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Re: Is spinal manipulation working in the suspected area?
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Re: Is spinal manipulation working in the suspected area? - March 12, 2005 12:09:00 PM
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Jon Newman
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From: Amherst, WI
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Hi Steve,
I agree. What I don't understand is why strengthening exercises for low back pain were the standard of care for pain relief. And if the strengthening exercises weren't for pain relief then there is no sense in comparing the two. I wouldn't compare the efficacy of morphine for pain relief to that of push-ups. It wouldn't be enlightening in any useful way. Clearly spinal stabilization is helping people with back pain but I'm presuming what it is doing is, as you've said, helping in preventing some future recurrence sort of way while letting the pain part resolve in some other way, perhaps with the way we typically resolve our pains over time.
Do you suppose the lack of evidence is soon to be resolved? I hope so but I'm not holding my breath.
jon
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Re: Is spinal manipulation working in the suspected area? - March 12, 2005 1:44:00 PM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
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jon and Steve
Yes, don't hold your breath, jon; I think these questions are going to take a long time to sort out. Methods like Pilates tend to confuse the issue; a heck of a lot of people do Pilates because it is a) trendy and b) fun. They come out of the class with six different ways to facilitate TA, Multifidus, pelvic floor etc etc..but I still see them going to physiotherapy because they continue to have LBP.
The 'gross' facilitation of the 'core' muscles and value of specific contraction of any of them, is a rather muddled issue at present,
I think the standard for strengthening muscle probably developed on the theory that a strong muscle or two relieves pain. Now we know that is not a fact set in glue, it has probably set a few cats amongst the pigeons.
I will have a hunt around the traps, for there is a lot of stuff still coming out of Australian research - and see if I can come up with some links.
In the meantime, the cats are still chasing pigeons...
nari
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Re: Is spinal manipulation working in the suspected area? - March 13, 2005 7:50:00 PM
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january
Posts: 70
Joined: January 3, 2005
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Thanks Jon!
[QUOTE]What I don't understand is why strengthening exercises for low back pain were the standard of care for pain relief. And if the strengthening exercises weren't for pain relief then there is no sense in comparing the two.[/QUOTE]Occidental Medicine is seeking movement with strength, Eastern one is doing movement with ease and less energy! Just consider the hidden sense of muscular activation?
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Re: Is spinal manipulation working in the suspected area? - March 14, 2005 4:26:00 AM
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Yogi
Posts: 403
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From: San Antonio, Tx., USA
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Here may be why we need the medical diagnoses. I agree with Steve Spinal stabilization is more for prevention, and for pain management. I suspect it is useful in stenosis and osteophytic impingements. Extension for disc bulges, surgery in prolapses, manip for whatever theory you care to use for decreased joint play and movements causing impingement pain in acute (new) back pain, and time in whiplash. That's how I think it will shake out.
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Re: Is spinal manipulation working in the suspected area? - March 15, 2005 8:08:00 AM
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Yogi
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From: San Antonio, Tx., USA
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Dang, I hate it when I kill a thread.
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Re: Is spinal manipulation working in the suspected area? - March 15, 2005 8:18:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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I think maybe we all said what we could...
Perhaps it's a natural death?
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: Is spinal manipulation working in the suspected area? - March 15, 2005 3:26:00 PM
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Synergy
Posts: 589
Joined: March 11, 2004
From: Forney, TX
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Sheesh...nice going Yogi! :)
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Chris Adams, PT, MPT
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