probably got to know is i can give you did you get on some site jain sadie questions to something relevant i guess the why care about love at will first thing that there is to get back on the definition yet what is back pain if we don’t have to ask tackle something and you know why isn’t it important to care about it we need to kind of.

Defined and i know what it means i campaigned saying yesterday uh. some words in some definitions lost many of the answer to tackle probably need to be up to define it and no what the problem that she is by planes used to describe as a kind of tension or so and insults stiffness their lease kind of words that used to describe what is a sense it over arching kind of condition in the lower back mike say any of these are the things then she sort of stiffness.

Sharp pains anything about it can be annoying them and they have an impact on our lives we’ll say five categorize our back payments a in surveys difference of what’s up categories acute pain what we will be considered social time paints a lasting erupts ovr twelve weeks accutane would usually be involved with united an injury maybe sports injury may be tripped and says well you know anything that this should back out so to speak anne’s and causing pain usually in the majority of cases acute pain kind of resolves itself almost kind of naturally.

Even the research suggests that it doesn’t really matter what you doing the actual pain will tend to go away after bouts of at most near upset so salt lamps are supposed to meet out that’s of light line is a two week period the problem is is when the paint doesn’t go away profits periods is tenzin said what we’ve encountered rises subacute pain and eventually develops into chronicling aykroyd has anything that any pain has lasted for a for a long period in twelve weeks and usually in those cases.

It’s way develops in thirty years under some people who are involved in my research allied i’d been testing and and uh. rehab with to uh. some of them in our time for thirty years billy had spent the whole life in pain basically and i think there’s no way to lead your life unit happy them suffering one of the other kind of problems that and i was speaking to and gentleman editor about it is a very differences come on uh. is very difficult to m give back pain in aloft cases.

A diagnosis i mean that we will go on for a second but there are a lot of different things associated with backpacking that maybe or may not be causing pain then maybe you’ll may not be affecting the joints by mechanics and then having something impact on how the structures which may illicit a pain response or unit in may or may not be expecting um. functions are out how the joined by metaxas function so it all the time is very difficult to say right you you have back pain anne’s.

This is causing your back pain or all of this is causing the pain that you’re experiencing unanimity uh. nerve impingement and maybe uh. baghdad’s degenerate correction this instance since causation and what you know it could be ligaments execute the must it could be actual unanimously saying elan’s right uh. then the majority of cases diagnosis comes up so people labeled is nonspecific can go part time method and ideals most cases is very difficult then say oh if we don’t know i fear what’s causing it happened how harry’s personnel to do about it.

And this is where the majority of my kind of like researchers involved with his dealing with is poorly causing that nonspecific aspirate because it is and eighty five percent of people with chronic low back pain how this nonspecific kasri given to them israel so by fifteen percent uh. you can say you know you know you’ve got this problem you’ve got the specific policy the specific conditions of our buttons that nichols in time so i’m focusing on conflict how can we figure out what’s causing apple what may.

Be the predominant because of that is non specific cases and how can we address so when i talk about uh. old previously lbp and in uh. the rest of the un but the slides unfocused specifically about nonspecific chronic low back pain says back pain without specific diagnosis that’s lasting in a long and twelve weeks in and maybe the car rental unit people’s pain perceptions change that said just a quick diagram for you and this is just a complex at the same for my research unwilling back to the kind of layup.

These guys im leave leaning lian lian lian uh. they’ve actually done a lot of research a lot of at reviews on the time i think really act and dysfunction and i put together this kind of uh. integrated model to say like well in in non specific cases uh. with unusual school function as as a as an outcome measure which is very difficult to say all i can try to um. for specific something specifically wrong with this structure altadena something is causing painewebber’s nervous eleven and sony’s function like the function of the joint joined by mechanics.

As an outcome measure blood as a taken this kind of kind of approach that they’ve use in the categories are used and adapted it said be applied to lie back so we’ve got got as cargo at that time as a kind of like entity as a kind concept and function as the outcome measure all functions as the perhaps rehabilitation go so one looking at is whether or not we can improve function we can definitely improved all these other areas uh. associating with may not necessarily because it is but certainly associated with caught up at.

Night one thing i a m day is focusing on the physical characteristics involvement that’s love dot section then psychological and so i can say show instances my resistance and the folks in alexander come from the excise physiology backgrounds and sold out there is a psychological impact acts like a social impact to stress impacts on pain perception which i’ll discussed briefly and mind as well main focus of my recession might efforts are looking at what the actual physical symptoms are is the school said he said to tell whether or not.

Dislike us at the psychological stress is causing the plane or whether or not it’s causing psychological distress united services hall association doesn’t necessarily imply causation unthinking his motherland on fixing the physical characteristics the more specifically in my research i’m thinking of fixing on things like range of motion you know if this generation the act actual atrophy if they uh. lumbar extensor musculature as the looking a bit sort of ad uh. skilled specific bomb attacks when we come up on the tax uh. if you guys are where pala build us a man’s world.

Most of you who are about seems tutorials threat fuzz it up yet ok ever anyone read my mail access yeah ok kitty co but left bill talks a lot of our time by mechanics that has as a an overarching sold like uh. subject uh. by metaxas display and so there are certain things that we we wet when bill talks about bond cactus talking specifically about uh. rolled from what governments works is um. joint structure anatomy function in a what i had some people michael functional kese ology.

Uh. the bomb attacks also incorporates skills specific movements as well so free my plus full size three that we oneweek were looking at buying tax we look at basically so what the physics of how particular movements uh. whether that elaborate so much support skills work on up and one of the senate things is looking and was cool gate which is basically you unit look for mostly commission’s web describing an you like to mention and report back pains and have discovered variable datetime which doesn’t fee the normal time which we see people hey that got back pain.

