#lowbackseries

🌟LOWER BACK SERIES 🌟 DAY 3 - RANGE OF MOTION The lumbar spine can demonstrate four main types of motion – flexion, extension, rotation, and lateral flexion. This region generally shows 40-50 degrees flexion, 15-20 extension, 5-7 rotational, and 20 degrees lateral flexion. Flexion is generally limited due to soft tissue tension, whereas the other motions may be limited by either soft tissue tension or bony approximation. This is considered to be the global range of motion for the lumbar spine, with each segment having its own intervertebral range associated with it. Intervertebral range of motion varies by the segment, but it is generally representative of a equal distribution of the above ranges of motion.

LOW BACK PAIN SERIES 🌟🌟🌟🌟🌟🌟🌟🌟 Day 4 - Psychosocial Component of low back pain Traditional perspectives of low back pain focused on methanical theories - poor movement, incorrect muscle timing, damaged tissue, etc - that revolved around a biomedical approach to treatment. Over the last couple decades, we've been experiencing a paradigm shift towarads a new model of thinking; the biopsychosocial approach. This new approach takes what we had before and adds components of psychological and social approaches. This model of treatment is particulary relevant with the lower back. We have a wealth of literature showing that psycholgical and social factors (yellow flags) are prognostic of results for treatment and long term disability. We are seeing that it is very important to discuss patient beliefs about pain and treatment, evaluate catastrophizing, related psychological fears, related social concerns, and more. For example; individuals who are concerned about losing their job or about finances are more likely to experience low back pain. Similarly, individuals dealing with depression have a much higher change low back pain. These are components that need to gain awareness and discussed during treatment. A comprehensive treatment model that addresses these factors (when relavent) with the plan of care is the most evidence supported option we have currently.

⭐️LOW BACK HEALTH SERIES ⭐️ DAY #2 – LOWER BACK ANATOMY ☠️ 👨🏻‍🏫Let’s introduce the anatomy at the beginning for a good foundation going forward 👆The low back is generally thought of as the lumbar spine region, with some overlap of the sacrum, sacroiliac joints, and thoracolumbar junction. This region is represented by the 5 vertebrae of the lumbar spine and sacrum for bones (with involvement from the lower ribs and ilium), wide network of muscles that span multiple and singular segments, diverse ligaments that provide support to individual and multiple segments, and an expansive network of vasculature and nerves. 👉As I go forward in this series, I’ll explore many things that are based upon the formation of these structures and their interplay with one another. ☝️This wide intersperse of structures is important to consider as selective assessment or testing of structures is nearly impossible due to the amazing design of the