RehabEdge Physical Therapy Forum

Forums  Register  Login  Forgot Login?
  My Profile 
My Subscription
  My Forums 
Search
  FAQ  Log Out
Follow @RehabEdge

Lumbar shift advice

 
Logged in as: Guest
Users viewing this topic: none
  Printable Version
All Forums >> [RehabEdge Forum] >> Manual Therapy >> Lumbar shift advice Page: [1]
Login
Message << Older Topic   Newer Topic >>
Lumbar shift advice - October 26, 2008 4:58:46 AM   
Synergy

 

Posts: 619
Joined: March 12, 2004
From: Texas
Status: offline
Wow!  I haven't been to these forums in ages and it's good to be back.

I have a friend that I saw tonight that presents with an apparent lumbar shift (not sure if this is the exact terminology).  In standing, he has an obvious convexity to the right with his t-spine to the left of his 'center' (not directly above his l-spine).  Marked tension in his right paraspinals, LLD on the right (right LE became longer from supine -> longsitting), unable to flex forward without leaning to the left, and marked pain lower lumbar on the right.  No radicular c/o were mentioned and sensation intact.  He does have a hx of mechanical LBP that isn't helped by his being a truck driver.  He's about 5'11" & 165 pounds.  Pain with P-A testing of entire l-spine, but mostly L4-5. 

As an outpatient PT, I wish I saw more of this so that I'd have a better 'handle' on treating it. Can any of you offer me treatment ideas/rationales/EBM based on this presentation?  If there's any more information you need, please let me know.

Thanks in advance!

_____________________________

Chris Adams, PT, MPT
Post #: 1
RE: Lumbar shift advice - October 26, 2008 10:45:02 PM   
PTupdate.com


Posts: 1562
Joined: October 9, 2001
From: Pittsburgh, PA USA
Status: offline
Hey Chris, welcome back.....why ya been slacking off here?????

To me, a shift is usually a sign of a derangement..something that the body is shifting away from.  The fact that he deviates when flexing supports that even more.

One does not have to have radicular symptoms when presenting with a shift.  When I had mine (2 HNPs), I did not have the radicular issues for over a week.  How long has this guy had symptoms?

I know I have read somewhere research regarding the shift, and correction of, but just can't remember what and where....I'm sure it's buried in my site somewhere....you're a member, so do some digging!

I work on correcting the shift, as long as there are no symptom reproductions with the exercise.  Many times, the shift corrects with daily correction, and the problem resolves pretty quickly.  Check neural tension, myotomal strength, and fix the physical deficits you find.

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to Synergy)
Post #: 2
RE: Lumbar shift advice - October 26, 2008 11:49:09 PM   
bonez

 

Posts: 701
Joined: August 29, 2007
Status: offline
rwillcott had a long post here recently regarding this problem. I believe it was in the ortho forums.

(in reply to PTupdate.com)
Post #: 3
RE: Lumbar shift advice - October 27, 2008 12:03:16 AM   
Synergy

 

Posts: 619
Joined: March 12, 2004
From: Texas
Status: offline
Thanks for the replies!  Can you tell me some of the techniques you employ?

_____________________________

Chris Adams, PT, MPT

(in reply to bonez)
Post #: 4
Page:   [1]
All Forums >> [RehabEdge Forum] >> Manual Therapy >> Lumbar shift advice Page: [1]
Jump to:





New Messages No New Messages
Hot Topic w/ New Messages Hot Topic w/o New Messages
Locked w/ New Messages Locked w/o New Messages
 Post New Thread
 Reply to Message
 Post New Poll
 Submit Vote
 Delete My Own Post
 Delete My Own Thread
 Rate Posts



Google Custom Search
Forum Software © ASPPlayground.NET Advanced Edition 2.5.5 Unicode

0.125