Low Back Pain Resolved - without working the low back

I worked with a client last week who came in complaining of low back pain. His low back hurt him while sitting, standing, laying down...there was no position that was comfortable for him. The pain was affecting his mood and attitude as well. Very understandable if you are in constant pain!

Before we started the session, I assessed his hips, his shoulders, and where his head, neck and shoulders were positioned vertically in relation to the rest of his body. We discussed a plan of action for the session. I was going to begin with releasing some restrictions in the bones in the cranium/skull (Craniosacral Therapy). Based on my assessment of how the client's body lined up, I was also going to work on his quads and a very deep muscle, the psoas, located in the lateral abdomen area. I explained that the bones in the head can restrict or govern the joints of the body (like the hip area). If the bones of the cranium are released first, the hip joint and the muscles around the hips would release better. Tight quadriceps muscles and psoas can cause pain in the low back because they pull the entire hip area too far forward.

We began the session doing about 30 minutes of Craniosacral Therapy (CST) on the skull to decompress the cranial bones. The client was laying on the treatment table face up. CST can feel like very minimal movement to the client...some people don't feel anything while this work is being done, while others can feel sensations and/or releases in their hips, shoulders or other areas of their body. It is very relaxing work and many clients fall into a very deep state of relaxation.

After this initial work, I asked the client to stand up, walk around and tell me how his low back felt. The pain had reduced from when he first came in, but he could still feel some discomfort. I spent a few more minutes working out some tender areas on the clients head/cranium. Once the tender areas in the skull were relieved, I did some rocking of the sacroiliac (SI) joint. This is the area just below the top of the back hip bone. Once things loosened up with rocking, I performed static work on the SI joint where I distracted or attempted to pull the ilium (upper hip bone) away from the sacrum. This helped create a bit more space and movement in the joint.

Next, it was time to move on to the quadriceps. There were trigger points in the quads that I released using Neuromuscular Therapy techniques. Trigger points are tight spots in the muscle that restrict both contraction and stretching ability of the muscle. After the quads released, I moved to the psoas muscle. Psoas work can be very sensitive on people with low back pain. When working on this muscle, the client may feel a referring sensation into the thigh or into the back. We spent a lot of time working in this area with good dialogue to gauge the level of any discomfort.

I again asked the client to stand, walk a bit and tell me how his back felt. He responded that his back was much better! Great results when I hadn't worked any muscles on his back to that point!

I finished up our session with some work on the low, mid and upper back. The muscles were pretty pliable, and there wasn't much additional work needed since the primary causes of low back pain had already been addressed. Several days after our session, the clients low back still felt fine. He was able to workout without low back pain and had a more positive outlook on everything.

If I had just worked the low back area, the muscles in the back would have relaxed temporarily, but the cause of the pain would not have been addressed. By identifying the cause of the low back pain, restrictions in the body were released for effective long term pain relief.

- Bonnie
Align Body - Relieve Pain - Improve Wellness - Enhance Performance

Congrats Green Bay! Donald Driver's High Ankle Sprain

Congratulations Green Bay Packers - Super Bowl XLV Champions! As a lifetime Packer fan, Super Bowl XLV was a nerve racking game to watch to say the least! I don't think I sat down the entire 2nd half...and I wasn't the only one in the room pacing! It's so nice knowing that the Lombardi Trophy will be back home in Green Bay later today. Local Green Bay schools are closing at noon today so the entire city can celebrate the victory.

The Packers endured injuries all year, and yesterday was no exception. Two key players left the game and were unable to return. Charles Woodson suffered a broken collarbone, and Donald Driver left the game with a high ankle or syndesmosis ligament sprain.

A high ankle sprain differs from one in which the ligaments surrounding the side of the ankle are sprained. A high ankle sprain is less common, and typically occurs in football, hockey and soccer players who are cutting quickly to the left and right. It occurs with an outward twisting of the foot.

A high ankle sprain occurs when the syndesmosis (set of ligaments above ankle that holds the tibia and fibula bones together) is sprained. These two bones run from the knee to the ankle. Treatment of a high ankle sprain requires that the ankle be restricted from movement. Movement, even walking, can continue to pull at the ligaments which is why immobilization is so important. A cast or boot is typically used to restrict motion for about 6 weeks if the sprain is considered "stable". If the sprain is "unstable", a screw can be inserted to hold the tibia and fibula together while the syndesmosis heals.

After the boot or cast is removed, massage therapy can be very useful in the continued healing process. When muscles and ligaments have been restricted, there will be adhesions and scar tissue around the syndesmosis. Muscles and tendons that run over the ankle joint (and there are A LOT of these) will be locked down. By utilizing massage, scar tissue can be broken up, and muscles and tendons that are stuck or adhered can be restored so they can function properly.

Many people who have had ankle sprains are bothered with pain and/or restriction for the rest of their lives. If you or someone you know has ever had a sprained ankle, know that with the proper rehabilitation, you can live without pain. The sooner you receive massage after a sprain, the quicker you will recover and the better the chance you'll gain full recovery.

- Bonnie
Align Body - Relieve Pain - Improve Wellness - Enhance Performance