Do you feel aches and pains in your lower back? If so, you are not alone. Four out of every five Americans will suffer from back pain at some time in their lives. Without proper spine mobility, stability and alignment your back structures wear down over time, similar to tires that are out of alignment.
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INSIDE: • 6 Back Problems You Shouldn’t Ignore • Will Your Back Hurt When You Get Older • Exercise Essentials • The McKenzie Method Gets Results
6BackPROBLEMSYouShouldn't Ignore Howyoucan feel better quickly?
Do you feel aches and pains in your lower back? If so, you are not alone. Four out of every five Americans will suffer from back pain at some time in their lives. Without proper spine mobility, stability and alignment your back structures wear down over time, similar to tires that are out of alignment.There are many different back conditions, but here are a few common ones: 1. Lumbar or sacral radiculopathy: The result of pressure on a nerve exiting the spine. Pain, numbness and tingling can be felt down in different parts of the leg. 2. Sciatica: This comes from compression of the sciatic nerve by a muscle called the piriformis, deep in the buttock. Symptoms can radiate down the buttock and leg. 3. Spinal stenosis: This is a narrowing of the bony spinal canal which causes rubbing or pressure on nerves. Central canal stenosis is quite serious as it presses upon the spinal cord. 4. Lumbar sprain/strain: This is a common cause of low back pain due to injury of muscles and tendons. The rows of muscles
that run up and down the sides of the spinal column, are the major muscle groups usually involved in lower back injury. 5. Fractures: These are due to trauma, or sometimes occur without any injury in people with osteoporosis. 6. Spinal cord compression: This is unusual, but very worrisome and may be associated with weakness and loss of bowel/bladder control. Medication and Bed Rest Most lower back pain sufferers try over the counter drugs and bed rest. However, most self remedies will not provide the relief that you need. In fact, bed rest is the wrong thing to do, because it can weaken the spinal muscles further. Weakness in the spinal muscles is one of the main reasons for low back pain and puts you at risk for injuring your back with common activities such as lifting, bending or squatting. Most of us sit too much and this contributes to severe weakening of the back and torso muscles which are needed for a healthy back.
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TheMcKenzieM
What is the McKenzie Method for low back pain. The McKenzie Method is a research proven treatment approach for back and neck pain developed by a world renowned Physiotherapist Robin McKenzie. The McKenzie Method of Mechanical Diagnosis andTherapy (MDT) is a philosophy of active patient involvement and education that is trusted and used by practitioners and patients worldwide. It is a non- invasive, self-directed treatment that provides fast and effective relief, for both recent onset and chronic pain. Initial Assessment The key feature of the McKenzie method is its initial assessment component – a safe and reliable method to accurately reach a diagnosis and then develop an individualized treatment plan. Each treatment plan is designed to enable self-management.This is achieved through patient education, identifying aggravating factors and the instruction in how to perform exercises that will relieve pain. Certified McKenzie therapists are trained to assess which exercises and postures are right for your pain.They are interested in teaching you how to care for yourself and will encourage you to be involved in self- managing.This can be best achieved if you understand what aggravates your symptoms and how they can be relieved. Theassessment involves acomprehensivemechanicalevaluation which assesses the effect repeated movements and static positioning has on your symptoms. Once it is established which movements or postures improve your symptoms and which aggravate your symptoms the therapist is able to provide you with a mechanical treatment strategy aimed not only at resolving your current symptoms but also long term prevention. The exercise that reduces your symptoms forms the basis of your “treatment”. A large focus of your initial consultation is based on educating you how and why you developed your problem, what you can do to treat yourself, and how to resolve this episode and prevent future recurrences.
