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Back pain self assessment

Excel Medical Group

2013-11-28

Self Assessment To Improve back pain

Back pain is a common spine health problem. There are many reasons for back pain, but the most common one is caused by muscle imbalance. What is muscle imbalance? How does it affect the spine?

Our back has two sets of muscles for balance, but if we often use a certain set of muscles on activity, this set of muscles will be too strong, and a strong set will increase muscle tension and tightness. The stress in the joints, ligaments and tendons, which in turn causes excessive pressure on the peripheral nerves and back pain.

4 factors that causes muscle imbalance

There are many reasons for muscle imbalance, mainly divided into the following 4 categories.

1.Injury

Sudden pulling forces cause muscle injuries, such as: falls, sports injuries, muscle or ligament tears caused by weight lifting, etc.

2.Lack of exercise

In general, we have about 14 to 17 hours a day. With little or no participation in activities, sitting or standing for a long time will only make the back muscles tense, which in turn leads to muscle stiffness and weakness. This affects blood circulation and prevents the injured muscles from healing quickly. It also makes the body tired and weakens immunity.

3.Incorrect posture

If an incorrect posture is added after a muscle injury, this will increase back pain and increase the condition of muscle imbalance.

4.Overexercise

When most people experience back pain, their first idea is to exercise more so to activate the back muscle. So they try to exercise, hoping to improve the back pain. But it turns out that this kind of activity will make the back pain get worse. Because many people, without knowing the cause of their backaches, tend to over-exercise the overly tense muscles (the one that is too strong) to make the strong muscles become stronger and stronger. Relatively, the weaker muscles on the other side will become weaker. Therefore, the back pain get worst, it will accelerate the deterioration of the back muscle.

How to self assess?

After knowing the cause of back pain, how do you assess whether you have back pain or the severity of the problem? The following 3 items, respectively, are to assess the condition of the anterior pelvis, the condition of the posterior pelvis and the height of the pelvis, which are effective methods for self-assessment of back pain.

1. Asses the condition of the pelvis

Look in the mirror to check if you have the following conditions:

figure 1 - normal standing pelvis position

figure 2- pelvis tilted front, increase lower back curve

Then test the tension of the following two sets of muscles, both of which should be tested:

figure 3 - testing quadriceps muscles

figure 4 - testing quadriceps muscle

If the above situation occurs, you should do more stretching exercises (Figure 3) and (Figure 4).

2. Asses the condition of the pelvis

Look in the mirror and see if your pelvis is leaning more towards the back:

figure 5 - pelvis tilted backward

The following tests the tension of the two groups of muscles, both sides should be tested.

figure 6 -lifting the leg above the pelvis

figure 7 - crossing one leg over to the other knee area and check the gluteal muscle has tightness

If the above situation occurs, you should do more stretching exercises (Figure 6) and (Figure 7).

  1. Evaluation of pelvis height

Look in the mirror and see if your pelvis is high on one side and low on the other:

figure 8 - right side pelvis is higher than left side

The following tests the tension of the two groups of muscles, both sides should be tested.

figure 9 - side bend to left side and check the muscle is tight

If the above situation occurs, you should do more stretching exercises (Figure 9).

Author

Dr. Matty F.Y. Wong

Doctor of Chiropractic, NCC, USA


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