Spondylosis is a condition where deep extension movements (like yoga backbends) can cause injuries to the pars interarticularis bones in the spine, particularly in the L4-L5 area which is the most mobile region. These injuries can lead to accelerated disc aging and nerve compression. The condition often results from a combination of factors including poor posture, prolonged sitting, and loss of natural spinal curves. Treatment focuses on restoring proper spinal alignment, loosening tight areas, and teaching patients to isolate movement in specific regions rather than overworking vulnerable areas.
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*Broken Back* Warning Signs Will Her BACK Be Okay To CRACK?! - Dr. Ed
Added:I am concerned that there could be something what we call spondalo.
>> Yeah.
>> You know it already feels not so sore actually not so painful.
>> Mhm. All right. Tell me about yourself.
You got uh been couple years. What is it here? What are you feeling?
>> I did some Well, I have a little bit of uh Yeah. pain sometimes. It feels like it's um maybe nerve pain gets something gets pinched just a little bit and my uh spine feels like it's not concave. It's kind of straight right here. So it feels strange.
>> So you feel pain. Is there certain activities that make it worse or?
>> Yeah, backward bending. Uh sometimes like working out my back usually it gets tight.
>> Give me an idea of what you're doing at the gym. What what are you doing by working out with >> um >> squats or >> um I have to back extension often times or like >> can you show me kind of what makes it worse or kind of an idea at the gym what you do that >> um >> upsets it.
>> Okay. So okay like when you have I don't know how to maybe like this when like >> okay >> over there a lot. So, uh, it sometimes triggers it or very deep backward bending.
>> Okay.
>> Um, and also when I do these rows, I don't know what they're called exactly, I can feel I I can hear the sound like a vertebrae comes out or something. I can feel it on this side >> on the left side.
>> Now, how many years have you been doing that exercise? And this is a new thing that started or >> have you been doing that exercise for a long period of time? Those those two things you just showed me where you extend back >> a couple years probably. You just so two years you've been doing it and then you just noted that pain has started when you started doing it or only more recently.
>> Yeah. Yeah. It started like with that and I remember especially I had one time I was doing a lot of backward bending for yoga.
>> Okay.
>> And one time I went very very deep and I noticed a few days later it started.
>> Do and you feel like you feel like something's moving around in there sometimes a little bit.
>> Yeah. Mhm.
>> Yeah. This is uh and you've been you ever seen any other doctor for this? You ever seen anybody else?
>> Yeah, a couple times.
>> A chiropractor and or medical doctor?
>> Yes, a chiropractor.
>> Did they want to take x-rays of you at all?
>> No.
>> Okay. You know, it's it's I can I can treat you today because the the care that I do is focused around taking stress off of the area that you're talking about.
>> I am concerned that there could be something what we call spondalo where deep extension like that. You said it originally happened in a yoga move where you did a deep extension.
>> And when that happens, you can injure some of the vertebrae back here that keep these vertebrae stacked up in the right alignment. So if you notice for this is a side picture of the spine, the back sides of the vertebrae. So the front and back side of the vertebrae should always be stacked up. Meaning that this vertebrae shouldn't slide forward or back >> in in relation to the vertebrae below or above it. They always should be kind of always lined up on from the side. Uh you shouldn't have vertebrae kind of moving forward and back. There's ligaments that run along the front and back side of the spine that prevent that. The anterior longitudinal ligament, the posterior ligaments. And so it's possible when we do a deep extension that one of the bones called the pars in articularis gets broken and that can potentially lead to uh accelerated aging of the disc and that would be so the pars really doesn't cause any problems. It the medical world kind of doesn't really do much until the disc that is in between the vertebrae can get worn out at an accelerated rate because there could be some sliding going on in there. to to show that we have to get a picture.
There's really no way, you know, based on your symptoms. It's it's possible.
It's possible. It could just be inflammation in the joint. I really we wouldn't really know until we get a picture. Um I would I favor MRIs because we get to also see the health of the discs. So the cartilage here is nonsensitive. And so on this model, it shows an injury here on the L4 L3 disc here. And these discs are the foundation for every back surgery. So when somebody has back surgery, ultimately it's due to disc injury that leads to nerve pressure.
>> Now you don't have any symptom going down the leg or have you had any symptoms that were going down the leg?
