Comments for Back Into It http://backintoit.com Chiropractic Stuff Fri, 03 Feb 2012 23:32:59 +0000 hourly 1 http://wordpress.org/?v=3.1.2 Comment on What is Lower Crossed Syndrome? by debbie kirk http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-137 debbie kirk Fri, 03 Feb 2012 23:32:59 +0000 http://backintoit.com/?p=217#comment-137 I have suffered severe back/sacrum pain bilateral for over 20 years. I had a fusion that stopped the pain radiating down my left leg but back still painful. After getting into an mva I started getting new onset of pain on right side of back and right hip pain. The pain goes half way down posterior thigh, but does no go all the way to the knee. It has been this way for 2 years increasing in symptoms and pain. I know what tears in the knee feel like (3x's knee surgery for tears), I really feel strongly I have a tear in hip (posterior). During the mva, I felt an electric shock enter somewhere on right lateral area somewhere between mid torso to hip area. The shock felt like it entered lateral side shooting straight thru body. My dr. refuses to do an arthrogram/mri of right hip. This is most likely due to fact that the cause was from mva, so Dr.'s tend to not order anything because they shy away from any litigation. Now, for about 3 months, the hardware area on right side of back hurts to barely touch it. I did have an mri of back after mva, but all hardware was in place. What do you think? tear in hip? Any tips on how to demand an MRI? I also was very interested in this lower crossed syndrom. There is no doubt This is my problem. I just never knew there was a name for it. I have severe lordosis. I have been sent to physical therapy over the years at least 35 times without success. I thinks it because of following factors. Gained 100lbs w/pregnancy, had a c-section, have had abdomen cut vertically during anterior posterior lumbar surgery(6' scar vertical to belly button off to the side)I have a hernia above belly button which is now about 2-3 inches long, then I was told a had some kind of common tear off the tip of sternum from pregnancy years ago.(cant remember the medical term of tear or rip)So, I feel like there is only about 7-9 inches of abdominal wall holding me upright. There is no conditioning these muscles. Have tried and tried. My question is, woulnt abdominal plasty correct this pelvic tilt? If I pull together my abdomen with hands to make my pelvis in correct position, most of back pain goes away. Kaiser pays to have breast reductions for mild back pain, why wont they pay for abdominal plasty? They are both cosmetic, however, medically necassary for back pain. Any suggestion on how to get this payed for through insurance? Any suggestions would be greatly appreciated, Thank you, Debbie I have suffered severe back/sacrum pain bilateral for over 20 years. I had a fusion that stopped the pain radiating down my left leg but back still painful. After getting into an mva I started getting new onset of pain on right side of back and right hip pain. The pain goes half way down posterior thigh, but does no go all the way to the knee. It has been this way for 2 years increasing in symptoms and pain. I know what tears in the knee feel like (3x’s knee surgery for tears), I really feel strongly I have a tear in hip (posterior). During the mva, I felt an electric shock enter somewhere on right lateral area somewhere between mid torso to hip area. The shock felt like it entered lateral side shooting straight thru body. My dr. refuses to do an arthrogram/mri of right hip. This is most likely due to fact that the cause was from mva, so Dr.’s tend to not order anything because they shy away from any litigation. Now, for about 3 months, the hardware area on right side of back hurts to barely touch it. I did have an mri of back after mva, but all hardware was in place. What do you think? tear in hip? Any tips on how to demand an MRI?
I also was very interested in this lower crossed syndrom. There is no doubt This is my problem. I just never knew there was a name for it. I have severe lordosis. I have been sent to physical therapy over the years at least 35 times without success. I thinks it because of following factors. Gained 100lbs w/pregnancy, had a c-section, have had abdomen cut vertically during anterior posterior lumbar surgery(6′ scar vertical to belly button off to the side)I have a hernia above belly button which is now about 2-3 inches long, then I was told a had some kind of common tear off the tip of sternum from pregnancy years ago.(cant remember the medical term of tear or rip)So, I feel like there is only about 7-9 inches of abdominal wall holding me upright. There is no conditioning these muscles. Have tried and tried. My question is, woulnt abdominal plasty correct this pelvic tilt? If I pull together my abdomen with hands to make my pelvis in correct position, most of back pain goes away. Kaiser pays to have breast reductions for mild back pain, why wont they pay for abdominal plasty? They are both cosmetic, however, medically necassary for back pain. Any suggestion on how to get this payed for through insurance? Any suggestions would be greatly appreciated, Thank you, Debbie

