Low back pain in pregnancy

Back discomfort is a frequent, but not universal, symptom of pregnancy for many women. This blog compiles some of the evidence linked to prevalence and makes some management recommendations. Prevalence Back discomfort is reported by 47% to 80% of pregnant women at some stage during their pregnancy (Mantle et al. 1977; Gent D. and Hottlieb K. 1985; Berg et al. 1988; Ostgaard et al. 1991, … Continue reading Low back pain in pregnancy

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

Sulcus Sign

Sulcus Sign (Inferior Glenohumeral Instability) Purpose: To determine if there is a presence of inferior glenohumeral instability and/or laxity (1). Patient position: Standing or Sitting upright with back unsupported and with affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Grasp the patient’s affected side arm, around the elbow (at the bicondylar axis of the humerus) and gently pull … Continue reading Sulcus Sign

Rowe’s Test

Rowe’s Test (anterior glenohumeral instability) Purpose: To test if there is a presence of a transient and/or recurrent anterior subluxation of the shoulder joint causing a dead-arm syndrome (1). Patient position: Standing or Supine lying. Examiner position: Standing beside the patient’s affected side. Procedure: In Rowe’s test for shoulder instability, the patient is either in standing or lies down in the supine position. The examiner moves … Continue reading Rowe’s Test

The Deadlift exercise: Understanding Biomechanics, different types, & how to implement it in people with low back pain

Introduction The deadlift is a multi-joint resistance exercise that can be done in a number of training environments. The lifter must grab a barbell at mid-shank level in a squat stance and extend the lower back, hip, knee, and ankle joints to elevate the weight. Any activity that requires strong knee, hip, and trunk extensors could benefit from including the deadlift in the training regimen. … Continue reading The Deadlift exercise: Understanding Biomechanics, different types, & how to implement it in people with low back pain