The low back pain
Low back pain, commonly known as back pain or lumbago (in the case of acute onset), is a very common reason for consultation in an osteopathy clinic.
The problem is often of mechanical origin, that element has some limitations in its mobility and the surrounding parts must be adapted to the situation. The sacrum and the iliac bones are frequently involved parts.
The mechanical disruption arise with pain, exertion or simply during a movement, the patient feels tired at the end of the day and finds comfort resting in bed.
A mechanical discomfort maintained for a long time can cause chronic degenerative problems because if a part works in the wrong way, it tends to wear out (osteoarthritis, herniated discs, etc.) or develop chronic adaptations (osteophytes, sclerosis of the articular surfaces, scoliosis, etc.).
At other times the back pain has a hemodynamic origin, ie there is a difficulty of venous return that causes blood collections in the vicinity of the intervertebral foramina (holes between the vertebrae where the nerves come out). The generated pressure presses the nerve roots: the patient feels pain sometimes also in the territories of innervation of the nerves involved.
The hemodynamic discomfort causes low back pain that occurs while standing still, sitting or lying down, and typically just waking up in the morning. Immobility night is in fact responsible for an accumulation of blood that is discharged gradually with the movement and then tends to disappear during the early hours of the morning.
Often hemodynamic and mechanical problems coexist, almost all cases of low back pain are actually expressions of a mixed picture with the preponderance of one of the two aspects.
For problems of this nature Osteopathy is highly effective because it offers the possibility of resolving both situations in a stable manner.
As an example there is the case of a 39 -year-old plumber suffering from chronic low back pain which he attributed to the prolonged forced postures in the workplace.
In fact osteopathic examination showed the sacred in unilateral anteriority maintained by a lesion of the zygomatic ipsilateral arch; secondarily there was also a rotation of L4.
Once the zygomatic arch and spinal injuries have been reduced, the sacred is unlocked and therefore the pain disappeared within a few days.
The patient was reviewed at a distance of ten days and it was completely restored. He had had this problem for months.
Such cases are not uncommon.
Unfortunately, it often happens that an osteopathic framework is maintained for a long time and it causes major adaptations that is not easy to correct. A deformation of the vertebrae wedge or a spondylolisthesis, for example, are problems that can't be corrected manually.
However even in these cases there is always a chance of recovery, of course not one hundred percent, but it can bring relief to the patient.