seminar 1 - 10th november 2014 wendy emberson mcsp consultant chartered physiotherapist low back...

Seminar 1 - 10th November 2014 Wendy Emberson MCSP Consultant Chartered Physiotherapist

Low Back Pain

Stort Physio Academy Jointworks Seminars

Stort PhysioJenkins LaneBishops StortfordHerts CM22 7QL01279 654020stortphysio.com

What are we going to do today?

❖ A little bit of anatomy

❖ A look at the causes of low back pain

❖ What symptoms do you get?

❖ How to help yourself

❖ Questions and discussion

The Lumbar Spine1. The last 5 bones of the spine - vertebrae2. These have discs between them3. The spine sits on top of the sacrum4. The sacrum is the keystone in the arch of the pelvis

What causes the pain?1. The facet joints2. The discs3. The sacro-iliac joints

Back pain is NOT caused by damaged muscles!

These are the deepest layer

There are six layers of muscles

They work very hard all day long to keep you upright against gravity - they are not usually

weak.To damage them you need to be folded in half to put any stretch

on them

Muscles can work to protect the joints underneath

3 main causes of low back pain

Sacral dysfunctions

Facet joints dysfunctions

Disc pathology

Spinal nerve root compressionIntervertebral discs can cause pressure on the nerve root.This is a searing, red hot pain down the leg that does not go away

Sacro-iliac joints

1. 35 different dysfunctions identified

2. If it was muscle or ligament strain - how does manipulation resolve the pain and limited movement in 10 seconds?

3. The sacrum provides the platform for the spine. Problems here will affect the spine above.

Lumbar lordosis clip

Sharp pain means joint and/or nervesAching type pain means inflammation

Self help techniques

1. Heat not ice2. Move it!

3. Strengthen the muscles4. Regain the trunk/pelvis control

5. Keep your balance

Nurofen or paracetamol?

Professor Stuart McGill and Core Stabilityhttp://youtu.be/qsup3ZvzAjU