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Is the McKenzie method enhanced with MET the key to relieving chronic back pain?

Chronic low back pain (LBP) affects millions worldwide, driving a persistent search for more effective treatments. A recent study highlights a promising new approach that combines the McKenzie method with Muscle Energy Technique (MET) to enhance spine function in patients suffering from chronic LBP. In 2015, the research conducted by a team of scientists led by Paweł Szulc and Michał Wendt, involved 60 participants, both … Continue reading Is the McKenzie method enhanced with MET the key to relieving chronic back pain?

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Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

Sciatic scoliotic list (SSL) [Matsui H, et al. 1998; Krishnan KM, and Newey ML. 2001], also referred to as sciatic scoliosis [Krishnan KM, Newey ML. 2001; Kim R, et al. 2015; Zhang Y, et al. 2019], trunk list [Gillan MG, et al. 1998], or trunk shift [Wu W, et al. 2019], is observed in 13.2-17.7% of adults with lumbar disc herniation (LDH) [Kim R, et … Continue reading Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

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Centeralisation phenomena: the complete guide to understanding the most popular finding during orthopaedic physical examination

Introduction The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. During the decrease of a derangement, centralization occurs. This blog provides a full discussion of the phenomenon as well as an overview of its features. Definition Centralisation is the process by which the distal pain coming from the spine is gradually eliminated from distal to … Continue reading Centeralisation phenomena: the complete guide to understanding the most popular finding during orthopaedic physical examination

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Part 5- Evidence behind McKenzie method of mechanical diagnosis and therapy

In this blog, which is part of a series dedicated to the McKenzie method, I discussed the scientific basis for mechanical diagnosis and therapy for the lumbar spine. The first section of these series dealt with the McKenzie overview approach, the second with evidence regarding evaluation and prognosis, the third with evidence addressing management, and the fourth with research on direction preference and centralization. In … Continue reading Part 5- Evidence behind McKenzie method of mechanical diagnosis and therapy

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Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

Directional preference research: Wernecke et al. (2011) define directional preference as either (1) a specific direction of trunk movement or posture observed during the physical examination or (2) a specific aggravating or easing factor reported by the patient during the subjective history that alleviates or decreases the patient’s pain, with or without the pain moving or increasing the patient’s lumbar ROM. It is possible for … Continue reading Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

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