Low back pain that is characterized by pain in the L4, L5, S1 region means that you need to have your psoas muscle lengthened. The psoas muscle attaches from the lumbar area (i.e., L4, L5, S1) to the upper thigh region. The psoas muscle is easily susceptible to contraction. When it gets shortened, it creates pressure on the discs in the L4, L5, S1 area, causing low back pain. Few people know about the effect of the psoas muscle on low back pain. And fewer people know how to lengthen the psoas when it becomes contracted. The best method is through Active Isolated Stretching therapy (also known as AIS).
The psoas muscle lies deep inside the stomach, so it is the flip side of the low back region. Is attaches at numerous points along the spinal column, over twenty-six locations. Sitting for long periods of time and doing full sit-ups are common reasons for the psoas to tighten. Modern society requires humans to sit most of the day, which is why low back pain is so prevalent. Tightness in the psoas muscle is not the only reason why people experience low back pain. But it is almost always a principle factor.
When a person undergoes Active Isolated Stretching treatment, a therapist helps the client to stretch the psoas muscle. This involves a client leaning on a massage table and the therapist pulling the leg away from the torso. This AIS technique properly lengthens the psoas muscle without risking injury to the discs of the low back. Opening the psoas muscle will radically improve low back pain; it is necessary but not the entirety of solving low back pain.
Other methods unsuccessfully try to address psoas tightness. Some massage therapy techniques try to manually lengthen the psoas muscle by pushing the hands deep into the stomach and trying to massage the muscle. This technique fails because the psoas is too deep inside the stomach to reach manually. And even if it can be touched, the psoas has too many attachment points along the vertebrae that need to be released. Its impossible to adequately lengthen the psoas muscle through massage techniques.
Back surgery is another option for low back pain in the L4, L5, S1 region. In some cases, a surgeon will shave off part of the disc that is herniating/bulging/degenerating. The disc is the cushion that lies in between the vertebrae (sections of the spinal column). The reasoning for shaving off the disc is that the protrusion is pushing into the nerve and causing low back pain. This procedure is regarded as minimally invasive back surgery. A more aggressive surgery involves removing the disc entirely and fusing the vertebrae together. This procedure is known as spinal fusion.
In either case, the issue that is being ignored is why is the disc being negatively affected? What is causing the disc in the low back to bulge, herniate, or degenerate? Part of the answer is contraction of the psoas muscle. Tightness in the psoas muscle is squeezing the vertebrae together. The excessive force is causing the discs around L4, L5, or S1 to spill out of normal position or wear down.
The approach in Active Isolated Stretching is to get to the root cause of low back pain. If the psoas muscle and numerous accompanying muscles can be restored back to normal length then the discs in the low back can return to normal position. Herniation can slide back inside when the excessive squeezing is terminated. The body can repair its own problems when the critical muscles are balanced. Even physicians emphasize investigating every option before considering back surgery. Active Isolated Stretching therapy is the safe/effective method that needs exploration.
Dear Doctor,
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