Conditions of the low back most often result from a mechanical stress through the kinetic chain.
Evaluation of conditions with no clear mechanism must include the influences of the upper and lower extremities
There are eight axes of rotation through the sacrum
The pelvis is the foundation. It must be balanced vertically, horizontally and diagonally
Anatomical leg length is determined by measuring the femur and the tibia
Functional leg length is determined by the height of the iliac crests in weight bearing and at the medial malleoli with the iliac crests when lying supine.
The disc itself has no nerve supply.
70% of disc pathologies are asymptomatic.
Conservative therapy cannot heal a disc injury.
D.D.D. Narrowing of the
space between vertebrae
Movement between vertebrae is diminished
May be due to arthritic spurring or disc degeneration/compression.
Because of power output, velocity, and range of motion, actual injury to a sarcomere of a back muscle is very difficult to achieve.
Most back strain diagnoses are shearing injuries between tissue types and tissue layers.
Literally – inflammation of the sciatic nerve
Referred pain down the posterior of the lower extremity
Pressure from; disc, skeleton, muscles, fascia
Uncoordinated movement of the spine
Painful to maintain static positions
Generally, rehab is poorly understood
Uncoordinated movement of the spine
Painful to maintain static positions
Generally, rehab is poorly understood
WE ARE GOING TO CHANGE THAT!!!