>> It just feels like uh sometimes uh pinching uh like nerve pain right here.
>> Just stays stays in that spot.
>> Yeah. Yeah. Not that much.
>> Sharp kind of poke pinpoint. That's most likely the joint. Uh, I don't believe that you're feeling this. These these bones in here have very little feeling.
The most likely thing is you're feeling the actual joint capsule. So, when you bring your body back, you're compressing these what we call facet capsules back here. And these are loaded with pain fibers. But, you know, if you feel like something's kind of moving around in there.
>> Yeah. It comes out. It feels like it comes out. Especially when I do this.
>> Yeah.
>> Yeah.
>> It could be a pars break. Um, it's it's the mildest form of a broken back. you know, it's not, you know, it's technically a broken back, but you still can live your life happy and you're be you're going to be fine. But the worry ultimately is that if there is a break in this par that there's going to be a sliding force. Sometimes doctors will take a what we call a flexion picture.
They'll take a picture of you, >> you know, bent forward and they'll take a picture of you, you know, in neutral and they'll take another picture of you bent back to see that motion that you could the vertebrae might be, you know, sliding on the disc.
An MRI would still see it. Um, and and if we see accelerated aging of the disc, that would be what I would worry about.
Now, today's treatment is going to be beneficial because what we're going to try to do is, and I want you to compare what you just showed me at the end of the visit, we're going to do it again and see how it feels, if it feels any different because I believe that if you have more mechanical participation from your middle back that the sliding going on in here won't happen. Essentially, I'm going to answer a question that hasn't been asked, which is why did we injure when you were doing that extension motion in yoga? Why did you not break the pars up here?
>> Why did you not break why is it almost always L5 and L4 are the most commonly uh spondylo vertebrae? And the answer is this is already the most mobile area. So when you were doing those exercises, this area was the first area to be bending and that's why it received the injury. mechanically if the what you also noted which was I don't feel like my curve is normal in my back which is why that area got injured. When we have a normal curve in our spine the upper lumbar is the first vertebrae to move and essentially you have an even spread of motion where no one vertebrae is going to be overbent or what we call hyperextension.
So if this part of my back is stiff and I arch back, >> really the purpose of book purpose of this model to sort of illustrate that if if my middle back is stiff represented by this red area and I bend back in extension.
Do you see how I I'm going to pinch the area below the red area. The red area is not going to get injured because it's not bending, >> right? It's frozen. And so it gives you the opportunity to be able to damage the lower back if the middle back is frozen. And this red area is the area that I'm going to be working on.
Essentially the the areas that typically never get injured, which is the middle back areas, the upper back areas. And we're going to try to >> transfer some of the mechanical bending away from the lower back, which is where that hyper mobility is. It's very common ultimately because we typically, you know, sit too much. When we sit, the lumbar curve goes straight.
>> And this starts at a young age of, you know, when you're a child and we spend too much too many hours a day sitting.
Our alignment gets changed where now the natural curve this sort of supposed to be naturally curved >> and then now we get a straight spine and all the weight is transferred to the bottom.
>> All right. So, >> makes sense.
>> You've been adjusted, you said.
>> Yes.
>> And do you what? give me an idea of what they told you or what was the purpose or do they >> Well, I know what they mentioned.
>> My legs are one um maybe an inch shorter than the other.
>> Okay.
>> Um when we did like this kind of stuff, this uh side goes fine. But the other side, we couldn't crack it because it's so tight, >> right?
>> So, we did a little bit of neck.
>> Okay.
>> But yeah, that's it. A lot of craps.
Cracks.
>> Definitely.
>> You know, it's it's a common thing. You know, the the clicking sound is just air bubbles from joints and it's not while it's, you know, we can alleviate joint pressure by releasing the air bubbles in the joint, that's not ultimately the goal of our adjustment. Our goal of our adjustment is to balance your spine.
>> My goal is to adjust the parts that are frozen and leave alone parts that are overstressed.
>> Um, based on what you told me, I want to be we there is benefit to loosening the joint below your lower back called the sacro iliac joint between the sacrum and your illium. There's a joint here and that joint's mobility does take stress off the lower back, but not in so far if we I don't want to stress your lower back more. So, we might real gently at the end kind of try to loosen the SI joint, but we want to be careful with that side posture adjustment until we get an X-ray MRI to verify that we don't have a injury down here. I want be careful with that one. Um, >> the leg lengths h So, had before this previous chiropractor, had anybody ever evaluated your leg length? Nobody even looked at it. May have stand up for me.
