Mobile Physio Solutions in Southport, Queensland | Medical and health

Mobile Physio Solutions

Locality: Southport, Queensland

Phone: +61 423 795 096

Address: U 1 59 DEAKIN AVE, SOUTHPORT 4215 Southport, QLD, Australia

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• Physical therapist

11.01.2022 A link between the Subscapularis muscle and Quadratus lumborum causing low back pain A case study for everyone to share and benefit from is as follows: A patient comes in with one sided low back pain. It is evident that the patient has an uncompensated pattern, that means they look all twisted from head to foot, because the tension is holding them off balance,... Assessment demonstrates limited forward bending due to excessive tension in the hamstrings and low back with some discomfort and mild pain on the way down and back up again. Hip flexion was asymmetrical with the opposite hip flexor in spasm and limiting hip flexion to 90 degrees. Further assessment demonstrated sacral torsion away from the tight flank so for example a tight left hip flexor will cause a right side bend and rotation to the left of the sacrum. A quick check was made with hands behind the back and hands behind the head with forward bendin; the hands behind the back was harder to bend forward, then the patient was asked to place one hand behind the hand and the opposite hand behind the back and bend forward then the opposite was assessed. It was interesting to see that the side with the hand behind the back and the opposite hand behind the head when on the same side of the tight quadratus lumborum muscle was more limited than any of the other three positions described in detail above. This indicated that the subscapularis muscle on the same side as the tight side of the low back has a direct relationship with the stiffness in the flank. Strengthening of the subscapularis muscle was performed with a theraband on the side of the hand behind the back, and the movement testing was re-evaluated with considerable improvement of greater than 30 percent was seen immediately in forward bending and reduction in pain to mild stiffness and no pain was seen.

04.01.2022 The pericardium channel and its effect on low back pain. The pericardium channel runs from the flexor tendons of the the fingers into the palm of the hand, the middle finger being the main expansion, from the palm it runs down the front of the forearm and attaches to the inside of the elbow. The pericardium channel then courses it way up on the inside of the arm to the font of the shoulder with deep expansions through the rib cage into the central tendon of the diaphragm and ...down around the linea alba to the navel. The pericardium channel affects the stomach channel when there is an imbalance causing the quadriceps muscle in the front of thigh to tighten up and the hip flexor/quadratus lumborum muscles to go into spasm. Especially the wrist and the thenar and hypothenar eminences of the thumb and little finger. To treat find zones of tension and identify trigger points along the pericardium channel and stomach channel, cross checking between them, in order to identify the effect of one channel on the other. Stiffness creates weakness, because of the neurological effect, so therefore, points on the zones of stiffness tend to alleviate point that are reactive. The usual rule of thumb is opposites affect each other, but i have found that the pattern can be on the same side eg, left affects left and right affects right. Strengthen the stiff side using isometric contractions and cross check to analyse the effect of sensitization of the trigger points. Rotator cuff exercises can see interesting changes.