Dear Heather ,
Thanks a lot for your valuable opinion .
When we make a patient with lateral shift sit in this position the shift is
still there but when he bends forwards , lumbar spine is flexed then we
correct the shift on similar grounds Of JAck Miller or by placing towel
or pillow under one hip as described by Heather can help us in shift
correction ,then the patient can
be easily achieve the lordosis.
Advantage of
this position over the Extension in lying or Jack millers
table is that in those positions legs are straight hence putting sciatic
nerve under tension ,but
abduction ,medial rotation in flexion puts hip and pyriformis in relaxed
position as far as sciatic nerve is concerned.knee is also flexed and feet
in plantar flexion that put sciatic nerve in jolly
happy mood with no neural tension.
with lots of best wishes,
Dr.Sarveshwar Sood
Orthopaedic Surgeon & Head Department of Physical
Medicine & Rehabilitation,
Member American Academy Of Pain Management.
S.B.L.S.Hospital
812/1,Housing Board Colony
Model Town,Jalandhar city
Punjab State.India
E-mail [log in to unmask]
http://Personal.vsnl.com/sarvesh
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, May 16, 2000 9:00 AM
Subject: Re: strange centralization/
> Dr. Sood,
> One of the adaptations of the way to achieve lat shift correction is that
of
> slight flexion with upper extremity support, with active shifting of
> hips...slowly working into extension. (See the article on that technique
at
> www.canzed.on.ca under updates, articles by Jack Miller). The theory is
that
> the upper extremity support allows for some traction of the bones, and the
> slight flexion uses the post ligaments to push the disc into place
somewhat.
> I wonder if your patient tilted his pelvis while getting into the lotus
> position, which would also act as a lateral shift? It would close down
that
> side.
> To achieve lateral shift in the care, I often have people sit on a towel
on
> the side that is painful, to close down the hip on that side....then we
work
> on rocking the pelvis so that lumbar exension is achieved. Slightly easier
> than in standing, and also allows for longer driving .
> If I am unclear, I apologize...it is late...
> Warm regards,
> Heather Murray-Miller
> McKenzieStudy
> In a message dated 5/15/2000 10:47:20 PM Eastern Daylight Time,
> [log in to unmask] writes:
>
> > Yesterday ,I had another patient with shift when I put him in this
position
> > in flexed lumbar spine shift disappered to a large extent ,than slowly
i
> > asked him to sit with lordosis and pain centralized.
> >
> > Dr.Sarveshwar Sood
>
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