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