Spine 101 Why we hurt Explaining Bone and Muscular Pain
Hello, my name is Jeff Aberle. And inthis tutorial I'm going to try and explain to you how the spine and spinal malpositionsand distortions can cause basically any type of ache or pain that you're experiencing.Whether it's headaches or knee problems or back pain or neck pain or tight muscles anywherein the body. All that's explainable and so in this short tutorial I'm going to try and domy best to explain that. What you're looking at now is a tutorial of normal spinal motion.And what I want you to kind of get from this is that every bone participates in the motion.Every bone is contributing. Every bone is moving. There's no stuck areas. And thingsare good. When you look from the front or
from the side here you see a curve in theneck. You see a curve in the thoracics. And you see a curve in the lumbars. From the backeverything is perfectly lined up. Now most people think that their spines look exactlylike this. And when they have an ache or a pain. They might even think that somethingsout in their back. They think that one or two little things have gone wrong. And theythink that they get a treatment or two and everything should be back to normal. And theyshould be pain free. This is what most people, I think, believe. But there's much more tothat. So let's just real quickly show what abnormal motion is like. And yes, this isa whole nother tutorial. This animation starts
out this way. So what we're doing is takinga happy, healthy spine and an unhappy spine. A very twisted up and distorted frame. Andbelieve me, a lot of people have this. You might be one of them. You might not look exactlylike this. You might not even look close to this. This curve on you might be up here.You might actually look fairly straight from the back, but over here you have multiplecurves all embeded within the primary curves. Remember how I said there was one neck curveand one thoracic curve. Well here you can see there's three curves in the thoracics.There's one there, there's a reverse one there and there's that one. Lot's of people havemultiple curves as you run your finger down
their back here or measure on xray. So ifyou've got a problem or an ache or a pain. It's probably why you're watching this tutorialactually. You probably have a whole bunch of these spinal distortions as well. And there'sno way you're fixing this in one or two treatments. It's impossible. You might be able to getrid of pain in one or two visits. That happens once in a while, but usually this is moreof a process to correct this stuff and reverse this back to this position. The good newsis it actually is possible to do that. That is the good news. Ok, let's go to the animation.So here what we're going to do is show that crooked, distorted spine and how it movesrelative to the normal spine. So here we go
through the same ranges of motion. Not thesame distances, but the same. I shouldn't say. The same types of motions, but the rangesare obviously going to be different. The actual value amounts in degrees. What I want youto notice here is that chunks of bone are moving relative to the other pieces. And you'llalso notice here that I cut the spine in half here. I'll show you why I did that here. Ididn't bother remaking this animation. With a full spine because I want to show you what'sinternal. But you see how all that moves as a chunké Now here it actually moves to theright and you can see individual motion there. But to the left that thing moved as a chunk.ablock. Now what's interesting is when someone
comes in with a spine like this and I actuallystart treating them. It feels like I'm working on a block of wood. So a lot of people, especiallyyoung people that haven't had a lot of time to get a lot of these distortions and twistsand all this stuff. They have more flexible spines so when I put them up against the walland they give themselves a hug and I push them lightly up against the wall. And youcan see other tutorials of the actual treatment being done. With someone like this it feelslike I'm pushing a block of wood up against my hand. And for maybe a teenager or somethinglike that, it's not that way. Or somebody that has good spinal health. Their spine actuallyfeels flexible. And that's really interesting.
Piriformis Syndrome versus Sciatica Animation
Piriformis syndrome is a neuromuscular conditionwhere the piriformis muscle one of the deep gluteal muscles presses on and compressesthe sciatic nerve causing pain, tingling and numbness in the buttock area and down thepath of sciatic nerve to the thigh and leg. Sciatic nerve runs UNDER the piriformis muscleand may be irritated when the muscle is too tight or shortened due to spasms. Piriformissyndrome is to be differentiated from sciatica which shows similar symptoms but has differentcauses. Diagnosis is commonly done by EXCLUSION ofsciatica. Because sciatica usually associates with compression of sciatic nerve roots bya herniated disc, sciatic symptoms in the
ABSENCE of spinal disc herniation are indicativeof piriformis syndrome. Causes and risk factors of piriformis syndromeinclude: Anatomical abnormality of the nervemusclerelation. Some people are more likely to get piriformis syndrome than others. Tightness or spasm of the piriformis muscle due to overuse injury. This commonly happensin sport activities that put pressure on the piriformis muscle such as bicycling, runningwithout proper stretching, or any activity that involves repeated movements of the legsperformed in sitting position. Treatment options include: Stretching exercises, massage, avoidance
of causative activities. Antiinflammatory drugs, muscle relaxants for relief of symptoms. Physical therapy that strengthens the gluteus maximus, gluteus medius, and biceps femorisis usually recommended to reduce strain on the piriformis muscle.