Why I treat the abdominal Oblique’s when treating low back Pain?
Low Back pain is one of the most common reasons people seek the care of their Chiropractor. Understanding the mechanism of injury and the weakness of each individual helps to treat the patients faster
As important as it is to treat everything below the pelvis (“Gluts, Piriformis) it is equally important to treat the muscles attaching about the pelvic line. Oblique activating can have a tremendous effect of low back pain.
Strengthen the muscles and stimulating the nerves will increase core strength and decrease the intensity and frequency of low back pain.
Back to the Basics.
The one exercise that everyone should do to stabilize their core;
The Abdominal Hollow
To hollow your abdominal muscles, contract your pelvic floor, pulling it up. Then pull your belly button in toward your spine. This up-and-in contraction is so small, it's imperceptible to others. If you try to hollow too much, different muscles will kick in and your pelvis will scoop under. Without it, your back muscles dominate and overarch your lower back. Your goal is a relaxed, neutral pelvis.
This exercise will help stabilize your core and protect your low back from future injury.
J Back Musculoskelet Rehabil. 2009;22(3):165-72.
Evaluation of trunk muscle activity in chronic low back pain patients and healthy individuals during holding loads.
Ershad N1, Kahrizi S, Abadi MF, Zadeh SF.
“Previously, the scapular musculature was often neglected in designing a rehabilitation protocol for the shoulder. In the past two decades a significant amount of research has been performed in order to help identify the role of the scapula in upper extremity function. Weakness of the scapular stabilizers and resultant altered biomechanics could result in: 1) abnormal stresses to the anterior capsular structures of the shoulder, 2) increased possibility of rotator cuff compression, and 3) decreased shoulder complex neuromuscular performance.” The focus of any shoulder assessment should be on the dysfunction and retraining of the scapular musculature.
By stimulating and strengthening muscles such as subscapularis, serratus anterior and teres major/minor, dramatic changes can be made in range of motion, pain, and function.
Remember, pain is not necessarily where the problem lies.; we want to treat dysfunction in order to decrease pain.
Int J Sports Phys Ther. 2013 Oct; 8(5): 617–629.THE ROLE OF THE SCAPULA
Russ Paine, PT1 and Michael L. Voight, PT, DHSc, OCS, SCS, ATC, FAPTA2