So that’s just tell us that the saying an of what i’m looking at and why i think is an important to look at and we’re going back to the family aside more determined to research and doing and why do you get so much important things that you know the results on huntington okay what’s the as a senator quite low back pain really prevalent really unpretentious than a foot is in his word recently i think i might use their the kind of thing with the about me up on the time you want to mention dot com.

If this is unpretentious condition there that is everywhere everyone has their normal talks about it you know it is not laptop kind of scary you know as necessary killeen blaze interestingly in some cases that i’ve read uh. case there is an examples of people who’ve been slice of the stress by that i know that yet i felt suicidal hands and may be that goes back to the whole used businesslike is a psychological stress causing pain or is the pain caused the psychological sts distress some interesting points.

But yet because this is kind of unpretentious unknown really kind of like thinks as a massive impact on society uh. it doesn’t really get a lots of press shall we say on my things like cancer heart disease analysts at the city is definitely one of the most prevalent medically soul is in fact the world health organization did a big survey at as a love like uh. and in the nineteen nineties and zag actually ranked low back pain is the second most prevalent disorder uh. in uh. in that survey be anything that was interesting and called.

Me and i have it was m unforeseen amiably and low back pain rightwing prevalence higher than almost everything out to clean your heart please cancel these are things and so i uh. it’s a real problem and dan here’s some of the estimates are that sixty to eighty percent of of adult we’ll will suffer from back link so you need a new guys who have miss everybody paying now will have an expense in pain in the past it may come point you lots where it was very likely that you can suffer from.

Back pain is gonna really cause you some problems anos a one interesting things is is the cost of back pain it may not have a massive impacts in the interest of like uh. severe impact that on all of our lives of some illnesses and conditions date but intends it costs it costs shit load of money every year some of the estimates are it costs about ten thousand a won the most recent estimates for the uk musicals they call me and direct and indirect costs about ten point six.

That ten point six thousand million sanders a billion about about ten million pounds a year lessen the direct and indirect costs last reunited cost of healthcare posterity and i i i’m one of these problems is the treatments that that utilized by people with back pain and assistant director of student if people go back on the part of the work than that both of those weapons they missed limits now i’m getting money for it working and provide value for that company in that companies or say missing out.

On the web at providing for them so there’s all these complex lost involve all venice is big spiral that just keeps continuing costing more and more money and the way the kind of economy is going on the mine with rates inflation buzzing scott b skyrocketing even more big problem if i’m pain is so prevalent like if that is going to some reasons why it’s prevalent in what’s causing what is having an impact on it to make its such prevalent conditional society when we look epidemiologically sex which is a study of sort of like m.

Epidemics of disease oval the political political we look at the school respect as we look at things are socially within that we can generate hypotheses about word and maybe is a is act was in it wasn’t such a very uh. what link doesn’t have to the actual conditions so we look at things cool risk factors and in fact i mean they’re kind of mainly cellfree trains a full and kind of categories what types of respect this all responsible the conditions that that we say so one of these ab prospectuses these environmental and workrelated expenses.

Ansel played out latest pictures i see that i was just following and i don’t really realize that soft or click on that site but but that they’re supposed to have backpacks andrea you can’t find him something which i remember this morning which i a m needs to remove told you about was that rice farmers interestingly uh. undergo close the while back has been a kind of interest of mind looking answer at back pain in but traditional indigenous of coaches also what alienated bike there and and evolutionary reasoning new unit.

Is m between paul and i think in anytime lab spective of uh. the human sciences or any kind of like uh. biological sciences in exercises so he did just as a kind of like a example of people and have decided that working conditions and therefore carbide pollsters and that sort of thing that we experience during a work with libya extended seating fighting month five office jobs accenture will come by lifting that we experienced and doesn’t really like a man who worked the last five a bustles sorts of things.

Maybe lengths to high prevalence of backpacking unloaded tonight so with that you know you can ingi back lifting something hedley or lifting anything for that matter of fact if you lifting and stupid way if you’ve seen in a way that excessively loads perhaps the passage structures robin the muscles taken the like so you know i’m not denying that you can hurt your back doing stupid stuff at work or or in whatever environment you’re in but interestingly i was looking at it and some research in thailand slickers and see whether or not.

They prevalence of back pain was as high in thailand as it is in other cultures in the world and the kind of that prevalence of pieces it is it’s very difficult skylight link things the government draw direct comparisons ’cause methodologies are always different indifference studies which is was a problem when you try and uh. in separate them but one interesting thing was an analytical the acid oakley who teaches law about pollster and thinks it’s very important highlighted to me that uh. innovative i watched uh. fingerboard chests not uh.

Gava resident americans were back in a fast uh. their posters on the bending lifting is these brilliant to keep neutral spine intended the hips an extended hours and hours a day spent and that poster bend down picking up or checked checked sounds and she says his picture and which outcome regret nothing on it now but i am of these what these women with his wonderful pasta spending hours a day and that posture and yet seem to have no at that time and she kind of used as a burst of like uh.

Eyecatching tool to cut my heart like uh. i like this so full of claims they saw that on the ground is a symptom of a resurgence in pictures and an offense interesting picture when i was looking to try and prevalence of uh. so much promise and rice farmers in in thailand in an abrasion country you can expect too much of the same job is spent than the day’s bent down but here i sit in that mocha you know whatever is the kind of war he feels that way.

Ands and interestingly that that you found showed the unit well half of the people in the picture you have this perfect posture newt respon bending of the hips and you know i reloading the spine in the mouth of the that these conflict and schools of thought would want you to bullies and the idea of a half of them had relief ship upstate new york hunched revolt bending down and using a standing hours a day in that position so much so therefore you know that’s quite interesting considering that she’s.

