As seen in other videos, I recommend arching the low back in the treatment for discogenic low back pain. This will improve disc loading angles and enable the proper muscular support in the low back. However, this might worsen the symptoms for patients who have known or unknown foraminal stenosis due to facet joint arthritis, as the neuroforaminae (NF) narrow with extension. This is not a problem for healthy NF, but is a problem if the patient has preexisting narrowing.
Moreover, patients with low lumbar anterolisthesis (anterior slippage of the superior vertebra) may also see progression of listhesis if the sacral anteversion ("arch") is excessive.
As always, all videos are for educational purposes only.
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11 фев 2021
