Spinal degenerative changes are a natural part of ageing

Spending time deciphering and interpreting the meaning of MRI and CT scans for our patients is a difficult task. How do we know what is normal and what is related to pathology? This blog explores a recent systematic review that provides evidence about the prevalence of normal age-related changes on spinal imaging of the lumbar spine and MRI changes in the cervical spine .

Read More

The bigger the bulge the better

Disc bulges are often associated with negative thoughts about prognosis and recovery and it can be challenging to educate our patients about their ability to recover. A systematic review was published in 2014 that shows how extrusions and sequestrations have a higher probability of spontaneous regressions. The bigger the bulge the better.

Read More

Flexion relaxation response & low back pain

The flexion relaxation response is a phenomenon where the lumbar erector spinae muscles become silent at the end of lumbar flexion, and is an important part of being able to achieve full range. This blog explores the FRR and offers simple and easy treatment strategies for patients with low back pain. 

Read More

Enhancing core strength training

Last week we discussed treatment of psoas muscle tightness and offered tips for soft tissue release as well as modifications to the traditional kneeling hip flexor stretch. This blog aims to discuss some important training cues when strengthening your abdomen and trying to avoid overactivity through the hip flexors and lower back. Working with Pilates Instructor Jill Harris, we share strategies for making sure clients are getting the most out of their abdominal training. 

Read More