Also saying that the rates of back pain in thailand quite loves wealth along the lines my foot much of the full of why i think is the time could only the causative factor although maybe the majority of almost irresponsible is that i was on for a second is one of the physical characteristics of the lumps popping and was that bless those odds you study done with ross thomas he found that rice farmers with lower strength levels in that lumber expenses actually had a high rate of back pain.

And that was the factor that was most associated with it now doesn’t so imply causation but it’s interesting that the actual working conditions didn’t really have a big impacts weber all they have backpacking so what we can usually says if there is no association is quite like me that’s probably know causative so it is very difficult complex a lena is definitely the majority of people are getting back pain because that spending time than i ever lisp and science flash in the states will sign opposition the web.

Because they’re new situations just on consistent they’re all over the place in the may be affected by methodologies in the populations in the catholic and thus the consistent is very difficult to say yet definitely that message russell what’s happened so we need to comeback as of today the psychological family swings back into the hallway m workrelated stuff and uh. workrelated stress is other said mahmud focuses isn’t probably on uh. and so i thought processes associates is melissa nicholson associated with back pain and i want to step out of my bounds uh. that.

And cognitive behavior therapy is is a very sort of like prevalent that treatment options and i and the you’re the research is trying to be pretty successful and in terms of an leading people’s pain section but im interestingly and some of the research that i’ve looked at looks at has with the fact that the soldiers in chicago i stress the soldiers and and psychological sensitivity and and found that injury cases they’re not necessarily associative with the prevalence of le backpacking they affect the degree of love acting cell asserted that the intensity of the.

Plane experience so it’s not the kind of like four to me that suggests well maybe psychological stress and most of the things all having you know the director of direct impact on howell much background people all how prevalent back pain is certainly one of the story be the main causative factor it’s also by holistic approach to the they can have an impact on the penny to safety preserves the perception that uh. it’s it’s considering that it’s time to see the brain hands and any kind of stress is not necessarily have an impact on what the sections you.

Have of that and response was important it’s monastery myers focused and attendance of think it’s unit remains hoping plays an important thing to consider perhaps in an addressing people’s pain perceptions and lastly won the race as a respect as we look at uh. these physical acceptance that when we talk about his work at respect as we’re talking about times and but demographic characteristics and i like height weight below the only things that i’m uh. people’s physical characteristics and some of these things are we looking at like uh. join structures join.

Function uh. how how the joint actually physically functions like i say no they’re going to function of the joint and so you know that could be in the love acted to strengthen lumber expenses that you feel that well but that’s the anil diagram and petty from one of our jags but uh. just showing a lumbar extension and sent uh. and his lodi vanfleet looking at things like range of motion as well and that the check i might grow strong regulation and on the stage a specific number.

Dimension which we talk about that alonso excuse me okay so i could send association doesn’t necessarily imply causation started clover is difficult to say also if something’s associated with it was really causing it liberalize just may be simply unite maybe something else is underlying it and when this thing has an impact on a campaign is prevalent and something else is provided as well these kind of a conditions because very difficult i’d like to say i’m what’s causing wall in the majority of cases found at the same opinion is as researchers likes to have a gala benefit.

You’ve you’ve had it is his name is quite big names alone about uh. by mechanics and rehabilitation uh. even if you know i mean in general agreement with him that in the jury cases pain has an organic souls okay and injury or some sort this function of the joint because it is what initially causes move sequence of events that leads to he fixes along harrel and very stiff physical characteristics of columbus find have an impact on injury uh. thresholds and and and the injuries that you’ve infects.

And dan usa distinctions between where for all of the uh. yet acute injuries all chronic injuries as well netware broadband you know yesterday like an acute chiseled like sprain or highimpact an injury a liberal that anne anne these words right now uh. a repressive injury at for example like maximize get the texas rangers people get reports of injuries which can develop in c chronic back pain the lungs spine as well you know it’s a really get tackle from behind the rugby of whatever so quickly backed out.

It may be sustained loading and sustained injury very small small small just builds up a discount like running response and what does that mean is off to a injury a series of events happens which leads to spot of high response the actual at peripheral nervous systems or data structures and uh. person in their structures become sensitizing come really sensitive to pangs anymore compass simulations as joy they structures willis eaten for the pain response and some of the things that you know if you can get directness and pension.

Because of a with joined by mechanics because of the function uh. and discs and other tissues as well facet joints it’s just easier to handle it and it seems fine that date that’s right and had to have muscular and ligaments officially they will have no supplies so they can all feel kind of any kind like alterations that by the tax may be something that’s responsible for sensitizing those nerves and then subsequently sitting up a series of n since i was the rest of the uh. same response.

Says maybe white white paint private developments mccormick condition as well you know one thing i just want to point out is something interesting laid out in a again how made what you guys followed local yukon abilities but does well the big he cannot hide real of research and i really love lots of out of the book the great source of information such as you can find good blogs from bike interesting and and and critical correctly thinking and russian peoples uh. are full of logs written by and very species and doctors center.

And but why does a is was a full is a guy called photography bro’s vocal better movement and he’s over so blood brain senses approach on um. pain and and and he is uh. questions for back pain and interestingly uh. heated up a couple of studies that show was aware of announcing of the stories where some people who have abnormalities in the lower back discount haitians of exposing myself think shows no pain symptoms so alarm people cause like jumps on top and wagon to say you know if if that’s not being as they go back problem but not all time.

Then maybe that’s not responsible for paying the first place but i think i’m set said like injury cases pain does seem to have an organic kind of like like souls icon stimulates appetite and one of things as an impact on my sisters their tv injury as well when you can’t look at these have studies which metabo malfeasance incidents tends to find that the actual and degree of injury if for example we looking at the disks of dust can begin to degenerate make and then softball which and they couldn’t center at that point stop pressing on earth and causing pain.

