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Low Back Pain

 

 

Paul Townley, Physiotherapist, Shows Some Techniques for Treating Back Pain

 

 

There are a number of muscles that may be implicated in low back pain:

  • Deep spinal muscles (small) - multifidus
  • Lumbar erector spinae
  • Gluteus medius
  • Hamstrings
  • Rectus abdominis
  • Quadratus lumborum
  • Iliopsoas 

Added to this hardware is the software that the brain uses to coordinate and sequence movement.

The above-mentioned structures feed information to the brain in a constant stream, providing orientation (proprioception) as well as force and direction (velocity).  The brain then responds by organizing movement sequences in functional units.

These functional units mainly consist of a prime mover (agonist), an opposing muscle force (antagonist), and other muscles that either fix the local joint (fixators) or help the prime mover (synergists).  Eighty-six percent of low back pain is mechanical and may come from any one of the following structures:  bones, discs, facet joints, ligaments, and/or muscles.

 

 

 

Treating Low Back Pain with Dry Needling - Paul Townley 

 

 

To summarize, the anatomy and structures of the lumbar spine consist of various elements:

1) The spinal column of the axial skeleton is made up of vertebrae consisting of, for simplicity, three joints:  two facet joints on each side and posterior to the vertebral body, and the joint between the vertebral bodies, consisting of the disc and cartilage end plate.  These joints have their various ligaments.

2) The neural structures—such as spinal cord, nerve roots at the various segmental levels, and the cauda equina (the collection of nerves at the end of the spinal cord).

3) The muscles and fascia or myofascia surrounding the spine.  Obviously, there are blood vessels in the area, but we are more involved in addressing the joints, myofascia, and nerves.

 

Erector Spinae with Trigger Points

 

Iliopsoas with Trigger Points

Quadratus Lumborum with Trigger Points

 

 

Comments

Guillermo Ruiz said:

Tienen ejercicios sobre este tema.
Gracias por su información. Los felicito.

Steve said:

I enjoy and feel everything I thought to be true is thank you for helping educate me more about my pain

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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.