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How does Physical Therapy help with 2 bones that aren't fused together????
I have back pain. I went to the doctor and had an xray. They said that my tail-bone (sacrum) and my lower lumbar spine were not fused together. My doctor suggested Physical Therapy.
How the hell does P.T. help with 2 bones that are not fused together? Are there any other methods?
please list sources.
Thanks everyone for your help! : )
Based on your description, I'm assuming you've been found to have an L-6 vertebrae...this is an anomaly where the first sacral bone is not fused with the rest and is termed a lumbar vertebrae instead.
That's going to depend highly on the approach to which you physical therapist will use. Most likely, your PT will teach you exercises to "stabilize" your "core muscles" to compensate for increase mobility that is said to occur with an L-6 anomaly.
These theories go back mostly to MM Panjabi, a surgeon who is probably the pioneer of the core stabilization movement. His landmark papers on lack of "stability" of the spine as a source of pain has been cited hundreds of times. He theorizes that increased "neurtal zone stability" of the spine can cause compensation and pain by any of the subsystems that help stabilize it.
While this certainly sounds good in theory, we must remember that is all it is...theory. While Panjabi has done many studies on biomechanics, etc. there have really been no significant studies to date that validate clinical application of "core stabilization" in the reduction of pain. Can "core stabilization" be helpful? Perhaps, but those who might benefit from it cannot be reliably identified.
That being said, PT with core stabilization may or may not benefit you. Yet, there are other paradigms by which those with back pain can be more reliably identified based on your response to movements. In other words, there may be different approaches to help you within the scope of physical therapy (I'd suggest going to www.mckenziemdt.org )
...I should also mention that presense of an L-6 vertebrae has also not been proven to be a source of pain. Therefore, your pain MIGHT not have anything to do with this at all.
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