Back Pain

[alophysio]

No problem.

If it feels better with successive testing, then i would continue along that line.

To answer an earlier question that i think i left unanswered, i think this can help explain some of the muscle imbalances because it is well known that pain inhibits the muscles - maybe you are hitting the right spots to inhibit some muscles. This then leads to a pattern developing etc.

[edit - added later - the fact that the pain is the same no matter the position is interesting. It means that it is independent of the "length" of the nerve but your nerves could be caught in your hip - maybe piriformis (about 12% of people have the sciatic nerve pass directly through this muscle). The next logical thing to do is to repeat the experiement but now change the hip angles:

1. Sit down with knees bent, feet flat on floor.
2. Chin to chest
3. Note pain
4. Put left foot on a telephone book (this increases hip position slightly)
5. Chin to chest
6. Note pain.

Now because you have improvements with each repetition, you will have to do the procedure the reverse way to ensure the improvement/increase in pain is not due to repeated testing.

Another experiment you might like to do is to do 5 repetitions of whatever position - just keep it the same. Then when the pain is gone, see if you can bring it on by increasing the hip flexion - if you can, then the hip is almost definitely implicated.]

Let us know how you go. From what you say, i think sensation, reflexes and Babinski and clonus will be negative. I think you have a "neurodynamics" problem - BUT I AM GUESSING. I have not done a proper assessment on you. Please don't go around saying that other people are wrong and i am right - even if you get better! nothing beats seeing the person in person (if you know what i mean!).

let us know how it goes!

[Donjman]

Sensation, babinski and reflexes all normal, and i will book an appointment at my GP for a colunus if you wish, or its probably not worth doing?

The pain is so tempremental, i did both legs infront while sitting on a chair this time slouch and chin to chest and got reasonable pain.

I then bent my leg and didnt really get that much pain...

So i waited about 3 hours and did it again but the other way round, and got more pain with the leg stretched out than with it in.

I know i said this morning they are about the same, but i think that was a mistake, i was faffing around for quite some time and i could have make the condition better...

Going off these last 2 times, i would say im worse off with a straight leg.

I repeated the experiment reverse with the hip angles and about 5 phone books, pain was minimal but didnt in decrease with the less phonebooks

So maybe it is to do with the nerve length after all....

If it was the nerves getting snagged in the hip what could be done?

[Donjman]

So, where to from here captain?

[alophysio]

Hi,

Sorry, i thought i had replied last week but obviously i didn't!

I have had exams and my family come for easter so i apologise...

If it didn't decrease with less phone books then it may not be hip angle if all other angles are the same.

But it could be nerve mobility still, just not snagging at the hip.

How do you feel overall?

I would ordinarily give you the nerve mobility exercises as we have done with testing but short of pain. Especially since you respond well to repeated testing - this means that it seems to decrease your symptoms with more testing - a good prognostic sign for the exercise in itself.

If you try some of the nerve length testing as exercises, PLEASE DO NOT HAVE PAIN AT ALL during the exercises. Only a stretch, no pain or pins and needles or numbness etc.

No need for clonus testing i think but if you still want to get it done, by all means go ahead (can you see me covering my butt??? )

You could also try a piriformis stretch...
1. Sit on a chair upright.
2. Cross your leg like you are reading the paper (like a guy, not like a girl) - it should be like a figure 4.
3. Keep your back straight and GENTLY bring your knee to the opposite shoulder - YOU WILL NOT GET FAR. This is ok.
4. Feel the stretch in the buttock
5. Hold for at least 30 seconds by a clock (the research says 18-20secs but most people count too fast and longer isn't going to hurt you!)
6. No pins and needles or numbness please - if so, you are going too hard. No pain as well.

I am still away from a computer until the start of next week so i will try when i can to get online...

Thanks

[Donjman]

Well after a number of weeks the nerve flossing has really helped.

Ive seen someone in my area who said i have scolisois slightly which is why one side of my back is soft vs hard, which is also why im prone to straining more areas than others. Also i had some triggerpoints, got rid of those myself

The nerve/hip issue has virtually gone, but I cant seem to 100% get rid of the pain, but youve helped so much i cant thankyou enough.