Centralization Centralization is the movement of pain to a more central location. When this occurs as a result of the specific exercise or sustained position, it indicates the correct exercise is being performed. Centralization of symptoms is recognized as an important clinical indicator of positive outcomes with mechanical and conservative treatment for spinal pain. Recently published scientific papers have demonstrated that centralization of symptoms with exercises is correlated with excellent treatment outcomes. Movements, postures and activities that causes the symptoms to centralize indicate the “preferred” / correct direction for the therapist to use when developing a self-management strategy for you. The absence of Centralization is equally as important as it indicates that other mechanical diagnoses and treatment options are required. Correct treatment movements that result in centralization can be determined in two or three visits and therefore the therapist can quickly advise you as to whether your symptoms are suitable for mechanical treatment. Patient self-management Patient self-management skills are an integral part of the McKenzie treatment method. You will be well educated in what exercises are right for you, what activities you should avoid and what activities are safe for you to continue. Your physical therapist will determine if you have a directional preference of spine movement. People who have When your exercises are not resolving your symptoms, force progressions will be utilized which include therapist over pressures and therapist mobilization ( manual therapy techniques). In summary, the McKenzie Method provides: • Safe, effective and cost-effective treatment • Self-management skills to encourage and empower patients to manage their current symptoms and reduce the frequency and severity of recurrences
The assessment identifies the Correct Exercise for You. It will be the one which: • Abolishes the symptoms • Reduces the severity of your symptoms • Centralizes the symptoms
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McKenzie Method Exercises for Spinal Pain Over 70% of patients with low back pain respond to specific direction of spinal movement. The McKenzie method includes many different direction of spine movement exercises for low back pain in order
to alleviate your symptoms. Your physical therapist will asses your condition in order to determine which direction of exercise will reduce your symptoms.
Patient Spotlight
My first visit was with Dr. Eric Jorde. He is a tall gentleman with an excellent bedside manner. I was taken to a private room and was able to go over all my concerns and he set out a detailed plan. After several visits, I had mastered the techniques Dr. Jorde taught me how to stop my migraines and the home physical therapy to strengthen and rebuild neck muscles / reset my nerves. AKA STOP THE TRIGGER POINTS!!! At this point, the plan is two more weeks and as needed after that. Dr. Eric Jorde and Virginia Center for Spine and Sports Therapy are amazing. From the first phone call to the completion of care, they actual care. I got my more of functionality back. Trying to live with migraines daily doesn’t work, now I haven’t had one for 7 days!!! ThankyouDr.Jorde.Life issomuchbetterwithout the fearof thepain!” -A.H.
“Dr. Eric Jorde with Virginia Center for Spine and Sports Therapy started my physical therapy almost (exactly) one year after collision with a tractor trailer. Dr. Jorde worked with me primarily on migraine headaches caused by “trigger points” in my neck from the whip-lash and he even touched on strengthening my posture. This aided in reducing stress on my neck causing “trigger points” and “post op care” from my thoracic outlet syndrome surgery. When I arrived at Virginia Center for Spine and Sports Therapy I will be honest, I had been to another local Physical Therapy Practice throughout this fourteen-month nightmare. I didn’t have high hopes. I called thenumbermyPCPgavemeand tomysurpriseanactualhuman answered the phone. She was kind, knowledgeable and extremely easy to schedule with. When I arrived, I was greeted by a smiling office manager that was polite and answered all my questions. She walked me through what to expect with my insurance and let me know what to expect with the visit. Now when I come, they know me by name, and I still see that great smile.
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Newsletter Spotlight on Dr. Eric Jorde!
Dr. Eric Jorde is an orthopedic Physical Therapist and joined the team at the Virginia Center for Spine & Sports Therapy in 2014. Eric’s primary clinical focus is the evaluation and treatment of sports related injuries, sports therapy, concussion rehabilitation, cervicogenic headache, tensiontype headache, cervicogenic dizziness, neck pain, low back pain, extremity pain and balance/vestibular disorders.
Eric enjoys spending time with family, which includes his wife, Jessica, who is also a Physical Therapist and two daughters, Abigail and Emily. Eric also enjoys running and playing basketball in his free time. Education Shenandoah University — Doctorate in Physical Therapy 2004 Shenandoah University — Master in Physical Therapy 2001 State University of New York at Plattsburgh — Bachelor of Science in Biology 1998
Certifications • Certified Spinal Manipulative Therapy (Cert. SMT) — 2011 • Virginia Physical Therapy Direct Access Certification • PTA Board of Specialties: Orthopedic Certified Specialist (OCS) — 2006 • Physical Therapy Clinical Educator Course/Credentialing — 2005 • Certified Mechanical & Diagnosis and Therapy (Cert. MDT) — 2004 • Certified Strength and Conditioning Specialist (CSCS) — 2001-2003
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