control yourself with dr andreo spina Ep.18: Why does your back still hurt?
Jun 28, 2022
Delve into the complexities of low back pain management. Learn how understanding spinal segmentation can transform rehabilitation approaches. Discover why popular palpation methods may mislead patients and therapists alike. Explore the myth of neutral spine and the detrimental effects of enforced stillness on joint health. Dr. Spina emphasizes the necessity of movement for optimal tissue healing and provides insights on how generic rehab can often fall short. Gain valuable strategies for restoring spinal function and improving long-term outcomes.
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Spine Is Many Tiny Motion Segments
- The spine is a series of tiny motion segments that move millimeters, not a single large joint.
- Treating the spine as one chunk misses crucial segmental function and feedback to the brain.
Gross Motion Masks Segmental Contribution
- External gross motion often comes from hips and other joints while each spinal segment contributes only millimeters.
- Observing large movement can mislead clinicians about which tissues actually moved.
Most 'Back Out' Episodes Are Buckles
- Acute back 'coming out' is usually a spinal segmental buckle, not a vertebral dislocation.
- A buckle happens when one segment, not designed to absorb full force, takes excessive load and collapses briefly.