abdominal problem - need opinions pls

hi

I have a problem with my abdomen,its too protuberant,like i would have a beer belly but thing is im not fat,im convinced its a postural problem and ive been to every doctor,kyropractic and even some oriental shiatzu guy,noone knows how to fix it and im geting desperate.

Maybe you can help me? i feel like my lombar is a bit pushed foward,like i would have lordosis but the x-rays i took shows no sign of it,so its definatly postural i think.

Do you know any exercices or anything that can fix this? ill try to post a photo after.

thanks for your time.

first you check your BMI (body mass index). if you are overweight or obes you have to controle your weight with diet control and regular exercises.
i prefer you to go for Aerobics regularly.
http://www.nhlbisupport.com/bmi/bmicalc.htm -- YOU CAN CHECK YOUR BMI HERE

In addition to the information described above, you must control your diet and fix it to 1000 or 1500 calories if you are over weight. Aerobic exercises are good mean to lose the weight along with a suitable dieting plan. Moreover, every obese with protruded abdomen have a bit tendency to develop lumbar lordosis which could be postural.

Hi ,

In addition to all previouse inputs,and again if ur usually eat alot of and diets programs annoying u ,i can tell u that the best method to make diet in addition to exercises just to eat what would u like to eat but don't fed up (i mean eat without being saturated up with food!!)

u need good well ,so prepare ur self now to avoid any possible complications ,postural problems most of times lead to defects at health and all aspects of life...:cool:

photo will be nice please.

It may in fact be postural.

It may be because whatever fat you have has been deposited in the stomach area.

It may be something more serious.

Post a photo so we can see what the tummy looks like. Thanks

first of all,thanks for all of your replies,here is the photo :

http://img133.imageshack.us/img133/2545/backvc7.jpg

im sure its postural,on the x-rays i dont have a lordosis (i can post those too if you want them,later).
And i dont have a problem with body fat,as you can see im very skinny.

thanks

i forgot to say when i try to straight up my back it gets normal and i get a flat tummy.

Hi,

In my honest opinion, you appear to have a "sway back" presentation. You probably have what we call a "motor control" problem where your brain isn't sure where you are (so to speak) so it puts you into that posture. Another way to put it is like your brain having a GPS device to keep your spine where it should be. At the moment, the GPS is not calibrated properly - hence your current posture.

I am willing to bet that your posture does improve when you stand straight and your tummy flattens when you do that but you feel that you can't hold it forever like that - am i right?

Without knowing a whole lot more about your story - i would guess that you need postural correction, lots of exercises and awareness.

The solution is not to do loads of exercises jsut for the sake of doing exercises but you need to learn how to stand up straight without "working" at it. It needs to be relaxed and it takes loads of time.

I have corrected many people with your type of posture so there is hope. Again, no promises because i haven't really seen you. But all things being equal, the future is bright if you are willing to work hard at it and do the exercises.

Don't bother trying to correct it on your own. Even i as a physio needs someone else to correct my posture because i simply cannot reliably tell what i am doing.

No doubt you will get lots of suggestions to do things on this website. My advice is seek professional help. If you don't get a difference after 6 weeks, then something isn't right. I am not saying a cure but if you honest and do your exercises and stretches and nothing changes, you need to find someone who can make it happen.

Also, don't expect good advice to come for free. It is your body, you should take care of it...

All the best - i hope it helps

Hi

Ive been to several doctors and professionals,ive done Postural Reposicioning exercices for 6 months and it worked but then i had to move to another city so i couldnt do it anymore and my condition got back.

Ive tried physiotherapy for 2 months,i did some static exercices with breathing and so on and some streches but i couldnt feel a difference,think those exercices were "too light",after 2 months,i was the same,so i quit.

Ive been to a chyropractic too and he suggested i should do pilates,what do you think?

by the way,i got to this point,because for 1 year or so i would be sit in a chair for 10,12 hours each day non stop,it messed up my posture really bad.

What are your suggestions? i cant find a decent professional where i live,they all dont know what it is and what to do and i just waste time and money.

Perahps if you keep trying, you will find someone.

It is hard to advise over the internet.

One day i might try to do online consultations...

Anyway, maybe post where you are from and someone might know someone good.

Postural correction is someone that you should have to *concentrate* on, not necessarily *work hard* at if you know what i mean.

If you know of anyone who is very familiar with Peter O'Sullivan's work in WA or Mark Comerford or Shirly Sahrmann or Diane Lee or LJ Lee, then you are beginning to get on the right track.

Or email Diane Lee at her website www.dianelee.ca to see if she knows anyone in your area or who to call to find someone in your area. You can email any of the others of course - it is just a matter of finding their details first!

Good luck - it is achievable. If you want to come to Sydney Aus, i am more than happy to help you or recommend someone who can.

hello alophysio,
why can't it be this sway back posture due to Paralysis of gleutius maximus?
As i know Gleutius maximus provide stability in normal standing posture, and it helps to counteract the flexiom movement of hip. when this G.m paralysed the trunk will be pulled backward.

see this image here the sway back posture is due to problem at hip complex.

Hi etvin,

1. Do you mean "paralysed"? Perhaps a better word would be inhibited? Paralysed would imply that the muscle has no neural input and the patient is unable to use it wouldn't it? I will assume this is not what you meant.

2. From the photo, it looks like he has normal enough muscle tone in his gluts. It is not the perfect picture and we only have one view but his gluts didn't strike me as being the problem. It looks like he hinges in the low L/S with a long kyphosis. As i explained above, i think the hinging is there because he cannot tell where he is in space in neutral posture.

3. I don't think glut max has a large role to play in normal standing stability. It actually should be quite toned down in relaxed standing because it's main function is to act in a phasic way. Standing is simply a sustained loading position which requires fine tuning from your slow twitch muscles (soleus, TrAb, pelvic floor, multifidus, etc etc). If you actually use your glut max when you are standing (try it), you will get tired and sore quite quickly.

I hope this helps. if it is still unclear, i am more than willing to try put it another way...

hi,thanks for your replies.

Ive found another physiotherapist and started this week,he started me on Hidrotherapy (exercises in the pool) and something called Kynesis,its like exercices with medicine balls and some machines.

what are your opinions on this? is this the recomended procedures?

thanks

first you conform exact cause for your problem?

more or less,the doctor said my lower back was "flat" and that the problem was in my abdominal "core" and shoulders or something...does that sound right to you?