The Multifidus Back Pain Solution: Simple Exercises That Target the Muscles That Count
- ISBN13: 9781572242784
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New research suggests that most back pain is caused by underdeveloped multifidus muscles, those that connect the spinal vertebrae and are crucial in bending the back. This book presents exercises to strengthen the multifidus group. Simple explanations and black-and-white drawings throughout show readers how to work with these muscles.
Also by this author: Treat Your Own Knee Arthritis, Treat Your Own Spinal Stenosis, and Treat Your Own Tennis Elbow
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#1 by G. Brennan on March 8th, 2011
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Thank you Jim Johnson,
Physical therapist (P.T.) Jim Johnson’s The Multifidus Back Pain Solution is a straight forward, educational and hope inspiring read that has been effective in helping me address my lower back and leg nerve pain.
For others who may be searching for a non-drug or non-surgical answer to back pain, I am sharing my experience in the hope of helping someone else.
Background:
Over the last year and half, I could not get any more than 3-4 hours sleep a night, because of back pain. I went through 3 new beds. Each new firm mattress I tried ended up after a month not being supportive enough for my sore back pain. My doctor recommended muscle relaxants, but that didn’t help. So, I cranked up the sit-ups and attended an exercise class in addition to my normal tennis and occasional running. No pain, no gain. (Yes I am a slow learner). Then in exercise class my right knee went numb from a jumping exercise and I could not walk for a couple of minutes. Now I had back pain preventing me from sleeping. Sitting was becoming impossible without pain. My right knee would go numb going up stairs two at a time. My left leg had nerve pain shooting down my left thigh and part of my lower leg. And even after 4+ weeks staying off exercise to heal, none of these pains were going away.
So, the doctor ordered a series of tests and physical therapy for me. Ultrasound, electrical treatment and stretching for previous sports injuries always worked in the past. This time, physical therapy was a bust and some stretching my leg nerve pain. After getting an MRI of my back, the orthopedic doctor explained I have Grade 1 / 2 spondylolisthesis (i.e., your L5 vertebrate is slipping forward, because at some time in the past your bilateral pars or the hooks that hold each neighboring vertebrate in line in your back have broken off over time and the slippage is causing narrowing and severe impingement of the nerve root). You can take drugs and get a cortisone shoot to manage the pain, but there is nothing you can do. (The doctor was kind enough not to mention the screws in the vertebrae solution). Chiropractors and physical therapy are just feel good placeboes that can’t help.
I am fifty and have lived a fairly healthy life. I won’t take drugs to mask a problem and make it worse. Implying I have no future athletic mobility depressed me, and made me mad. This was just unfair and unacceptable.
Back pain help search:
So, I spent a lot of anxious weeks searching the internet for back pain solutions through Google scholar papers and university medical sites. I started reading and collecting randomized control trial studies similar to what P.T. Johnson describes in his book. During this searching it became apparent the British, Australians, French and Belgians believe in intensive physical therapy to address back pain and where successful in pursuing this route. It also became apparent surgical solutions may help some with improved back functionality, but some level of pain still remains.
My self-research progress was slow. I just kept reading and collecting studies, but not sure of what path to move out on. My first break thru was to read keeping a pillow between your knees in bed would relieve back and nerve pain. Pretty odd, but it only took one night and now I could sleep through the night. You can’t believe what a relief and pleasure this was to sleep again! Next, I began using a lumbar support pillow to learn to sit up straight at work and at home which made sitting bearable over time. Then I told myself you need to keep exercising. So, I started walking for 50 minutes every morning before work. This was embarrassing at first for someone who has run all their life, but it seemed to relieve some of the leg nerve pain.
Eventually, I come upon Australian Professor Peter O’Sullivan’s “Evaluation of Specific Stabilizing Exercise in the Treatment of Chronic Low Back Pain with Radiologic Diagnosis of Spondyloysis and Spondylolisthesis”. This is where I began to realize a pattern in some of the back pain randomized control trail studies focusing on the multifidus back muscle and transversus abdomis muscles. However, the problem with most of the control studies is that they provide detailed randomized control trial statistics and control parameters, but scarce details on the actual physical exercise for these muscles. Fortunately, I was able to obtain a copy of one of Professor O’Sullivan’s references, “Muscle Control – pain control. What exercises would you prescribe” by C.A. Richardson and G.A. Jull which describe simple multifidus core muscle activation exercises similar to P.T. Johnson’s exercise #6 in the on-all-fours position, lying on the stomach and standing positions. So, I began practicing these simple exercises and while continuing to build my anxious pile of internet papers and trying this or…
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|#2 by "shooter3pt" on March 8th, 2011
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Multifidus strenthening to prevent back pain,
I am so excited when I see one of our members write such an informative book for the public. I read the book in one day. I too, am a physical therapist with a manual therapy background. I believe to the average “joe” this book will be helpful and encouraging. I would have liked “live” pictures, and more of a description of the multifidus. By strengthening the multifidus muscle, what movements does that help with and why? How does the spine become more stable by strengthening these muscles? These are questions I would have liked more specifically addressed. I glad he gave credit to Stanley Paris,PT,PH.D., whom has been advocating these exercises for over 10 years!
I think it’s a good book for anyone not in the physical therapy profession as it answers most of the back pain questions.
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|#3 by V.I.P. Fitness Las Vegas on March 8th, 2011
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A Good Resource…,
This book is a good resource for someone suffering from back pain and is interested in trying some new exercises. Mr. Johnson bases just about everything he says in this book on the results of “randomized, controlled trials”. His arguments are acceptable and he always provides convincing evidence. My only problem is that there is little discussion about sports related back injuries. I also had a problem with the fact that there is only 1 picture of the multifidus and it’s not that great.
The section “things every back pain sufferer needs to know” was excellent and I learned a lot from it. Overall this book was ok, but somehow, I finished the book and still wanted more.
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