Most therapists are aware of what an anterior pelvic tilt and lumbar hyperlordosis are. We have all seen the diagrams plenty of times demonstrating an anterior pelvic tilt compared with a neutral spine and, of course, a posterior pelvic tilt. However, have you ever stopped to think about what is actually going on within the spine and the muscles, and why this is a pain generating condition.
Plenty of clients have some sort of improper alignment in their pelvis and lumbar spine. (and the rest of the spine too) So, I think it is important to break down the commonly visualized lumbar spine/pelvic tilt graphic to show just how important this is for us therapists and what actually causes the pain associated with it. Continue reading “Anterior Pelvic Tilt and Why It’s A Problem”
Low back pain is certainly rampant these days. I myself have had my fair share of low back pain over the years stemming from an injury in my teens. Certainly, my education in massage therapy has helped me become aware of causes of low back pain and in doing so helped me develop my own personal self-care routine. This being said, my experience from both viewpoints, that of a practitioner as well as a patient, gives me a well-rounded view on the subject. Although I would love to have never had low back pain, it certainly has given me empathy for clients who come see me who have acute or chronic low back conditions. I really do feel for them as I know exactly how they are feeling as they lie on my table in discomfort.
While there are numerous causes of back pain and treatment does need to be catered to individual cases, there is one technique which I feel is applicable to many forms of back pain. The technique is spinal decompression. Now I’m sure you have heard of spinal decompression in its traditional sense. It gets a lot of popularity, especially in late-night infomercials selling devices which flip your body upside down and suspend you like you are on a playground…..for only 5 payments of 19.99 plus shipping and handling….never mind. I have nothing against these devices but in my opinion, exercises which are meant to help with spinal decompression should be done functionally. While hanging upside down to decompress the spine does work, a better option would be to learn how to do this in a more natural and active way which also allows for conditioning of supportive muscles at the same time. Also not having to buy a large piece of equipment is not practical for your patients. They will appreciate this exercise as it is quite simple and free.
Today I would like to touch on a topic which some massage therapist might find a little surprising. I remember back in school learning about different conditions and how to treat them. Some were obvious conditions which could be affected by soft tissue manipulation, like piriformis syndrome, carpal tunnel and thoracic outlet syndrome( all the classics). We learned how to treat these early on and I have used that knowledge throughout my career to help many people. Okay, great! Then there were the ones we learned about that were basically labeled the untouchables. They were considered far and beyond our scope of practice and, if suspected, should have stayed as far away from treating those patients as possible and referred to a primary care physician for treatment. Now I’m not here to rip apart the massage therapy educational system but I would like to talk about one of these “untouchable” conditions and demonstrate how just knowing a deeper knowledge of anatomy can open up our own ability to treat more complex pathologies, which in turn can help our current and prospective clients. Continue reading “Massage Therapy for Disc Injuries”