My dear friends,
Of
all the derangements of lumbar spine the most fascinating & challenging is
one of Shift correction .I think there is no better way to correct this than
McKenzie MDT .
Recently I have been
experimenting with few chronic cases of D4 .Shift which is very
stubborn and resistance do reoccur to the surprise of patient and therapist both
.
Shift correction in
unloaded spine;(La McKenzie) EIL with pushing the
pelvis away &
Shift correction in
Semiloaded position ;quadruped position and then correct shift
and then Camel (flexion)
is converted by slowly coaxing it to Cat(lordosis)
some manual traction (distraction ) maybe be used. A self discovered
technique.
Shift correction in
standing;
SGIS and manually overcorrecting shift in standing
(LaMckenzie)
Shift correction with the help of Table (La Jack Miller)
. And NOW ,
Shift correction
while walking a new method I wish to share with friends on
the list.
Make the patient walk with only one shoe ,if found
painful slight flexion will abolish that soon patient will learn to move from
this position to lordotic position and we can keep the shift corrected for long
time.
If found useful an
appropriate Insole can be fitted in one shoe to help .
I find shift correction is round the clock
necessity.
Positions to maintain &
correct shift
1.While sleeping Make the
patient sleep on shifted Side and place a roll underthat side of
spine.
2.While Sitting place a small pillow underpainful side.
3.While walking place a insole in
one shoe.
In addition to following protocol as suggested by
great McKenzie we can use above mentioned positions to maintain shift correction
.
If I am wrong somewhere
Please correct me and if you all agree then also let me know .And If some other
method you know PLEASE SHARE with us.
With best wishes and regards to
everyone.
Dr.Sarveshwar
Sood,
Director,ICCS,
Institute of
Conservative Care Of Spine.
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