]]> Comment on What is Lower Crossed Syndrome? by Glenn http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-136 Glenn Sun, 08 Jan 2012 00:06:27 +0000 http://backintoit.com/?p=217#comment-136 I am 56 & have had problems (every 6 months) with my back locking up since age 20. In 2003 the problem became so intense on the right side (Erector Spinae)that I was forced to take a year off work after very severe ongoing episodes. I have seen medical specialists & non medical practioners, had CTs & MRIs & spent thousands (had my coccyx removed in 2003-nothing helped). I have to stand at work all day as I cannot sit for long periods & can only work part time. My problem is that I have anterior pelvic tilt on the right & posterior tilt on the left, which causes my hips to rotate, skews my upper body & causes plantar faciatis in feet (orthotics do not help). How do I address this as all the excersises & stretching etc I have been given addresses one or the other pelvic tilt not both? I am very confused & practioners tend to give up? I am 56 & have had problems (every 6 months) with my back locking up since age 20. In 2003 the problem became so intense on the right side (Erector Spinae)that I was forced to take a year off work after very severe ongoing episodes. I have seen medical specialists & non medical practioners, had CTs & MRIs & spent thousands (had my coccyx removed in 2003-nothing helped). I have to stand at work all day as I cannot sit for long periods & can only work part time.

My problem is that I have anterior pelvic tilt on the right & posterior tilt on the left, which causes my hips to rotate, skews my upper body & causes plantar faciatis in feet (orthotics do not help). How do I address this as all the excersises & stretching etc I have been given addresses one or the other pelvic tilt not both? I am very confused & practioners tend to give up?

]]> Comment on Acupuncture and Western Diagnosis – My Thoughts by M http://backintoit.com/acupuncture-and-western-diagnosis-my-thoughts/comment-page-1/#comment-133 M Tue, 13 Dec 2011 03:49:37 +0000 http://backintoit.com/?p=109#comment-133 When I was in school for acupuncture (last year) we were consistently taught that we are legally not allowed to make a Western diagnosis; we are not trained to diagnose people in the way that chiropractors or MDs are. However, we are certainly expected to know when a serious condition walks into our office, for example, those that may require a referral or the emergency room. A lot of times I think acupuncturists may "ignore" a Western diagnosis when it is not life-threatening and it doesn't make a huge difference in the treatment. (And this does not occur all the time, but sometimes.) For example, if a patient has wrist pain that the doctors say is not carpal tunnel, I might still see fit to treat it the same way that I would for a diagnosed carpal tunnel patient. In cases like this, it doesn't matter what the diagnosis is. Just some thoughts. When I was in school for acupuncture (last year) we were consistently taught that we are legally not allowed to make a Western diagnosis; we are not trained to diagnose people in the way that chiropractors or MDs are. However, we are certainly expected to know when a serious condition walks into our office, for example, those that may require a referral or the emergency room. A lot of times I think acupuncturists may “ignore” a Western diagnosis when it is not life-threatening and it doesn’t make a huge difference in the treatment. (And this does not occur all the time, but sometimes.) For example, if a patient has wrist pain that the doctors say is not carpal tunnel, I might still see fit to treat it the same way that I would for a diagnosed carpal tunnel patient. In cases like this, it doesn’t matter what the diagnosis is. Just some thoughts.

