I am religiously following the doctor’s orders. Been having some hiccups getting into a brisk walking pace with the hips/low back, but the pain will dissipate once I’m moving. There is a constant “disconnected” sensation between legs, hips, back, and neck movement. But the BIG 3 are helping. Strong, engaged core is the missing key to reducing the instability sensations. Although there is a constant slipping/teetering sensation at the L4/L5; unbalanced positions of torso and pelvis increase that. I am working on taking all flexion out of the low back with all movements. The slightest tipping back of torso/neck from what I feel is “standing normal” disengages low back muscles making spine neutral while standing.
I believed I received a complete and thorough session. For note, I noticed that the history portion is more subjective because it’s based on so many different unknowns that its hard to know where to begin. So many events filled the back to its limit before it decided enough was enough. However, I’m now confident that the years of sitting with the low back in constant flexion with head forward in a bad chair with no spine sparing core stabilizing exercises was the ticking time bomb. Your examination and coaching sessions made perfect sense as well, and resonate with how I’ve been feeling.
In addition, all the pain triggers and positions to alleviate my symptoms were clearly sited and specific to the troubled low back. However, I do believe there are some additional mechanical “disjointed” symptoms in the pelvis/hips, but I’m hoping they will subside with the healing of the low back. They seem to be muscularly connected, and were unable to be evaluated because of the low back instability. The understanding of this is in alignment with the Back Mechanics book I read. And the “how not to aggravate it” will be life changing; sounds like common sense but its not because no doctor had told me that before. Very grateful to have a clear path ahead.
I highly recommend the McGill Method to anyone that is suffering from low back pain. It has only been a week since assessment, so I can’t speak to the success of the treatment, but the value is acceptable at this stage in the game. I wish I would have found ya’ll sooner. I believe this should be incorporated into our educational system as a preventative health and wellness program, especially for children active in sports and fitness.
Thank you for your help Dr. Tiltmann, Dr. McGill, and the research teams!
Sylus of California 33-year-old male with gradual low back pain onset 9 years earlier.