Spinecare Topics

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Caring for your Spine
Walking and the Back

In summary, foot conditions can have a significant impact on spine health and proper back function.  Correcting lower extremity mechanical and pain syndromes may facilitate a reduction of pain and help enhance overall physical performance.  In some cases custom orthotics may be used to help support the arches of the foot and facilitate proper foot biomechanics thus reducing undue stress upon the lower back while standing and during activities.  Therapeutic goals should include increasing shock absorption, improving the efficiency of gait through reducing biomechanical stress and enhancing neuromuscular coordination and endurance.

Common Postural Problems During Gait

There are common postural disorders that manifest while walking. These abnormalities are:

Leaning Back:  Leaning back refers to shifting of the body’s center of gravity from in front of the sacrum and hips to behind these structures.  The leaning back posture is countered by rolling the head, neck and shoulders forward.

Locking the Knees:  This is also referred to as hyperextending the knees. This leads to deconditioning of the large thigh muscles.  Most individuals who assume this tendency while walking do it to provide a firm base of support.  Those who have weak quadriceps muscles may have to lock the knees when standing for prolonged periods.

Pronation:  This refers to dropping of the long arch and rolling in of the ankles.  The cause is usually structural although weak muscles can also contribute.  There are numerous spinal conditions that result in a pronation syndrome.  When the feet roll in during the stance phase of walking the knees tend to hyperextend and greater weight is placed onto the hips.  There is also increased stress placed onto the joints of the low back.

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To learn more about your spine. spinehealth, and available spinecare go to the International Spine Assocition (ISA) at www.spineinformation.org. The primary mission of the ISA is to improve spinehealth and spinecare through education. The ISA is committed to disseminating need-to-know information throught the World Wide Web in numerous languages covering many topics related to the spine, including information about spine disorders, spine heath, advances in technology and available spinecare



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