]]> Comment on What is Upper Crossed Syndrome? by Chloe http://backintoit.com/what-is-upper-crossed-syndrome/comment-page-1/#comment-132 Chloe Tue, 08 Nov 2011 20:31:33 +0000 http://backintoit.com/?p=209#comment-132 Firstly, Dr Gary Ayres, for a "DC" one would hope that you understand there is no such thing as "knots" and it's shameful you used the term. This thing people call a knot is usually just a muscle spasm or contracture. They can also be fibrotic. Upper crossed syndrome cannot always just be fixed with something as simple as trigger point therapy. This is due to the fact that it is not always an active trigger point causing the problem. Simple muscle spasm could be the case. A trigger point can only be called such when it has an active referral and a twitch sign. In any case where this is by present it an no longer be called a trigger point. When screening patients for UCS, always be sure to find out if there has been any previous trauma. The cervical region is very prone to trauma and can be fatal if you start relieving muscle spasm and they have a broken neck/disc It's also important to check for signs of impingement syndrome as these two usually pair together. There are a range of orthopedic tests to check for this. Treatment of just UCS is fairly simple. Release spasms and fibrotic tissue (depending on how long they have been this way). Once the movement is back you are then free to move on to stretching these same muscles. Strengthening of the opposite weak muscles is very important because they will fall straight back into old habits otherwise. If the tight muscles are unable to be released manually or they are too painful for the patient you can use reciprocal inhibition to relax them. This is where you contract the opposing muscle to the affected muscle. By switching on this muscle, the one you want to relax has no choice but to relax. This can be very useful in most cases especially where it can be too painful for the patient. Once all of this is treated, it's important to give patient at home exercises to strengthen the weak muscles and to stretch both weak and shortened muscles. Feldencrais activities can be very useful in retraining the brain in where the new postural alignment is. Depending on how developed the symptoms are will determine how many times you see the patient. This is a fairly simple syndrome and definitely manageable. When treated properly the patient will see real results. Enjoy :) Firstly, Dr Gary Ayres, for a “DC” one would hope that you understand there is no such thing as “knots” and it’s shameful you used the term. This thing people call a knot is usually just a muscle spasm or contracture. They can also be fibrotic. Upper crossed syndrome cannot always just be fixed with something as simple as trigger point therapy. This is due to the fact that it is not always an active trigger point causing the problem. Simple muscle spasm could be the case. A trigger point can only be called such when it has an active referral and a twitch sign. In any case where this is by present it an no longer be called a trigger point. When screening patients for UCS, always be sure to find out if there has been any previous trauma. The cervical region is very prone to trauma and can be fatal if you start relieving muscle spasm and they have a broken neck/disc It’s also important to check for signs of impingement syndrome as these two usually pair together. There are a range of orthopedic tests to check for this. Treatment of just UCS is fairly simple. Release spasms and fibrotic tissue (depending on how long they have been this way). Once the movement is back you are then free to move on to stretching these same muscles. Strengthening of the opposite weak muscles is very important because they will fall straight back into old habits otherwise. If the tight muscles are unable to be released manually or they are too painful for the patient you can use reciprocal inhibition to relax them. This is where you contract the opposing muscle to the affected muscle. By switching on this muscle, the one you want to relax has no choice but to relax. This can be very useful in most cases especially where it can be too painful for the patient. Once all of this is treated, it’s important to give patient at home exercises to strengthen the weak muscles and to stretch both weak and shortened muscles. Feldencrais activities can be very useful in retraining the brain in where the new postural alignment is. Depending on how developed the symptoms are will determine how many times you see the patient. This is a fairly simple syndrome and definitely manageable. When treated properly the patient will see real results. Enjoy :)

