Got Back Pain?
Strengthen Your Core Muscles

There is a general belief, even in medical circles, that if you have back pain or a “bad back”, you need to strengthen your core muscles to improve stability.

Got Back Pain?<br>Strengthen Your Core Muscles Blog  Neck Back and Low back pain Core

Research on back pain, however, has proved that not everyone who suffers needs to strengthen their back and abdominal muscles, or to improve core stability. It shows that back pain can be caused by some “core muscles” becoming overactive. They become too tense/tight, which causes back pain.

The remedy for this is learning to relax the back and abdominal muscles.

Therefore, if you suffer from back pain that is not responding to Pilates or other exercises for core stability improvement, then you need to be checked so that an appropriate regime of treatment can be set up. One of our physiotherapists can help you get started.

Should you need more information on the research of this issue, we suggest you scroll through others related posts on our blog or contract use using the “Contact Us” form on our website.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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