Response or they they could have a completely within which case you know they can cause a real slow like impingement on that uh. nervous tissue would need to move down into the actual bloodbrain units stimulators inflammatory cascade of events that that can cause a racial painful response and it seems to me that that the majority of links and between abnormalities in pain for a lot more satiated with at the severity of them so the ratio of light lotus verity and injuries uh. abnormalities when necessary it’s highly associated with um. back pain.

The thing to do is come by at least this state’s response relationship between how badly injured the spinal how badly deteriorated wars and the extent of pain experienced so maybe they even when we see an abnormality it may not necessarily be sufficient enough to cause the pain response yet also we’ve got an examples with some people have since in some people say they experienced pain the scan showed nighttime soap also no amounts itself am and this is this is interesting as well because a lot people may become a little.

Erica whether it’s a caring evidence uh. sorry and absence of evidence to main evidence of absence side is this whole inmates in the senate as uh. a phrase it that they use and which is sorry absence of evidence doesn’t indicate evidence absence faces hold you com prove the nonexistence of something godlike and that’s what we’re talking about his family entertainment it’s is a logical jumped that i’m a logical jumps i’d say that just because you can see something on this particular scan there’s nothing that the festive season.

Am so that you had the scam i hadn’t made mister ouagadougou lawsuit estate using and i just like laugh as well now i’m not docking station said his admonition lines up that incident of of reason the research yet not not not the thing i missed something or perhaps the abnormality was there desensitized and create a kind response as potentially alleviate itself it’s rotten lousy but tangling it because of the same size asian it’s very difficult scott venues ease diagnostic tests to stay on the air power how worthwhile actually offered.

And zambia’s any refers to the use of these tests in the country who was then that that clinicians like arafat’s visit is that you can see contact this small number of people with that was an accurate diagnosis in most cases is no usually that useful this whole idea of how dangerous verity then conference on the side there’s an injury fractals and in most cases when injury fresh fruit is exceeding along the lines plastered mcgill thinking it you’d kill joy structural have a particular um. level of of loading and.

I can’t sustain before it’s it breaks basically is like any kind of like engineering aspect it will be up to sustain uh. and start consented to have loading beforehand as boom and amber expand that made a spectacular failure and they all collapsed or but like an accused of a severe injury impact injury or maybe a sustained pat stipulating that may cause an injury i a verdict that period of time but as an injury fresh felt and they’re gonna be things that impact how well you can opened to that’ll how well you can sustain and.

Leading before you actually and gets injury excuse me walter and his own mind refresh alerting them one important things in certainly coming from a uh. mciver excise phase that background is and be submitting a joint can’t take is usually to be dependent upon the extent of resistance that the musculature holding the joined together can actually withstands if you’ve got week musculature that’s joins dot is not to be out with stands much loading is going to be up to that you may have led injured mergers lefty characteristics as well.

Uh. and strength and endurance you know the not separate things they go hand in hand if any of you familiar with the kind of opportunism analogies on that if for example you implement strength training program accessory any exciting east offer a little with a at maximum former max it as a hundred ql you improve increase that to syndicators and stuff so you can do one red mexicans killers and things to do eight reps with excuse can increase that you one red max two indicators then people began to get to do about a breadth of hasn’t sixty hitler’s.

Interested person so your actual endurance the amount of rhetoric and to we’ve aggressive loans going up to some dangerous enormous you know if you previous championship reviewed your your insurance as well so there’s no time like training for one or the other anne’s doesn’t have an impact on how well you can yet uh. withstand impact injuries no se sustained writing as well and dan twelve impacts on the visit the injury severity and then the impact that has on paying the sponsor interestingly and one of the most consistent things you find in in the in.

The lecture looking on on summation of studies is small populations into largescale studies looking at least physical characteristics a lot of things associated with um. the actual number extensive musculature minimal twofisted rectus finally muscle groups uh. shave in people with back pain they usually very weak and they’re very agitated and they unit uh. compared to an older population of people without back tag packing that colin able to withstand is much stratton unloading as as the people who are suffering from that all of these and these things like that to fade.

The uh. lumbar extension strength lumber extensive activation is usually lauren s toward native people of back pain and we actually get interestingly as well is that people who have the q injuries tend to have innocent have associated lumbar muscle atrophy as well so certainly in the in the most if that’s the people come into a with an acute injuries though you know that was done by uh. heights and click something and uh. the people who came in with acute injuries founder they had lumbar muscle wasting his well they didn’t know followup study as well and.

Also did some studies looking at people coming out of injuries up and found that the degree of the improvement in the back pain was actually related to the degree of improvement in the lumber mill musculature as well as the amount we actually uh. itouch stage in the amount of and improvement act financing says interesting that firsttime and certainly the impact on whether it becomes chronic or not is also related to how strong and how lab welldeveloped the actual on the musculature is when i was in the stuff.

And it’s not rush for the next time that sent on the phone sir wine okay but is it briefly just such a down on the indigenous populations that i have this kind of idea that well if it’s a physical characteristic that is not necessary to be uh. environmental cause it causes all you know that holds online westernization you know what else is in the lift anything to win having impact supple i’m going to have a look western prostitutes with uh. i am indigenous in traditional population sea while the.

Rates of back pain are and then see where they had a hearing to traditional pain you know final lifestyle but one of the our caller and actually unite reduce the rate at that time we see and all the times like and traditional populations are confined and literature on research on count me in the race with justice high in some cases higher than about time we have to get in um. western populations fish in the it doesn’t really matter whether you convert hitting tradition diet lifestyle whatever you seem to seems to be back pain everywhere we go.

