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Patient Corner: Questions & Answers OK all you cyber clients. This is the place to post us your problems and we'll do our best to give a bit of online advice. This is a new section so please be patient. Advice might come from various professionals from around the world with varying experiences. So take each bit of advice as something to take to your local physio or other registered health care professional to check out how and if it relates to you.

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Old 17-07-2008, 08:33 AM
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Serious back problems - please help!

Hi!

I'm 30 years old and I have serious back problems.
I already tried to go to a chiropracter, but he couldn't help me. The pain usually starts in the early afternoon and lasts for a week, then it's suddenly gone for a few days and starts again. It's mainly the breast kyphosis that hurts. Can you recommend me anything?

Thank's in advance for your responses.
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Old 18-07-2008, 03:05 AM
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Re: Serious back problems - please help!

Hi,

Can you please clarify what "breast kyphosis" is please? I am guessing that you have thoracic kyphosis.

Chiropractic - and i am guessing because i don't know your chiro personally - usually just uses adjustments to alter the spinal joints (and rib joints in your case perhaps) in an attempt to "normalize" spinal nerve function.

From a physio's point of view, that is fine but it may be that the adjustment causes a reflex relaxation of the spinal muscles which is the temporary relief of pain.

I personally use "adjustments" in my clinical practice but they are ALWAYS teamed with stability exercises which will eventually reduce the need to have future adjustments - otherwise you end up needing adjustments for life!

Find a physical therapist or osteopath whoc is well trained in the treatment of the thorax. The world's experts in thorax treatment, management and rehabilitation (IMHO) are Diane Lee and LJ Lee. ASk if your therapist has been trained by them in the thorax. Otherwise Muscle Energy Techinques for the ribs might be a sufficient substitute (but not as good because of the rehab component).

Good luck! BTW, more details usually gets better responses!
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Old 18-07-2008, 01:16 PM
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Re: Serious back problems - please help!

Indeed, some clarification and details would be useful.

As well interesting point brought up, post mobilisation at grade V to provide stability, excellent point.
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