What Is A Prolapsed Disc

Friction Bulge

A 'slipped' disc is a localised bulge in the back wall of a disc. It is caused by the devitalised nucleus losing cohesion and trying to escape through a chink in the cracking disc wall (anulus). The condition needs explaining because for years it has taken the blame as the main perpetrator of back mischief. In the 1930s, 'slipped discs' were nominated as the chief cause of back trouble, and this limited view of what goes wrong has held sway, almost to the present day. It was thought that a disc...

Causes Of Facet Arthropathy

Lower Lumbar Facet Arthropathy

Disc stiffening allows the facet capsules to tighten Disc narrowing causes the facet joint surfaces to override A sway back causes the lower facets to jam Weak tummy muscles can jam the facets A shorter leg invokes a greater restraint role of the facets Disc stiffening allows the facet capsules to tighten The earliest form of stiffness of a facet joint may be nothing more than a fleeting protective spasm of its overlying multifidus muscle. A fluke odd movement or an awkward posture for a...

Causes Of An Acute Locked Back

Facet Locked

A natural 'window of weakness' early in a bend Segmental stiffness predisposes to facet locking Muscle weakness contributes to facet locking A natural 'window of weakness' early in a bend All spines experience a natural vulnerability on bending until they get themselves properly braced. I believe that facet locking occurs when the spine is caught momentarily ill-prepared as it passes through a fleeting 'window of weakness' in the early part of range. Bracing happens when the muscles at the...

What Is A Stiff Spinal Segment

Microtrauma The Spine

In the well-oiled spinal chain, a stiff spinal segment is a sluggish vertebra which participates less willingly than the others in overall spinal movement. More often than not the stiffer one causes no trouble it just sits there being coaxed along by other more vigorous neighbours and also being compensated for by them. When the spine performs its usual grand-scale activity, each segment contributes a tiny bit more to make up for the stiffer one doing a little bit less. Most spines have a...

Exercises For Treating A Bad Back

Core Back Core

Once the stage is set with adequate rest and any necessary drug therapy, the following exercises reverse the structural and physiological changes of the motion segment. Basic theoretical treatment regimens, using various combinations of the exercises for specific back disorders, are in Chapters 2 to 6. This is the ultimate 'appeasing' exercise. It is the least taxing and therefore least frightening exercise in the early loosening of a jammed segment. It is performed in the horizontal supine...

What Is An Acute Locked Back

An acute locking episode is when an unguarded movement causes an agonising jolt of pain like a high voltage current to shoot through your back. The pain always strikes at the beginning of a movement, like a bolt from the blue, and leaves you bent over rigid and unable to straighten. Usually the pain catches you so badly you cannot stir. You cannot go forwards or back, or put one foot after the other. It is a real crisis. Often it makes the knees buckle so you collapse to the floor and an...

Causes Of A Stiff Spinal Segment

Thinning Spinal Disc

Unremitting spinal compression reduces disc metabolism Gravity squeezes fluid from the discs Abdominal (tummy) weakness allows the spine to 'sink' Sustained postures accelerate fluid loss and poor varieties of movement prevent fluid replacement Chronic protective muscle spasm compresses the problem disc Abnormal postures increase neurocentral compression and reduce metabolic activity of the discs Injury can rupture the cartilage endplate between vertebra and disc Unremitting spinal compression...