>> And also I know uh from like early childhood my uh shoulders are one higher than the other like that.
>> Very good. Yeah. Yeah. Your body compensates. So when we have an injury, if I injure the right side of my neck, my neck will almost initially always tilt away from it. We call it antalgia.
Our body, if I break my right leg, I'm going to move my weight away from it.
Right? If my ankle's injured, I'm going to do whatever it can to to get the stress off of it.
>> So, your body's going to shift your posture, and I believe that's the result of an injury, not the cause of the injury. You will have extra injuries because if I'm shifted away from my right ankle, I might now injure my left ankle >> because it's being abused.
>> Because it's doing the work that this ankle now no longer does. Now, another area has to overwork. You follow me? But the posture is telling me that there are injuries that we compensate as a result.
Got you here.
>> Yes, ma'am. Your left shoulder is elevated. Let me go get you here. One second.
And not too bad. The right hip's a little bit high. So, your left leg's going to look long. Your right hips your right leg's going to look short. You follow me? Because your right your right hip is elevated.
>> Okay? And the body does that because if I show you on that model, when we tilt the spine, the holes that the nerves go through get bigger. So, let me show this last principle.
If if I'm pinching a nerve on the right side of my back, >> if I bring my left hip up, it makes that hole on the other side get bigger.
>> Okay?
>> So, the nerve, no one ever plays with their funny bone. If you whack, if you whack your elbow, nobody enjoys that.
>> Nerves don't like to be interacted with and touched. So, your body's gonna bring the hip up. Now, in your case, it's the right. So, that means there's potentially a nerve pressure on the left.
>> Does that make sense? Or there's injury to the joints on the left >> and your body's elevating the hip to take stress off the left lower part of your back.
>> Oh, okay. Makes sense.
>> The again your left so you're you're in avoidance of the right side of your neck. You're illustrating what I was saying earlier.
>> When you injure the joints on the right side, your head will tilt left.
We can't walk around with our head tilted. It'll make us dizzy. So, you've done this, >> right? It's you've essentially allowed your body to stay in avoidance of the right side of your neck.
>> Okay?
>> It's like I've just permanently It's like I'm exaggerating.
>> I It's like, well, I have a shoulder problem. No, you have a neck problem illustrating a shoulder tilt. Why would the head tilt? Well, we lose the natural curve in our neck. Just like in our lower back, we should have this curve.
When we look down too much, >> we lose the curve in our neck, which then >> puts extra stress on the lower neck. We injure the lower neck. Now the head tilts >> and I can you even how you your neck likes to you're in avoidance >> of that right side of your neck. There's an injury over there.
>> I'm just going to get a shot.
>> Yeah, you're staying fine.
>> It's not as bad as what he was doing, >> but it's noticeable. Let me have you just um let me have you just kind of give me some range of motion. So, just have you look straight forward for a second and just turn your head to the right.
>> Is there any pain when you do that at all? Okay. Go ahead and look straight forward again and turn your head left.
>> Anything there? Okay. And then look straight forward. Just gently look up towards the ceiling for me.
>> Like gently or >> or just relax. How's that feel? Is there any pain when you do that? Okay. Breath in for me.
>> Exhale for me. Relax your back.
I got you. Deep breath in. Deep bre. One more. Or two more actually. Exhale. Let it go. Relax your chest.
Beautiful. Deep breath in. I got you.
Exhale.
All right. Yeah. You get the idea, right?
Some resistance in there. They moved, but more force than I think that should be required to get those verteb >> Well, you have rib cage. We have these ribs to help protect our lungs and chest, which makes it easy for that area to be a little tighter than it needs to be. And so, because we don't have ribs in our lower back, right? And we have ribs up here to protect our organs >> when we bend, if I do standing bow pose, right? It's going to be easier for my lower back to do more bending. Mhm.
>> And so I think it vital to be aware of that disposition and maintain flexibility in an area that is prone to being stiffer than otherwise. Which is why we so rarely see injuries in our thoracic cage.
There we go.
Okay.
All right.