]]> Comment on What is Lower Crossed Syndrome? by Aileen http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-131 Aileen Tue, 01 Nov 2011 02:01:15 +0000 http://backintoit.com/?p=217#comment-131 Adam, I am a PT who had periodic episodes of low back pain and even wore orthotics at one time. Eventually, I had to have 1/2 of a disc removed due to a full extrusion and fragments at L5/S1 as it was impinging on nerve root. . Prior to my surgery, and even after, I had various approaches used by PTs to help with intermittent pain and tightness in my back and leg pain. Nothing, even including Rolfing has lasted as long and given me the tools to help my muscles fire symmetrically as a technique called "Postural Restoration". I encourage you to google it and look at some videos on the site. Then find a clinician who uses this approach. If you want more detail in how this works, and do not find it on the postural restoration web site, you can contact me. In a nut shell ... this technique helps "turn on" the inhibited muscle(s) which influences how the body works. The erector spinae muscles should not be firing as much as the gluteal. This approach helps the body reprogram how muscles fire and has kept me from experiencing any significant back pain for over 2 years now. Adam, I am a PT who had periodic episodes of low back pain and even wore orthotics at one time. Eventually, I had to have 1/2 of a disc removed due to a full extrusion and fragments at L5/S1 as it was impinging on nerve root. . Prior to my surgery, and even after, I had various approaches used by PTs to help with intermittent pain and tightness in my back and leg pain. Nothing, even including Rolfing has lasted as long and given me the tools to help my muscles fire symmetrically as a technique called “Postural Restoration”. I encourage you to google it and look at some videos on the site. Then find a clinician who uses this approach. If you want more detail in how this works, and do not find it on the postural restoration web site, you can contact me. In a nut shell … this technique helps “turn on” the inhibited muscle(s) which influences how the body works. The erector spinae muscles should not be firing as much as the gluteal. This approach helps the body reprogram how muscles fire and has kept me from experiencing any significant back pain for over 2 years now.

]]> Comment on What is Lower Crossed Syndrome? by Adam http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-126 Adam Mon, 19 Sep 2011 06:59:25 +0000 http://backintoit.com/?p=217#comment-126 I am a competitive kayaker/long distance surf ski paddler where I spend a great deal of time sitting, legs bent and lower torso muscles tensed due to unstable water. i have found my hip flexors are constantly tight - no amount of massage or stretching can alleviate this. I am constantly getting adjusted at the chiro in the T4, SI and L2 & 5 regions. I usually have either a chiro or massage session a week, sometimes both! I'm 37 and have been doing this for years!! One other thing I would like to know is: could this syndrome affect the lower leg so much as to cause recurring calf injuries - not complete tears, but just tightness that gets tighter when running, and feels like its "pops" a little when pushed too far?? For over 2 years I haven’t been able to run because of this - and for the same period of time my paddling has gotten a lot more serious!! Keen for your thoughts. Cheers I am a competitive kayaker/long distance surf ski paddler where I spend a great deal of time sitting, legs bent and lower torso muscles tensed due to unstable water. i have found my hip flexors are constantly tight – no amount of massage or stretching can alleviate this. I am constantly getting adjusted at the chiro in the T4, SI and L2 & 5 regions.

I usually have either a chiro or massage session a week, sometimes both! I’m 37 and have been doing this for years!!

One other thing I would like to know is: could this syndrome affect the lower leg so much as to cause recurring calf injuries – not complete tears, but just tightness that gets tighter when running, and feels like its “pops” a little when pushed too far??
For over 2 years I haven’t been able to run because of this – and for the same period of time my paddling has gotten a lot more serious!!
Keen for your thoughts.
Cheers

]]> Comment on What is Lower Crossed Syndrome? by Ron Lavine, D.C. http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-125 Ron Lavine, D.C. Sat, 20 Aug 2011 14:17:30 +0000 http://backintoit.com/?p=217#comment-125 Thanks for the useful info. I recently was hired to teach a course at a massage school on ortho/sports injury massage and the course syllabus included the topics of upper crossed and lower crossed syndrome. I've been a chiropractor for 30 years and I'd never heard this terminology! (Though I understand the concepts, of course.) Thanks! Ron Lavine Thanks for the useful info. I recently was hired to teach a course at a massage school on ortho/sports injury massage and the course syllabus included the topics of upper crossed and lower crossed syndrome. I’ve been a chiropractor for 30 years and I’d never heard this terminology! (Though I understand the concepts, of course.)

Thanks!