Out the question honestly rule tide is because of that discrepancies in some of the research but on the whole is very very prevalent regardless of what you get it avodon a slight here with some of my recent forced us to quickly go either now if that’s the case before the potentially there must be some sort of evolution reasoning for walleye we’ve got a high prevalence of back pain and to some sort structural btwn compromise perhaps uses the word to use that badly she’s had to make uh.

Elation resulted in that means that we fuji dot we care about muscles than than we really need and i’ll be right that i did everything since a m trying to book list i’m working a series of the moment which will be fascism just looking at how probable on the spot is involved in howell diane us all links if my research and have strengthened the lumber accents among muscles actually links back to that somehow there is an evolution basis for week lumber expenses just as a kind of power backup background.

Holidays uses and the cat uh. what’s the global market basically all twelve monkeys is generally absolutely representative of early hate bury my sanity sense of before the pain in the thick area and in the early nineteen when we left all boreal quarter panel fourlegged opm trees will and locomotive dan and what we what we have those need to have a very long so sixty seven number that’s right what then happened is is we kind of involved in the short back terrestrial have on the ground grounds and and branched and swing uh.

And what’s what’s coming up more was never quite shortening of the land of right because using what’s called regulation which got swinging between the trees requires a stable platform from which to break it from this is this is actually uh. andy and image of chimpanzees and uh. spinal sent his pelvis inconceivable in the spines school dramatically and what’s also happened is the iliac crest have come up elongated and they cause like an entrapment of the lungs spine so what happens is is we’ve gone from big long spines really short spine with a lot of.

Passive rigidity and all of passive uh. structural integrity of that so will subsequently happens is over that period of time we’ve gone from having a relatively massive strong erect respond i was involved in involved heavily in our locomotion touting a relatively small one in eight times a crosssection i ran across that you have a muscle as an impact on the actual math forced generate site smaller muscles jim remain weak muscles icahn says an evolution basis for y potentially a lot of people have got week back muscles.

And his wife seriously when i get people into testing in the lumber extension shame which of the freemen as well in that case what can you do about it where two different i’d like to methods of treatment as a passive treatments rashad payne absence of relief and this is one of the reasons why the costs of it’s freezing back pain at the site hard is because a lot of treatment options focus on relieving the symptoms relieving the pain that the focusing on what the actual underlying causal factors.

So things like bed rest in a a depression pain killers that something’s sarge they’ll focus on pain relief and actually removing the perception of pain relief spirits as the great on the short time really painful but then she comes back because they haven’t dealt with the coles and that would watch at actually the mechanism which is actually stimulating the times the value of the cells treatments and there is somebody is in terms of uh. the severity to frighten people really bad pain and you need to begin active treatment program.

Sometimes the social treatments can be very useful indicating that process it is hard to accompany and get involved with the program in that respect we should be immediately dismissed as being completely deceitful that is of a role for the ms nine wall role they should play a treatment program and yet for three years and years and years doctors we recommend that breastfed back pain but that’s done to realize now that doesn’t really so stupid the next time area is abt active active on uh. treatment options which it would she have physical treatment.

Options aimed at trying to address the actual course but at that time and that the traditional primaries in looking at physiotherapy sick physical manipulation of the joints and um. you know that there’s a really long history of using uh. manipulation techniques such as mackenzie stuff and they’ve been very useful way in in research and adding in clinical practice in introducing pain outcomes and improving functional outcomes improving function of the of the joys of the uh. and physiotherapist manipulating well the problems that we had with it is.

And zan it’s unfortunately lee just a a problem with the technique and therefore the cuff is effective for the writing is just that the technique relies on a subjective so flight uh. clinically wisdom if you like a third of the physiotherapists is very difficult to provide verse of like yet objectives and and valid measurement of what the joints actually doing so they can be useful is very difficult to that gets old white baseline measurement that you know is accurate and provide progressive intervention to try and solve tackle and every measure again get accurate results.

And thinking you know i definitely know that that’s great so one things you can do instead is actually apply progressive sobai exercise prior program and not necessarily focus also but physical manipulation which to extend involves a uh. the combination of subjective sold like uh. interpretation and also the com wisdom of the actual physiotherapist now their free time i a reserve an excise indicate that we can look at which the lipstick admits that well in this kind of general activity which is basically decide their own get on with with it if you go back and get on with it just.

The active do what you can can you confirm run good do whatever take on a class and and some areas of research had focused on this new edition rows of the good outcomes in terms of payment spawns the problem is very difficult to say that they’re holy affected because they don’t necessarily houston and the phillies geez objective measures of function site it’s very difficult to objectively say functional outcomes and improved pain meds were just for whatever reason maybe because of a conscious general outcome of the excise.

But it’s very difficult to jets every validate that the second robot school of foreign zones of excise whole idea of stability trying them out of control training and it is very big in the complex pulls performance areas answer is a very big in rehab and areas as well and there are a number of problems that with this approach i failed uh. in terms of the actual controlled trials downstate look is the fact that this again it does show improvements outcome measures such pain and disability and that sort of thing.

The problem is on a theoretical basis is underlying um. premises very for very flawed it seems to be that in general it’s probably just a generalized excise effect from doing the activities that having an impact on it physics behind them sinking so it was a little bit of the the whole motor control fit for a few dozen familiar with the hine says hiv lecture and certainly but we also have the political science they discussed in quite detailed yet how fast iv transpacific scalia’s decline kal bounce around swiss for whatever.