Yeah. So, when your your head is straight on your torso right now, you notice all these bones are sticking out over here on this right side. Everything is I'll tilt you to the right about there. Your bones are level only about 10 degrees, 10, 15 degrees to the right to get your bones level in your neck. Now, if your head's straight with your torso, I have the bones sticking out on the right. And that reminds me of when I was a kid in my riding your bicycle. Your handlebars should be straight and your tire should be straight at the same time. If you crash now, your handlebars might be crooked to make your tire straight. Make sense?
>> I got you. And I promise it won't hurt you. Here we go. Just this left side.
Here we go. I got you. There you go.
There you go.
I got you. Okay. There you go.
>> You okay?
>> Mhm.
>> All right. Great. Actually, when I was a kid, maybe 10 years old, I did gymnastics and one time I did a a back flip and I landed on my head.
>> I remember it hurt for days.
>> Yeah.
>> I like straight on my head.
>> Yeah. Well, I bet you this right side of your neck got injured, you know, or got more injured than the like right here.
Feel that?
>> Feel kind of feels >> What is it?
>> Feel it. You feel it? Hold up. Right.
>> Feel that? It's kind of feel like a little little kind of a water balloon, like a little bit of fluid and graininess.
>> Um, you know, part of the world called it sand. They said they felt like I said it felt like sand underneath the skin.
And so they called it a shaw. And one of the treatments in you know China is to do something called gouacha where they comb the skin and it removes and and through circulation we can untangle some of this graininess and sand that gets deposited in here but it's really just inflammation and as a result of injury your body expects another injury a sequel to happen and so it fills the area with fluid.
The main thing that I think about is that now the left side is going to be overstressed because this happened.
>> I can feel >> Yeah. Yeah.
Right there.
>> I can put my hair up.
>> You're fine. No, you're great. You're good. You're good. You're good.
>> What would you recommend for sleeping?
What kind of pill or something?
>> Sure. We want to have a some sort of memory for foam pillow. There's one called the denal pillow, but the the tempropetic pillows or any memory foam pillows are okay. The main thing is that they don't push your head forward too far. You want your neck to be supported.
>> The difficulty is that when we have injuries to the joints in our spine, many people want I had people tell me, you know, Ed, I feel like I feel better if I don't have any pillow. I just let my neck flatten to the floor. Mhm.
>> It might feel better to not be supported at all. Again, the problem is that takes the weight off the joint and puts it onto the disc.
>> I'll show you the other side.
>> Yeah. It's as smooth.
>> It's as smooth as anything on the left.
>> Now, again, you're going to pinch.
You know, I would if I, you know, without without me in your life, this would be where down here at the bottom on the left would be where the overburdening stress is being placed.
And so, Ed, my left shoulder, my left hand, my left arm is having problems, but it's ultimately because of this right side, >> um, you know, being injured prior, maybe when you're a kid or You're doing great.
>> Yeah, there's really not much over here.
>> Small one. Thank you.
>> I'm okay.
>> Have you had gouachaw done or?
>> No. Okay.
>> How about cupping? Ever had cupping?
So, it's a way to help increase blood flow. Some of these areas that are injured because they the body can go into what we call a guarded state, a protective state, a tight state. Some of the, you know, if a person gets in a car accident, one of the most common symptoms somebody has after a whiplash is the muscles get tight to protect things. And then they go to the hospital and you know, how do you feel? Well, my neck hurts and I have these tight muscles. And so, frequently in America, they give people muscle relaxants and painkillers as a treatment for whiplash.
But those tight muscles are not getting tight as an annoyance. They're trying to protect the areas that have been injured, the ligaments and the joints, the deeper structures that get injured.
>> And I I don't look at some of those tight muscles as being a problem.
They'll go away when they're no longer required to protect an area that's been injured. But we do need to help get some blood flow in here. They do restrict blood flow. So, we want to aim you back to the right position and try to convince the body that it no longer needs to be uh protected in here that kind of your body expects you to get injured again and so it puts up barriers and protective measures.
>> That makes sense.
>> Yeah.
>> When we have an injury, you have areas of stiffness that then trap dead tissue.
Essentially, the circulation becomes poor.
>> Why?
>> All right. So the original tissue in your body is very lined up. If I zoom in on the collagen or the muscle fibers in your body, they kind of look like this.