Ron Lavine

]]> Comment on What is Lower Crossed Syndrome? by annette http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-124 annette Sat, 06 Aug 2011 07:08:55 +0000 http://backintoit.com/?p=217#comment-124 In lower cross there are two scenarios: anterior pelvic tilt (hyperlordosis) and posterior pelvic tilt (hypo(less)lordosis). You want to go to the gym and use resistance machines targeting/address the following. (1)lengthened/inhibited muscle group, and (2) hypertonic muscles. The hypertonic muscles with anterior pelvic tilt are: psoas, quads and erector spinae. The hypertonic muscles with posterior pelvic tilt are: hamstrings, gluteals and abdominals. The lengthened/inhibited with anterior pelvic tilt are: hamstrings, gluteals and abdominals. The lengthened/inhibited with posterior pelvic tilt are: psoas, quads and erector spinae. good luck In lower cross there are two scenarios: anterior pelvic tilt (hyperlordosis) and posterior pelvic tilt (hypo(less)lordosis). You want to go to the gym and use resistance machines targeting/address the following. (1)lengthened/inhibited muscle group, and (2) hypertonic muscles.

The hypertonic muscles with anterior pelvic tilt are: psoas, quads and erector spinae. The hypertonic muscles with posterior pelvic tilt are: hamstrings, gluteals and abdominals. The lengthened/inhibited with anterior pelvic tilt are: hamstrings, gluteals and abdominals. The lengthened/inhibited with posterior pelvic tilt are: psoas, quads and erector spinae.

good luck

]]> Comment on What is Upper Crossed Syndrome? by Dr. Gary Ayres http://backintoit.com/what-is-upper-crossed-syndrome/comment-page-1/#comment-121 Dr. Gary Ayres Wed, 29 Jun 2011 17:00:13 +0000 http://backintoit.com/?p=209#comment-121 I am a DC (Doctor of Chiropractic) and I see UCS all the time. I have patients that usually present with 2 main chief complaints, neck pain or shoulder pain, and sometimes both. I use adjusting, trigger point therapy, and exercise to help this. The adjustment helps the joint (bones) move easier and trigger point therapy to help remove the 'knots' from the sore and tight muscles. Once the joints and muscles are moving freely then I start to strengthen and stretch certain muscles to bring upper back, shoulders, and neck into balance. I hope this helps. I am a DC (Doctor of Chiropractic) and I see UCS all the time. I have patients that usually present with 2 main chief complaints, neck pain or shoulder pain, and sometimes both. I use adjusting, trigger point therapy, and exercise to help this. The adjustment helps the joint (bones) move easier and trigger point therapy to help remove the ‘knots’ from the sore and tight muscles. Once the joints and muscles are moving freely then I start to strengthen and stretch certain muscles to bring upper back, shoulders, and neck into balance. I hope this helps.

]]> Comment on What is Lower Crossed Syndrome? by JIm B http://backintoit.com/what-is-lower-crossed-syndrome/comment-page-1/#comment-115 JIm B Fri, 04 Mar 2011 04:31:29 +0000 http://backintoit.com/?p=217#comment-115 I've been seeing a lot of great articles stating that kettlebell exercises can definately help with correcting the lower cross syndrome. Kettlebells in general are a great way to correct a lot of posture, strength and balance issues. I'm walking proof of this. I used to spend a lot of time at my PT and chiropractor for muscle imbalance, core strength related issues would be more like it. I only visit a couple of times a year now! Do a Google search on kettlebells and lower cross syndrome. You'll be amazed at what you will find. I don't want to list any websites as you may not want to endorse them in this forum. However, the one at the top of the google search has the most interesting information of them all. Cheers! I’ve been seeing a lot of great articles stating that kettlebell exercises can definately help with correcting the lower cross syndrome. Kettlebells in general are a great way to correct a lot of posture, strength and balance issues. I’m walking proof of this. I used to spend a lot of time at my PT and chiropractor for muscle imbalance, core strength related issues would be more like it. I only visit a couple of times a year now!

Do a Google search on kettlebells and lower cross syndrome. You’ll be amazed at what you will find. I don’t want to list any websites as you may not want to endorse them in this forum. However, the one at the top of the google search has the most interesting information of them all.

Cheers!

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