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DIAGNOSTIC INSTRUMENTS

 

It is my belief that bulging disks and lower back pain are indicators; indicating that some of your vertebrae are out of alignment.

 

Getting yourself back into alignment relieves the pressure on muscles, ligament, tendons and disks. The pain goes away.

 

The good news is that you can relieve the pain yourself if you do the right exercises.

 

The bad news is that rubbing, heating and crunching around the area where it is painful does little to get you back into alignment. It's palliative, and while that's not a bad thing, it doesn't go far enough toward restoring poor function to good.

 

THE SYMPTOM

 

Tight muscles

In a nutshell, your back pain is a symptom of tight and weak muscles elsewhere around your body.

 

In particular, tight calf, buttock and hamstring muscles will tilt your pelvis, backwards, which in turn will cause vertebrae further up to go out of alignment.

 

On top of that, the buttock and hamstring muscles on one side of the body may be tighter then those on the other side. This will cause the pelvis to twist, resulting in further misalignment further up your spine.

 

Weak muscles

Weak back and abdominal muscles exacerbate the  problem. A lot of people aren't strong enough to keep their spinal column in correct alignment. They don't have a regular and systematic strength training program.

 

THE PRINCIPLES

This theory rests on two principles

 

1.  Muscles take bones out of alignment.

 

2.  The cause of the pain is rarely at the site of the pain.

 

POSTURAL DIAGNOSIS

If you want an opinion as the cause of your lower back pain and you are unable to see one of our practitioners, click here to go to the diagnostic service page on our affiliate internet site Global Back Care.

 

At the Global Back Care diagnostic page, you'll be encouraged to get someone to take photos of you in the positions illustrated below.

 

1.   Standing up straight

Wearing shorts and tee shirt (tucked in) and with bare feet.

   

2.   Standing side on.

Wearing shorts and tee shirt (tucked in) and with bare feet.

   

3.  Putting on socks

Can you put on your socks while standing on one leg?

 

If you can't, you've definitely tightened up - hamstring, buttock and back muscles.

 

   

4.  Wall sit

When you sit up against a wall, I'm interested to see how close you can get your bottom to the wall.

 

You could also let me know which muscles feel tight when you push your bottom closer to the wall.

 

   

Poor                                       Good

 

 

5.  Buttock stretch

I want to know whether you can sit up straight with your hands clasped behind your back.

 

Take two photos, one with the right leg over the left and vice versa.

 

Take the photos side on.

 

I'm interested to know whether you can sit up or whether you fall backwards when your hands are clasped behind your back.

 

Let me know if you feel that one buttock muscle is tighter than the other.

 

 

 

        

Poor                               Good

 

 

6.  Hamstring test

Get in close to a wall, with both legs straight - one on the floor and the other up against the wall.

 

Take two photos, one with the right leg up against the wall and vice versa.

 

Theoretically your backside should be pressing in up against the wall if your hamstring muscles are loose enough.

 

I'll be able to see if one hamstring is tighter than the other (or if both are tight) by how far your backside is from the wall.

 

Give some written feedback about how this exercise feels. Let me know if you feel that one leg is tighter than the other.

 

 

7.  Hip Crossover

Put the side of the heel of the right foot up toward the top of your left knee.

 

Then drop the knee and the foot down onto the floor.  Push your right knee away from your body, opening up groin.

 

Repeat with the other side.

 

Take two photos, one with the right leg on top and vice versa.

 

Do you find it easy to get your feet and knees onto the floor.

 

Is one side tighter than the other?

 

Does it hurt when someone gives you a firm massage on your buttock (see red spot).

 

Give me some written feedback.

 

 

 

 

 

 

 

 

 

8.  Super hip and thigh stretch

Can you hold on to the toe of a straight right leg with the hand of your left arm - with right shoulder on the floor.

 

If you can't hold you toe, try holding the laces of your shoe, your sock or the leg of your trousers.

 

A photo of each side will provide clues to how tight some muscles are.

   

9.  Shoulder, wrist and hand test

 

Stand with your heels, backside and shoulders against the wall.

 

I'm interested to see whether you can get the back of your forearms and hands comfortably against the wall when in the 'surrender' position.

 

If you can't there's a good chance your hamstring and buttock muscles are too tight - plus your shoulders need loosening up as well.

 

Let me know how you feel when you do this exercise.

 

   

10.  Head alignment

Stand with your heels, backside and shoulders against the wall.

 

Then place your head against the wall. Are you looking straight out in front of you or are you looking up at the ceiling?

          

 

 

STRENGTH TESTS

 

1.  Situps

I'd like to know how strong you are.

 

How many situps can you do in 30 seconds.

 

Start with feet flat and knees up, arms outstretched on your thighs.

 

Sit up so your fingers touch the bottom of your knee caps. If you can't get that far score zero.

 

No. of situps in 30 seconds ..........

 

 

 

2.  Pressups

How many pressups can you do in 30 seconds - men on toes and women on thighs, as illustrated.

 

How many pressups you can do correlates highly and positively with lower back function.

 

No. of pressups in 30 seconds ..........

 

 

3.  Squats

How many times can you squat down, with your backside as close to your heels as it will go - in 30 seconds.

 

 

No. of squats in 30 seconds ..........

   

4.  Flexibility test

With legs straight and back of knees on the floor, how far can you reach forward toward your toes. Do this with shoes on.

 

The scoring goes like this:

 

0.

Can't touch toes with legs straight.

4.

Fingers just touch end of toes.

6.

First knuckle reaches end of toes

7.

Second knuckle reaches end of toes.

7.

Bottom of fingers reaches toes.

9.

Half way between bottom of fingers and thumb.

10.

Level with thumb.

11.

Wrists reach end of toes

 

 

Score: ..........

 

MUSCLE TESTS

It is highly likely that in some of the stretch positions some muscles will be extremely tender. Here are the areas that are likely to be painful when given a firm finger massage by someone else.

 

It is likely that one side will be tighter than the other.

 

Use the diagnostic contact form to let me know which muscles are painfully tight.

 

1.   Tight and painful buttock muscles

 

 

2.   Tight muscles at top of buttock

 

 

3.   Tight hamstring muscles

 

 

4.   Tight buttock muscle

      To increase the stretch take your chest

       closer to the floor.

 

HOW TALL ARE YOU AND WHAT DO YOU WEIGHT?

 

Give me an idea of how and what you weight in kilograms (or pounds).

 

Estimate how many kilos or pounds you are over your ideal weight. you are over your ideal weight.

 

Being over-weight can have a dramatic effect on musculo-skeletal health. Once you become 20Kg over weight you are at great risk of musculo-skeletal dysfunction.

 

John Miller