low back pain, scoliosis and core stability

[alophysio]

Hi,

I missed this post somehow...

Sounds pretty comprehensive (your assessment and treatment that is!)

I would say a lot of the imbalances etc are long standing. Finding out what is new is the challenge in these patients. Esp since she has been pain free until now. I have given up trying to improve these long standing things. I once had a patient who was in her 80s with a first time back pain and she had terrible scoliosis that never troubled her until then - it was an acute injury that settled within 2 weeks of rx.

Can you explain the anterior pelvic tilt yet flat L/S? How does that happen? There has to be extension happening somewhere...

I would try a manipulation. Childs in 2004 wrote a paper about using a clinical prediction rule for people with LBP who will benefit from a manipulation. Find it under pubmed. Goot go. Sorry!

[charlize29]

Hi physiogeneve,

I would try Pilates PROVIDED you GET MEDICAL CLEARANCE. You have already mentioned that her "gymnastic exercise" resulted to pain relief. Try to strengthen also the gluteal muscles and stretching of the hams would definitely help.

Regards,
charlize29