>> And when we injure them, they heal.
>> Okay?
>> Like that. It's tangled. Now, we call this a scar. Okay? And so, kind of like if your hair gets tangled, we can you can comb your hair to release the tangles. And in the same way, the gouache shaw tool is used on these fibers to try to bring them back close to what they resembled when you were before they were injury happened. Now, because of if an area looks like this, the circulation and the ability of the body to peruse the tissue that's been injured is poor. So scars typically have poor circulation because they've been tangled. It's like in a ball, like a ball of yarn that's knotted up, right?
And so that creates areas of lactic acid buildup, areas where the dead tissue in the body can't get out, which then is a waste product. And if it's a waste product, it's a toxin. Your body needs to expel it.
>> Cool.
>> Thank you. It's very interesting.
>> Okay.
There we go. And so when we when we gouache the tissue, we're bringing in a lot of blood. We're combing the tissue.
It stimulates the skin. And then internally, wherever there's uh what we call the sand or the shaw, you feel that graininess, that's where the scar is.
And you can sort of untangle it. And anything that's trapped in there will gets gets released.
And you can feel it right there. That's where that injury is. She's injured her neck right there. You can feel that tangle.
If I go slow, you might be able to see Like look right there if you can see it right.
Maybe on this side. Try to be on the left side of the gouache for you guys.
Watch. Right. Feel that. See that right?
Feel you almost can see it right.
See if I can show it to you.
He'll kind of snap right there.
>> That's the injury. This side's good.
It's as smooth as anything.
>> Mhm.
>> It's just smooth the whole way down.
>> Feel the difference, >> right? There's very little restriction on this side.
Let's see here. Go a little gentle. See?
Go a little deeper on this side. I think we got it all. But I'm a little greedy.
Go. There we go. Yeah. Okay.
So, if somebody pops a lot, what does it tell you? Is it good or is it bad? I heard >> right.
>> Well, the clicking is just air bubbles from a joint, right? I'm whether it clicks or not isn't the most relevant thing to me. What I want is the joints to feel like they're moving. Okay? It's not good if I go to move >> the joint feel. You can feel it moving there. That's the joint moving. Now, it didn't I didn't get an air bubble to release from it, but it's moving. Right?
Now, if I go to feel this and it feels totally glued together, >> well, it means another joint's probably going to do extra motion, right? another area has to compensate, right? So, I want all the team to be working. That's really all we can ask for is that if the whole spine is working as a team, then it's aging as a team. And so, again, it's like a piano. I'm running my hand down a piano feeling the keys that they all work, right? Because we can't play the piano if only half the keys move, right? And we can't then tune a piano if only half the keys move, right? We can't then be consider be worried about the position of the, you know, the vertebrae if they don't move properly. So the first phase of care is to get everything moving and then we try to position everything properly.
A little injury that guy is injured the second toe a little bit here. It's why that little bump there.
>> How do you know?
>> Feel right here. Feel this. Feel that bone. That knuckle there's bigger.
>> Okay. Oh, >> see how it's smaller on the side. Feel that second knuckle >> feels like >> this is much smaller. Feel how this one's like >> Yeah, this one's bigger.
>> You jammed it. That's why I took more force. I This knuckle I kind of pulled it. Boom. It moved right away because this toe has been injured. Your body's like, "No."
>> Okay.
>> She's jammed me or injured me. And so the the body compensates and grows the joint. So whenever we injure a joint, just like a muscle, if you keep repetitively injure a muscle, it grows.
In the same way, a jo a a joint in the spine if you repetitively stress or it's been injured and expects a future injury, the body adds calcium as a way to strengthen the joint. Now, because the body's added that calcium, the joint space gets reduced. The ability of the joint to move becomes reduced.
All right.
>> You do have correct.
I got you. Okay. Okay. Good.
I got you.
Okay. All right. Let me have you go. Can I work on your back a little bit? So, we're going to go face down. My wife will help you.
>> All right.
Okay.
There we go.
I have a little knots in my muscles.
>> Mhm. This left side's a little more elevated. This is going to move the stress down to that right lower side.
>> That's where I feel the pain.
>> Mhm. Yeah. You're in avoidance of the left side, which then when we any activity we do just takes whatever parts of your spine that are already moving and put stress on them, right? We don't get to choose mentally where our spine bends. It's not under conscious control.
