T Nation

Back Pain Evaluation in Philadelphia Area

Injuries and Rehab
#1

Hey guys,
I was wondering if anyone in the Philly area could help me with a evaluation on my lower back pain. I have had soreness and pain that has prevented me from workouts for 6 months now. I have seen a ortho, 2 PT’s and a chiro that have not been able to give me any relief. I have had an MRI and and X-Ray that only revealed a slight bulge at L4-L5 which i do not believe is the source of my pain.

I have read two of McGill’s books, every article on T-Nation and several others.
I think that stretching my hip flexors/ hip mobilization has helped slightly but i really would feel better with a set plan of attack and an expert advice.

If you know anyone that you have had success with and you feel is a good source please let me konw.

Thanks T-Nation!

#2

I know you already consulted with two PT’s but were either of them Mckenzie certified? If not, I would seek out a Mckenzie certified therapist. They specialize in back problems and tend to be much more skilled with treatment and management. If you are willing to go into jersey, I know Strive physical therapy in Moorestown has Mckenzie certified therapists.

#3

I have had a bad back with normal MRI for about 10 years, and have tried EVERYTHING short of surgery for it! Chiropractic still seems to work best for me when I need it, but I live in the Midwest so I can’t recommend anyone in the Philly area. Most chiropractors I have been too are pretty similar though. I just started doing exercises in an ebook that I bought (eliminateyourbackpain.net) and I am feeling a difference after a few weeks. The book talks about the importance of rehabbing the multifidus muscles in ways that are pretty different from what I have done with various PTs. It’s almost yoga-like. Definitely a great read with a lot of interesting information besides the exercise plan. In any event, good luck you!

#4

Have you ever heard of spinal decompression therapy? Lots of DC’s do it in their practices these days. Look for someone who has been doing it for a while and in addition does specific adjusting, not just the standard “rack-n-crack”. I know of a great, affordable practice in the Trenton, NJ area. Probably too far for you but if you want the info let me know.

#5

I made the mistake of really not questioning my PT, I think one of the most important aspects of any professional help is to be constantly asking questions and bringing up points. So no i do not know if they are McKenzie Certified.

I emailed Jim Smith who put the topic up on another website and i found a place in Colmar. I just went to see him today and it was the most complex and detailed evaluation and assessment i have ever had. I am going to continue to stretch, foam roll and activate the key muscles and most important be aware of my pelvic positioning.

Pain, i have actualy been on that site and i think watched some videos on youtube, i do currently do some stretching and activiation exercises that are on there. Are you limited in the gym from your pain?

Veggie, i will check out the therapy online and get some info on it.

Thanks alot guys