Hello
well done -fixing 30 year old crook backs is stunning
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia
Phone: (612) 95197436
Fax: (612) 95197439
Mob: 0412 33 43 98
----- Original Message -----
From: "Henry Tsao" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, 8 October 2000 7:32
Subject: Re: cold spray (about the disc)
> Sarah,
>
> I agree with Sarah that the disc do heal despite a lack of blood supply,
but
> when the patient leaves the clinic, what is stopping the nucleus pulposis
> from leaking?? Does this mean that the patients will need to do extension
> exercises often to prevent the nucleus from flowing again?? I remember
Gwen
> Jull telling us that one can never injure a normal disc, one can only
injure
> a damaged disc - can anyone comment on this??
>
> One interesting patient I had on Saturday morning that I'd like to share
> with everyone. This person is an Ass. Professor of Chemistry and has had a
> 30 year history of back pain, and has been to the every type of therapy
but
> nothing helped in the long term. He went to 5 orthopaedic surgeons, 3 of
> these said that there was nothing they could do for him, and 2 of them
said
> they wanted to operate (which he strongly refused).
>
> He presented to me with isolated right sided back pain and pain down the
> anterior leg. He stated that the pain had always been on the left side,
but
> somehow this time, it is on the right side. He also stated that he had
> irritable bowel syndrome (which the doctors had put as a result of stress)
> and suffered from severe migrains, which coincidently always occurs before
> his back pain starts.
>
> On examination, he had a ~35 degree list in the thoracolumbar spine to the
> left, and could not bend forward or laterally flex to the right at all. He
> had active trigger points in both his psoas and iliacus muscles, which
were
> the only muscles that I looked at yesterday.
>
> From his presentation, I knew that he had psoas problems. The right psoas
> lies close to the ascending colon and hence can cause irritable bowel
> sydrome, and I agree with the Doctor, stress will tighten muscles. As
well,
> the iliacus muscle can actually give severe migrains through a chain of
> muscles up the back ending up in the sternocleidomastoid. During this
> treatment, I basically used spray and stretch on the psoas muscle, and
> showed him how to stretch this muscle out regularly. Amazingly, this
person
> stood up with a straight thoracolumbar spine, and even though he still had
> pain on forward bending at the end of range, he could bend forward. It
would
> be very interesting to see in the next month, how the irritable bowel as
> well as the migrains change as a result of simply treating the muscles.
>
> This give everyone an idea of some of the reasoning behind my treatments.
I
> am not saying that all back pain patients are treated this way, because no
2
> patients are the same. However, I was so blown away by this case that I
just
> wanted to share it with everyone.
>
> Henry***
>
> >From: Sarah Fern Striffler <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: [log in to unmask]
> >Subject: Re: cold spray (about the disc)
> >Date: Fri, 06 Oct 2000 05:26:04 -0400
> >
> >Dear Stewart,
> >
> >Also no direct blood supply to synovium. In both cases, fluid movement
> >is via passive flow. Surely you've heard of the phenomenon of incresed
> >disc size in the a.m., "imbibition" of fluid & the subsequent loss of
disc
> >height during the day. These days, it's even known that articular
cartilege
> >has the possibility for self-repair. Of course, the healing time can vary
&
> >healing achieved can be variable, so all we can do to support healing is
> >good sense.
> >
> >In terms of the exact mechanisms, an inflammatory reaction is known to
> >occur in the disc material, according to some recent articles in Spine. I
> >don't have the references hand, sorry. As in many parts of the body,
> >unfortunately, the inflammation can become chronic & fail to resolve in
> >the formation of scar tissue.
> >
> >Please, everyone, add whatever else you know about the healing
> >mechanisms.
> >
> >Thanks.
> >
> >Sarah Fern Striffler, PT
> >
> >
> >[log in to unmask] wrote:
> >
> > > Sarah, could you explain what mechanisms allow the disc material to
> >heal. As
> > > I understand it their is no blood supply to the disc material
therefore
> >no
> > > known method of natural repair.
> > >
> > > Stewart Harrison
> > > Physiotherapist
> > > UK
> >
>
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