In physical therapy the therapist keep taking about specific muscles of the spine that are causing some problems.
I am looking for a chart so I can understnd where the muscles are located and their functions.
Tanks,
Bummer Knees
well, Duke's Wheeless's text book on line is free and more than you could ever want.
http://www.wheelessonline.com/ortho/muscle_index
Don't assume the therapist is correct though as they are proneto skip over the multifidi spinal stabilizers in favor of the bigger joint movers hence all kinds of exercises that don't accomplish much.
Better may be the North American Spine Society's "Know Your Back" Web site;
http://www.knowyourback.org/Pages/Default.aspx
poke around in there for useful information.
And for the really good stuff try to find writings by Vladimir Janda, MD or Karl Lewitt MD. Hard to find in the US so helpful if you can read Czech.
Thanks Cycler.
The muscles the therapist are speaking of have to do with stability of the pelvic & lumbar areas of the spine.
I know the names of the muscles, just don't know how to spell them.
Cycle I was able to find what I am looking for with the first link.
Makes a lot more sense after reading this information.
Thanks.
Didn't explain what the problems were though. As many don't understand, the muscles interwind with other muscles, meaning pointing to just one muscle, may be wrong, as the other muscle wraps into the other. Which all in all, may just be one muscle which is inflamed. Without the information, can't say much more then that.
Pelvic area from discussions that Bummer and I have had
Chronic axial skeletal pain is not associated with muscle inflammation or even muscle spasm but rather pain from the disc itself ( discogenic pain) and instability of the spine motion segments due to loss of disc height, which causes loss of function of the spine's passive retraints, and also muscle imbalance of the small intrinsic back muscles and glutes leaving an abnormal firing pattern in complex motions.
Janda postulated and later proved that It's not usually the weak tight muscles that are the problem but the weak stretched muscles and that changed everything.
In other words, the non-surgical Spine rehab and pain literature has demonstrated a far more complex pattern of injury and treatment approach than is taught to the PR community. THey are many years behind what a good physiatrist in spine rehab knows.
Unfortunately this is one of the main drivers of surgery; i.e. a low back pain patient "flunks" PT and so is recommended for surgery when a different PT approach may have yielded benefits.
Pelvic pain in spine injuries is a referred pain phenomenon due to sensory innervation of the pelvic floor from the sacral nerve plexus from L4,L5 and S1. KNowing the nerves is therefore more important than knowing the muscles in understanding the pain patterns.
I am just trying to visualize the muscles and see the spelling in writting to help me understand what the therapist is saying per physical therapy.
Being hearing impaired it is inportant I have a visual of things to make sense of them.
Cycler I do have the loss of disc height and the glutes have been mentioned by the physical therapist. L4-5, L5-S1, & L1-2 are some of the areas mentioned by doctors.
When having the ESI earlier this week the doctor was unable to do the injection at L4-5 due to lack of space and so the injection was done at L5-S1.
Body Builder is correct as I do have a chronic prolem with instability of the pelvic S1 & Si joint.
Thank you everyone for your help with this thread.