exercises in sacralisation

[kpc_2005]

Hi, I have a patient whose radiograph shows sacralisation of L5 over S1 on the left side. Could someone please advise me on what sort of exercises I should give her and is there much benefit with any sort of manipulative therapy for her? thank you

Similar Threads:

• Sciatica Exercises
• Exercises
• Need some advice on exercises
• Circulatory Exercises
• Lumbar spine sacralisation

[jerryhesch]

Manipulation most likely would effect the facet joint above, the L4-L5, helpful if painful and restricted. The sacralization can be complete bony union or partial in which case there is a probable fibrous union. In time, the disc and joints above and below may achieve greater degenerative changes because of greater mechanical loads. I think of sacralization as being fairly stable. Exercise guidelines would be consistent with stability, control, timing, lenght, strength, endurance, not too different than treating other lumbar syndromes. Education in proper body mechaics seems morally appropriate, even if there is little support from the literature. Screening proximal structures such as hip, pelvis, SI,etc., makes sense and distal structures as well. Your good common sense will serve you well with this client.

[Vlemire]

I agree with the last post!

I wouldn't treat this condition differently than any other back problems.

I would certainly consider the film, but I would put more emphasis on the problems noted subjectively et objectively in the assessment.

It will tell you all!

[linbin]

hi
as a sequelae of sacralization there will be compensatory excess mobility in the proximal joints.this may in the long run will result in symptoms.so i think our treatment should be to enhance the stability.here comes the importance of core spinal stabilization.manipulation is not an ideal treatment approach in this context."rehabilitation of the spine" gives a detailed exercise programme

[aziznavii]

hi every one i agree with manipulation but u need to be profisional in such technic or if u not.so its better to increase the LB streaching exc.befor doing any exc.just an opinion ..wish u the best

[ginger]

these kinds of findings , along with minor disc wedging , bulges, lipping, calcification and other attention grabbing artifacts are for the most part entirely irrelevant. To be lead toward the largely medical diagnostic POV that these marginal physical defects are responsible for pain , would be to entirely miss the physiological/aetiological point. That being , it is protective behaviour leading to loss of normal movement dynamics that is the ubiquitous and more important issue to note. The movement capabilities of joints do not appear on x-rays or other computer aided scans. This can only be discovered by observation and handling. By becoming absorbed in a fruitless exercise in name the anomoly, the neophyte may fail to spot the obvious.