Non-Invasive Manual Osteopathy Relieves Low Back Pain

Researchers from the University of North Texas have determined that non-invasive osteopathic manual therapy will reduce low back pain in a majority of cases – avoiding expensive and invasive back surgery.

The University of North Texas researchers and Texas College of Osteopathic Medicine researchers conducted their research on 455 patients – 269 (59%) with back pain with low severity and 186 (41%) with severe low back pain.

The researchers performed their treatment research with randomization and double-blindedness using what is referred to as “sham-control.” “Sham control” refers to treatments that appear to be the same as the studied treatment but are not the prescribed treatment. In other words, they appear to be the treatment but they are not.

The researchers oversaw the treatment of the back pain patients over eight weeks of therapy, and then assessed the outcomes of the treatments after twelve weeks.

The patients were treated six times per week with Osteopathic Manual Treatment – also referred to as biomechnical treatment.

At the assessment most of the patients reported substantial improvement in pain reduction and back functioning for their particular movements. The majority of patients reported at least 50% or more reduction in pain.

Those with severe back pain had more than double the chance of significant improvement after treatment with Osteopathic Manual Therapy than those who were treated with sham treatment. And those treated with OMT had 80% chance of significant improvement on the standardized Roland-Morris Disability Questionnaire – which qualifies the mobility of the patient – as compared to those treated with the sham (placebo) therapy.

The researchers concluded that:

“The large effect size for Osteopathic Manual Therapy in providing substantial pain reduction in patients with chronic Low Back Pain of high severity was associated with clinically important improvement in back-specific functioning. Thus, Osteopathic Manual Therapy may be an attractive option in such patients before proceeding to more invasive and costly treatments.”

Osteopathic manual therapy utilizes the patient’s own relative muscle strength to help align, balance and strengthen those muscles and ligaments that support the spinal column. While most conventional medical treatments focus upon the spinal column and nerves in an isolated manner, often requiring expensive surgeries that often fail, osteopathic manual therapy utilizes safe and non-invasive guided treatments that allow the spinal region to reposition itself, rendering greater support for the lumbar region.

This article originally appeared on realnatural.org and is written by Case Adams.

The Pull of a Tight Psoas Muscle

The pull of a tight psoas muscle can take many forms and changes considerably as the muscle gets tighter. We’ll start by looking at what a well aligned psoas muscle can do for the body.

The psoas muscle, with the piriformis and gluteus maximus, are the only three muscles in the body that connect the legs to the spine. Together they essentially keep the pelvis and trunk upright on top of the legs. When you have a tight psoas muscle it is often on one side. In many instances both psoas can be tight but most often we are dealing with tightness on one side.

If the psoas muscle is happy it keeps the lumbar spine in its natural curve and allows the muscles of the spine to lengthen up supporting the whole trunk. But lets say that on the left side you have a tight psoas muscle, that leg bone will be pulled up into the hip socket slightly. This accounts for the concept of leg length discrepancy. We all have one leg shorter than the other and this is almost always the result of your tight psoas muscle. In some cases there might actually be a bone size difference, especially in the case of blunt force trauma such as car accidents and such. But for the most part our leg length discrepancy is due to a tight psoas muscle.

The pull of the tight psoas muscle that you can see in the picture above is a fairly classic pattern. I know that at any of my workshops I’ll be able to bring numerous people to the front of the room that exhibit this exact pattern.

And this pattern can be the cause of a many different manifestations of pain. Lower back pain, hip pain, groin pain and the list goes on. Releasing the psoas via exercises and posture work can help you find relief that we often think is no longer available.

When one psoas is tighter than the other, the leg is pulled up into the hip socket on the tight side and since one of the basic functions of the psoas is external rotation, that leg is often turned out more than the other.

In the trunk the image above shows that a tight psoas muscle can shorten the body on the tight side. This tightness manifests by a pulling up on the hip socket and a pulling down on the shoulder drawing the two bony landmarks closer to each other.

This is a little counter-intuitive because you might be thinking that if the right hip is higher the right shoulder should be higher as well but the tight psoas constricts that entire side of the body.

This is just one variation on the pull of a tight psoas. More severe tightness can lead to scoliosis and in extreme cases a hunchback.

Gentle release work that almost anyone can do can help you find relief from so many nagging issues that go undiagnosed and often leave you without any hope of healing because doctors, MRI’s and x-rays often report that seems to be no problem.


Article originally appeared on corewalking.com and is written by Jonathan FitzGordon.