These specific skills and and question the answer transference about scaling the actual muscle recruitment plans are you saying that stuff over activities site on that basis during these motor control instability exercises it’s is very ten years to suggest that is the actual motor control has been transferred to them reduced pain and injury right reason improve disability it’s probably just a general adaptation the actual masterchief rothman proven transference of the kind of skills involved another level as well as recent research at has focused on time news the white techniques of measuring at range of motion an actual joint.

Mission into segments early sit on the spinal cancer that is not a five to four vote right and what a lot of research recently is fixed on is how those individuals are brand new even how the muscles surrounds those individual that a break control dot mind is that for the actual facets of the the whole matter controller syria and misinterpretation of that skill transparency but one of the problems of aids the to the studies of lots of people with back pain suggested ah. people with partner about backpacking have a lot of variability in the uh.

Sp into segments to movement of and that’s a bright but the problem is so does everyone decision get above the solve love that’s a bright with a majority of movement actually ’cause it seems to be that the movement is very into individual you’ve taken population of of healthy divisions and fun last variability between individuals so it makes it quite hard to then say well how is definitely that which is causing an impact on uh. united that show uh. function of the lungs spot because the majority movement because.

And the lower levels of uh. bright and a majority that movement is produced by the larger uh. musculature externally and compress images is provided by internal musculature again them out of control theory it’s not necessarily training that particular skills particular skills and help so what we then move on to decide their progress strengthening and and in particular highintensity sector without going into detail because on the web time of yet high intensity training principles and everybody was times beach read a little too literature in the area uh.

And other lucrative mention actually there uh. i’m not sure tollfree paperwork done at the moment so hopefully i’ll be have publishes some point you guys got to meet up to the crime scene buddy right yet progressive strengthening site resistance excise this could be one question mark side and is do these exercises trying the lumber extensive musculature through the dead lift good morning brian and share right generic insists i dot back extension excised one of the problems with all these excise is is they involve hip extension as well.

Say there is movement of the hips as well as movement have the uh. outlook on the spot and when we’re looking at a time kind of movements and so like rest compound movements the bollywood seem to find a way of making things efficient and making things things and and incision in terms of energy expenditure so when we looking excised involve movement around the hits larger and stronger muscles of the group at the if the and please and hamstrings fans do the majority of the like that now studies have been done.

To look at it activation of the lumbar extensor musculature in these various excise is in fact and we we uh. one of the students is just uh. compares the fact that lessons and traditional deadliest and you know the lumber stance is definitely active insensitive using a election on the fee which measures the image cracked version of the muscles and during it sizes bosses excise is being done that doesn’t ask anything other than their activities and tell us the extent of activation accounting for their very schools involved with the technique.

Lewis’s their active uh. sending him out my number expenses are active but doesn’t this lean mean that they’re getting sufficient stimulus uh. produce an adaptive response they need to be loaded sufficiently and city sufficiently trashy produced and that the response boom of all of these excise is is they allow hit extension and they allow the collision hamstrings and the majority of the load bearing studies looking at comparing at traditional back extension chains with what we want to insect which is the lumber extension seem pretty fanatics both is that he’s looking at and comparing the um.

Raymond share exercise to the lumber extension shea showed up as long as he picks engines allowed lowell insulated lumbar extension strength is an increased because of on the musculature presumably isn’t loaded sufficiently interested sufficiently also am james fish in a guy’s gonna be coming on sunday as well to the exiles intrusion kunin as just finished and a city he’s been doing comparing this to think that left with the lumber extension chain and interestingly stiff but their lives that really improve your lumber extensive rammstein a couple of people grew the lumber extension straight.

Not a significant agreeing on the whole most people didn’t so what can we do we do that so if you’ve got guys maybe you know that all have access to quit my like this study in those cases yet how many of you from london actually ecology you guys will have access to the equipment back and then i think it is a facility cookies a training they have a full range of medics training equipment and they have a medical version lumbar extension chain here i think that an excise division as well.

Legend is that they equipment we’ve got a university which has all the testing facilities on as well and the main principle behind it is the stressstrain systems so what is the changes in st is basically what the pelvis in place pipeline forced down on the theme is by the man uh. fivestory mistresses kind of life opens to the point the football that applies force out the lower legs which hit three fema restraint which then combustible backwards the famous what doesn’t really holds the pelvis down back against the spelled with a straight ahead.

And what happens then it is no movement forth and back actually athletes conf calf in the pelvis sony flexion extension movement that because just because of the lumber lunberg senses so we can do it as we can more effectively loaded at going back to the the evolution of the uh. perspective one of the reasons perhaps that we’ve got stronger lilac gleason hamstrings is because of the way out date patterns has evolved when we kind of like compaq children’s we went sizzled has been hit sent me and katelyn if you think it how much of that.

These gorillas live and that involved a heavier influence of heavy involvement of the grease enhancing sec potentially there’s a there’s a powerful e dash away because we have changed again massively powerful must be strong and now in this position would go a long dated lumber uh. lumbar spine again to allow bipedal movement to to for example a twolegged walking and we’ve got his legacy of big strong voice and sing but we can spon muscles which creates its just uh. recipe for dan hi levels of the whole high prevalence of back pain.

So we can do is we can isolate it and effectively test in isolation attesting isolation is important because anne of the previous tests it that re says he’s looking at extension to exit trump extension they’ve got it uh. the dispensing testing fantasy machine and not skip elvis so it’s very difficult for them to say that with us and love back because the hips and and uh. hits the extension is involved in prison hamstrings involved to the actual measurements they take you to be a combination of all of those.

Factors yukon in allies like that one factor was machine does is isolates that allows us to get varied objective invalid picture of lumbar spine function and we can measure for a full range of motion we can produce and and look at what i think uh. books like in general they would back pain since before we even below the top one or more range of strength when we look at things we have this common bell curve in the middle is the average some people release on some people over a threeweek the most people.