It simply works on a volunteer basis.
Mechanically, this part of your back is not only out of place from where it should be, but it's also feels tighter.
>> That's when I when I did that first adjustment, asking you with your arms crossed, we I was asking these vertebrae to move like piano keys. And I could feel this restriction right here. And so this is like the opposite. It's for for every overworked area, there has to be an underworked area. And this is that underworked area that's responsible for allowing the lower back to be overstressed and actually be able to be injured.
You're fine.
Yeah, it's pretty tight. Got to get you bending better up here. All right, I'm going too hard. Please let me know. I'll try to >> My goal is to >> What would you recommend for that?
>> Say yeah.
>> What would you recommend?
>> Well, me getting everything moving and then I'm going to teach you how to stretch.
>> So, we're going to we're going to isolate this area, making this area more limber without making your lower back more limber.
>> Right? This is where if you just do a a cobra pose in yoga, you're just going to mainly bend where you're already bending. Right? You don't it's not isolating one area and not allowing another area to move. The stretches that I'm going to show you isolate areas, meaning that most of the bending is going to be occurring right here and not going to be >> occurring in the lower back where that, you know, potential spondalo might be.
right there.
Kind of just like the right side of your neck has that little graininess to it.
You feel get the idea? It's like a little grainy >> in here.
feels painful and ticklish at the same time.
>> Is it because of the nerves?
>> A lot of nerves in this area, but primarily the reason I work on it is to loosen this joint right here. This is the top of the sacral iliac joint. And it's a powerful member of your team. And sitting locks this joint. Um, do you have children?
>> No children. Okay.
>> So, sometimes postpartum women that had birth, you know, birth babies, they this joint will get injured >> which will then lock this joint. As a result, the body says, "Ow, that hurt."
And >> so, we it's unfortunate that it's allowed for, you know, women lose this joint's mobility easily.
Yeah. Yeah.
>> What does this side feel like?
>> It's under functioning. Like I said, there's there's It's normal for there to be the ribs to protect this area, but it's it's tighter than it should be, right? It's working at like 70%. You know, it's not bending as easily as I'd like it as I'd like it to bend right there.
When you feel pain or something, you kind of just breathe through it. How do you >> Sure. Yeah. You want to try to it's I'm not asking these joints to do something outside what they're meant to do, right?
It's just they haven't done it in a while, >> right? If I ask a joint that's stiff to move, it it, you know, says, "Hey, what are you doing?" Like asking me to move.
>> But it's for the sake of taking stress off the lower back that we need these joints working as a team.
>> Yeah. I can feel those places in places.
>> Yeah. Exactly. Right there.
It doesn't hurt at all. Isn't >> that cool? Yeah. Yeah.
>> I look forward to it. It's like, ah, get it out of me.
>> Get blood from these areas that feel trapped.
>> So, I watched some of your videos and yes, some areas they look like very red, others are not. So, what's the difference?
>> Right. Well, that's that that shows you where those injuries have happened, where those areas of congestion and waste buildup is has trapped in those areas. Like right here, there's a stronger mark coming out >> right right there. There's a restriction right here.
>> And how does this doing this help it?
That does it bring it more to the surface?
>> Brings blood into the area, right? And helps it get vascularized. So when an area is injured, again, that tightness traps, >> right? It's like the circulation, the profusion is poor.
>> Do you guys recommend uh like massages often?
>> Well, it's a means to an end, right? I I believe that we need to be stretching every day >> and adjustments in massage and guaaw are tools to unlock the spine so that your stretching can be effective at changing your posture. I believe that if our spine is in the right posture, our spine will be aging evenly and the ability for any one area to be hurting is is low.
>> We can injure ourselves because we have this uneven bending of the spine, right? Where one part's bending double and another part's bending hardly at all.
>> Right?
What about sona body?
>> Right. Well, anything help. I mean, obviously that's circulation, you know, heat. Um, again, I want to be careful. I don't want to heat up the parts of your back that are already inflamed. That's why I almost like put a heating pad up here and put ice down here.