Back time tend to have really low levels of love of lumber extensions right they can’t afford to let the norms will sally and just make it up to the ball range just to finish up at one of my thing so it’s been like this um. dot and the military’s top flaunt they’re doing is looking at some research using the lumber extension james caan plug some of the gaps the number extension shames rehabilitation uh. and and and strengthening using highintensity excise others cool just wrapping up what what is allows the war.

The majority of rescission is in a hell of a lot of research mechanic says that one yet improves lumbar extension center improves isolated lunberg lumber spon from chin right wheaton objectively measure that research shows that we know that works increased pain outcomes massive studies are studies have been got done using the uh. medics machine all the studies done in people with back pain should improve pain outcomes along with improved function prove number extension strength ’cause reprieve strengthening prove joint function we’ve got a nice objective measure that would find pains reduced moved to file a disability.

Levels nation using technical glitches amber improved as well two great we know that it works in terms of improving function an improving pang and if you’ve got guys can get access to the case of facilities you guys and access to it as well and if you’ve got and you can uh. take time incident fancy and an teas that strength in your muscles but the thing is coming back to these complex sensitive factors involved with back pain my fourth on on these are the potentially the most symptoms often.

Causes to be interesting to see whether or not before addressing the potentially ultimate calls and uses the word ultima arash review familiar jack diamonds but dungeons and still uses live there proximal causes an ultimate courses yeltsin of course big what causes these things these extra proximal causes which then have an impact on the you know lax images like paying disability and that’s ok and if we if we consider potentially week lumbar extension muscles of what’s happening impact and causing these of uh. ishi’s but limited range of motion degenerate fiske’s indicate very that series of a.

Physical symptoms what we might see is if we address that ultimate kalos we might see an impact on these of a possible causes well ease tension simpson’s well my research is looking at physically improve lumbar extension strength we improve pain withdrew bridges pampered disability right week and we’ll say with you decided of improving range of motion as well to solicit some of the research looking at has improved regulation one interesting thing is is most people back i have a limited range of motion to begin with so clinicians employees limited range of motion.

Intervention now bill phyllis and i and talks a lot of our islands of regulation excised and the theoretical basis of why he suggests avoiding streams of the range of motion sensor for the lumber extensions can be extremes inflection extremes of extension is because in those positions the muscles on necessarily what’s being loaded it may be the patent issues attendance ligaments lines they’re gonna be what load as well so what what we’re looking at doing is saying whether or not we can actually on the medics take the exercise limited to a very small range of motion avoiding.

Those extremes of the world are still produces full range functional outcomes as if that still produces improvements in it’s associates in tune with limited range of motion secondly within the kit in a very busy as well should admit when he came up to the lab we’ve got i was gonna buy consistent that’s actually a freidy imaging system well and if any does he have high level of the rings is put together when they picked all the mystical these little night that pingpong balls will ever end and he just doesn’t list off the cameras recorded essentially the same system for.

Too much and symbolic invaded as i can take distance ed and i can marketable up film than using these ten freidy cameras in the reconstruct that have an animation see exactly how their lungs spine is moving relative to that elvis well several king so i can see how very police to begin with and then look to see what impact strengthening those muscles has on improving the way they walk as well as britain is kind of extra simpson this is listed below that time and lastly as well.

We’re going to look at effect looting has actually only numbers on the discs as well we know that you know progresses highintensity strength training most the muscles improves must must papers like the increases have purchased a increases strength we know that increases bone mineral density in fact you know the status of that uh. what effect the lumber extension she has available by mineral density of the the strength and taken to the actual that’s right and fowler increases by mineral density as well one thing i mean the time you see any structure the in the love that the that.

You know it has an impact on that i’d like to see whether actually has an effect on improving discount most people people about that time due to some extent especially as you get older they get unit fifty generation which concerns herniation bolting accept it and some people got this idea the more you move the more he creates variances impression across that says you ben folds back was the discs basically and gets washed and extending either side so it’s not extension movements creatives squeeze mechanism is listing sundance.

And to increase hydration subdesc why one of the time the cap was well may be that that works in terms of physiotherapy what i’ll be effective at the same time i does load have an effect on it and may well day because the study that that uh. uh. but you know that’s the family the changes in but it was named traveled on the soft so but by no means area which is very closely associated with the disc alphas well as discs degenerate that since the generators muslim aviall inc.

That i could potentially have in effect ambitions well recent study was published uh. big city in germany found that uh. the heavy overloading of exercise because the people give weight lifting and that’s all things and have better itself that people we do things like long distance running as well uh. leading of parcel of that the fat repetitive um. sports center in america running that triathlons bingo about aren’t very good feedback health so there there’s a potential link that whereby wife we ask that question we employ uh. employs invention the mud yeltsin effect.

On all these different outcomes and see whether or not in terms of the holistic approach this intervention can have in effect on all with the contacts that’s about time so that that’s the whole idea and hopefully i can i what provide some benefit you get uh. if anyone who gets back thank for the main time you know the research said he does suggest that anyone gets back pain should really be employing discarding intervention is very strongly supported and it’s far more objective uh. method of uh. treatment than any other kinds.

Of currently existing treatment thirteen blue just a summary of kind of what we call free that today consciously aware of the time so uh. if any questions to liberty at all yet um. so you mentioned in some cases the actual uh. if pain may not necessarily be the in which is simpson is littlenoticed has your system of receiving it suggests is a correlation between loans at issue c of battlefield uh. on the list is not something that by specifically focused on this and i like him and uh. point of the at the beginning.