>> So, the areas that are inflamed, you know, like a baseball pitcher or a football player, they'll get an ice bath after playing football or, you know, because they want to close the wounds. M >> so if we have a wound down here you know especially the discs which is made of water if we put too much heat on it at a young age it'll swell the disc up can make the d disc bulge more >> so we be careful with putting too much heat on areas of injury >> you know you're working on one part of my body and I can feel it everywhere I can feel it in my legs and on my hands you know >> yes ma'am everything comes from our spine you know everything we feel has to channel through our spinal cord, through our spinal column. And so, you know, there's little, like I showed you on that spinal model, little holes with little wires going through them. And so, if those nerves get pressured, the most common bottleneck site is right along the spinal column. That's where the nerves get choked.
I Feel Mhm.
Let's see here.
>> Oh, yeah. Nice. Okay.
>> Yeah, they're on the right side is there's some some block I call them blockages.
>> You know, this is where the marks come out is where inside there's like plaque on your teeth kind of idea.
>> Have you back on face down for me again one more time? All right. I got your arms. There we go. Now, try to relax your back as best you can. Breathe for me. Exhale.
Good. Breathe for me. I got you. Exhale.
Yeah. Right there. All right. That's good. All right. Let's have you go on your side. Pick a side either way. Let me put your hands right here. Have the back of your head in that little slit.
So, put the back of your head. I'm going have put just like that. Okay. All right. Just what what's the goal of this adjustment? The goal is to not move the lower back. Um, if you go to the chiropractor out of town or something like that, I would be very careful of having anybody putting their hand on your lower back, you understand? Trying to adjust this lower back area where that potential spondo might be. The goal is to loosen up, like I said, below the area below the lower back, the SI joint.
>> Now, when I loosen the SI joint, it is it's not possible for me to loosen this joint without putting some measure of pressure and force is going to go into the lower back.
We have to weigh the the benefit cost analysis here. You understand? There's a lot of benefit to loosening this joint, but not at putting stress in your lower back. So, I'm going to go pretty gentle.
It might not move, but I'm going to see if I can loosen this without >> putting too much force in your lower back. Take a deep breath. Exhale.
I got you.
Okay. It's okay. I got you.
>> That's where I feel the pain.
>> Yeah. Other side. Other side. Yeah.
>> And that's a tight side.
>> Yeah. It's not the lower back is moving.
What that means is your lower back is moving before this joint's moving, right?
>> And that might be something we can work through over time, making the SI joint looser so that it moves before your lower back. But you got to be careful. I don't want to be upsetting your lower back.
>> Okay.
>> Yeah. Right. This joint, you got an injury. That right side joint is is that was a small amount of force, more less than I put in the other side. And this joint moves.
>> Yeah.
>> This joint is pivoting, >> but this right joint is not pivoting.
Let's go back face down again. You know, is it possible to really isolate that joint with the drop table? You know, I don't I'm not very confident that, >> you know, I feel like the elbow work is the best way to loosen this joint without loosening the lower back joint.
Um, you know, right here, you got to we got to get this tenderness out of this joint.
>> He's going to use a little tool called an activator. This one's an electric one. It looks like a looks like this.
And it pinpoints the joint very specifically without twisting.
>> Cool.
>> Just wait to get the idea, right?
>> Just trying to loosen up this joint.
You okay?
>> Mhm.
Is that you okay?
>> Mhm. Yeah.
I >> just keep loosening this joint.
You can feel it right in there. There's an injury right there.
>> You said a snowboarding injury. How long ago was that? You think >> 13 years ago?
>> Mhm.
>> Actually, maybe 14.
>> Right there. I don't think that exists over here.
>> I don't think that exists.
>> It doesn't feel like it.
>> Yeah. doesn't make there's a knot she's got on the side of her SI joints. Well, when I when we try to twist you, this this knot here is restricting this joint from bending.
>> And again, that just makes it so when you when you do yoga or you live your life >> that the lower back is under more stress because this joint quit on you, >> you know, it already feels not so sore, actually, not so painful.
>> Mhm.
You got to work that out of there.
right there.
>> It's much less painful now than it was in the beginning.
Yeah. Easy.
Feels good.
Much looser.
You're just going to tilt your head like like your right ear comes to your shoulder.
All right. Go ahead. Tilt your head to the right a little bit. A little bit.
>> Same thing. Tilt your head to the right.
Go ahead. Tilt right. Here. Up. Tilt left for me.
there. Okay. A little click out of it.
Go ahead and tilt left. There we go. Go ahead and press back with your elbow to my elbow. Press back a little bit. Okay.
All right. Go ahead and press back a little bit here. Good. Good. Make sense?
>> And then just a little bit to the right.
Like I said earlier and then see if you can put your hand back down and relax.
So you can put your hand back down. Kind of press it. Trying to press your head into the mold. Does that make sense?
Mhm.
>> And then like clay, it'll, you know, more times you do it, the more it'll want to stay there.
>> Initially, it'll kind of go back out.
You got to, you know, kind of remind your neck to be curved. And this is the mold that your neck needs to be in >> ultimately for the for your lower back to be okay. Ultimately for your neck to be okay, we have to have these curves just back into the right a little bit, >> you know, not not too big, but just I would give you like a one month prescription like that. And then just because of how remember the right side of your neck and the left shoulder being high, that's how you're going to fix that is as this goes in, you'll start seeing your shoulders level out. That height is as only a reflection of the head tilt.
>> So as your neck no longer feels the urge and desire to tilt to the left because we're going to stretch it, it's actually the ligaments on the front left.
>> I'm exaggerating, but see how this is gets all tight over here. You follow me?
So even if we adjust and compress that this tight ligament pulls it back over. You get the idea? So that's what we're doing. When you go back into the right, as you go deep enough, you actually might start feeling it pull >> and stretch on the front left. That's actually the limiting factor that's preventing you from having your shoulders level and your head level a little bit that this won't come together, but more so that the left needs to open up.
>> All right. And go ahead and lay back for me. I got you. Let's go. Right there.
Yeah. Gotcha. Hand back. I got you.
Knees bent. Knees bent for me on this one. Probably we're going to always have that knee bent. Because what happens with the curve in the lower back, we end up So curve cannot be created or or destroyed. It just changes places. So what happens is when we lose the curve in our upper lumbar, it goes into a hyper curve at the bottom. And we're going to l we're going to lessen that by having your knees bent. We're going to take out some of that hyperextension that L5S1 happens to have. And then that we're going to induce it in the upper lumbar. Okay. So, how's that feel? You okay?
>> Yeah, it feels good.
>> So, same kind of principle. It's molding. They've found that they've taken people with spondylos and they've put them on these devices and that they the misalignments basically disappear when the curve is back in your spine.
So, again, if that's what it is, we can minimize the wound by having it in that curved position.
>> Cool.
>> And this one is 20 minutes a day. same principle. You you can't really use them together. They kind of steal from each other. I mean, you you could, but it's really I would, you know, if you have the ability to do one and the other or at least pick one a day, you know, and you do one 20 minute stretch a day, >> you know, whatever your time allows. But yes, you want to, you know, just I would have the television to your right so you can kind of, you know, do I would have you over here to watch television, lay at the floor of the television >> and um because >> I want to try to lessen the amount of time you're spending with your head left.
>> So, okay.
>> Have your head to the right >> and just gently having it right. And um that's what I would do like this. I want you to just compare how you felt.
>> Uhhuh. Okay. Well, it would be he this guy.
>> Uhhuh. But it would always click.
It's not clicking. Definitely. And I definitely feel there's no pinching nerve pain or anything.
>> Okay.
>> It feels much more.
>> If you really feel you need to do that, I would I would put a back brace on if you feel that clicking or we got to get an MRI. You understand? But we got to And I know you love She loves >> She loves I know.
>> Yeah.
>> I want you I want your This is your home.
>> Yeah, I can see that. Yeah. I want you trying to do this.
>> Okay. Uhhuh.
>> What are you doing that?
>> Okay.
>> I know you I know you'll work that out of there with that general. But being just first way to solve the problem is to be aware of it. You understand? You you have a >> a desire, >> okay, >> to get away from this, >> you know, wound over here. So, >> dad gone it. Okay. All right. Fine.
When you're working, you can even take your just gently, not forcing it, but just gently kind of letting your head go back into the right. You got to And then at the end of the day, you're going to manage that with your stretching.
>> Okay?
>> And then some degree, you might need to be worked on a little bit more. You know, the more massage, the more adjustments, the more benefit you get from the stretching. And they both work together.
>> Okay. You did great.
>> Thank you very much. Thank you so much.
>> Thank you. I appreciate. Thank you very Thank you.
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