Is not all wooden ones there come a step outside my area of expertise and says he is not something that i’m uil aware of whether or not there is a correlation and by the not looked extensively incidence of the research said that there may be that may not be at allied i’m not gonna show calm seems to me like uh. you weeks oldies usta medics machine uh. he said he had a way to smoke i don’t think everyone else most people will have access to and uh. you know that you’re absolutely right and and at.

Assess as an idol in his it sounds of thinking sands of the way off by structures is an certainly the best waste it but it may not necessarily be the anyway some you could be any extras i went for it to begin with they do activate and loads of love back and in some cases though provide a stimulus fa producing adaptation in them and doug would have had to run for a few excise on on a few tutorials of potential access which you could use to local outback.

And that any reductions i have with excise lie that is already activated is very difficult because the research hasn’t looked at it zero var less efficiently and loaded to produce an adaptation it looked like a scene with albrecht sizing a gem writes of jesus home but uh. control course ability and train assaulting improves out outcome measures such as pain is likely that there is something general adaptation so although the loading may not be sufficient to produce the degree of results that you season something is as uh. advanced medics mission.

Um. is probably worth doing as long as you can do them appropriately in safe in united news i’m using falling satellite hines instant principles and venue you’ll likely see and effect from them but if you want that’s results diesel to best accomplish use the the best equipment available but yet it if you’ve not got access to them anza this is one of the reasons why i’m doing the research is well because a m just draw contrasts would fully and then x avonex website has a uh. as a.

Facility like i said say is anyone buzznet equipment sensei then loaded uh. you have reached that would be a website annual concerts where facilities uh. in the uk there are five facilities and i think that’s likely to no one’s there six cities in the uk uh. which i have a medic slumber extension should content to just the florida area undecided which has about fifty ps seven facilities in dc say yahoo there loads have a lot of american life that is very complex hands at that time surrealism.

And edge investors but it but as the along war access available as a long time typing as it is so in this country people are aware of that dividend any options available although it’s very sparse i think impolite doing the research at presenting a academic conferences and making precipitous inclinations more aware of it and showing how effective it potentially could be will hopefully make people’s ours i think that warmed up pocket we need to get the sacrament we need to make it more variables that we can.

Gel Seat Cushion Relieve Coccyx Tailbone Sciatica Low Back Pain Relief

This Chair’s harder than my first wife’s homemade concrete denturesshe had no trouble opening canned food or eating corn on the cob. Anywho, after sitting a while my sit bone and low back start to ache. Jimmy Bob suggested I try on of them gel seat cushions to make this here chair more tolerable. Gelatin’s pretty cheap so I figured I’d give it a try. Here goes. Nope, that there reminds me of the time my first wife’s dentures came into contact with the waterbedI was glad to be wearing my swimming trunks that night. Anywho.

Sciatic Nerve Pain Stretches Exercises Ask Doctor Jo

Hey y’all, it’s Doctor Jo and my assistant with me today is Bailey again. And today I’m going to be talking about your piriformis. So lots of times I hear people say they’ve got that sciatic nerve, well actually everybody has a sciatic nerve, but you can have pain coming from that nerve, and a lot of times that piriformis muscle is causing the pain. So we’re gonna show you some stretches to stretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alright let’s go on to our backs. Here we go. I think.

We’re gonna maybe move Bailey out of the way. In the first stretch for your piriformis is a pretty simple one. A lot of pictures you may get from your therapist will actually show one leg down, I actually like for you to have it staying up so you can prop your foot over it. So your gonna make almost like a figure 4 with your legs and then what you’re gonna do, the side that’s hurting, so my left side is hurting, I’m gonna cross that leg over. And what I’m gonna do is I’m gonna bring my knee with my opposite hand towards my shoulder.

Over here. So I’m pulling this leg up and across my body. And what you wanna do same kind of thing with all the stretches, you wanna pull and you wanna feel a stretch under there. Soon as you feel a really good stretch you wanna hold it for 30 seconds. So remember up and across the body. Just coming up is not gonna get that piriformis stretch. But coming up and across the body like I’m trying to bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds. And then coming back down and you wanna do.

That 3 times. Now the next one to do, sometimes this is a little harder for people, but what your gonna do is your gonna keep that same figure 4, and what your gonna do is your gonna take your hands and on the opposite side that it’s hurting, so the hurting side is still up crossed over it’s still my left side. I’m gonna take my hands and put them underneath my thigh, and I’m gonna bring my leg up, and I’m gonna pull until I feel that stretch underneath.

There. Now some people might have a hard time grabbing on to their leg here, so again you can use your belt, or your dog leash and put it under, around your leg, and pull up towards you like this. Same kind of thing, you want to hold that stretch for 30 secondsbye Bailey, we’ll see you later and then 3 times each. Alright, so now you’re gonna bring that down getting it nice and stretched. For those of you that need a stronger stretch, those might not be stretching it out quite as much, what I’m gonna have you do is I’m gonna have you.

Turn over. And what your gonna do is the side that’s hurt again, my left side, I’m gonna bring my leg up across. Now as you can see, this is something you have to be pretty high level, pretty flexible to do, but it’s gonna get a fantastic stretch. So your gonna put your knee over across your body, and bring your body down. So it’s almost that same concept, you’re bringing that knee towards the opposite shoulder, but what you’re doing now, is you’re using your body weight to bring it down. You can stretch that back leg as far as you can.

You can bring your arms down, but that knee is essentially going towards that opposite shoulder. 30 second stretch, 3 times each. Alright and there you have it. Those were your piriformis stretches. So if you had some pressure on that sciatic nerve, hopefully that will loosen it up a little bit. So if you like my hair, or if you like the stretches, please click like and leave me a comment. And if you’d like to see some more stretch tutorials, or if you’d like to go see some educational tutorials, please go to AskDoctorJo. And.

Leadboard Category: Sciatica Home Remedy

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