This is Dr. Brian Prieto of Prieto Chiropractic & Spinal Decompression and I have a DRX9000 spinal decompression unit in my office for the past 6 years in Yorba Linda, Orange County. Glad to see some education on Mckenzie exercise therapy, great job!
There is no silver bullet, the video simplifies the McKenzie METHOD to a single exercise in a single direction which is a misrepresentation. I agree that for a majority of patients the extension principle is appropriate, but if your symptoms persist or peripheralize (meaning they go farther to one side or down the leg) you should consult a professional. E. Payson Schumacher, PT, Cert MDT
If you have a fused SI joint, are these exercises still safe? I was in an accident and the bones have fused together due to being pinned while broken. I can't remember if my old PT told me this movement would torque lumber spine or not.
@Shimeko Thank you so very much. I couldn't remember why I should not do this. It makes sense that it would cause more compression though. Thanks a million!
You're a moron. Just so people know, "physio" is also what people call themselves when all they have is a bachelors and work under people with professional degrees. Flexion and rotational torque movements are generally what CAUSES disc herniations. If you might remember, the lumbar spine is naturally in a lordotic curve and flexion will compress the spine and move the disc posteriorly, putting more pressure on the nerve root.
In Europe, physiotherapy is a universitary course, and in many countries, we are first care health providers. Please get some knowledge before making yourself a fool.
As you seem to now some basics of lower back biomechanics, explain to my why, MrBuccaBoy, that says he have an SacroIiac FUSION - that meens a join compression condition (NO Disc prolopse), you say that he have to avoid FLEXION??? I am really ansious to see your answer...
@Tonsolitis15 From my knowledg, its seems that SI joint dont have intervertebral disc... but its just me, a moron "physio"...I really hope you are just an idiot,not a therapist...
@calibans31 be careful with yoga, i did download dog and had major pain i think because it pushes the disc out. mckenzie is a specific technique to get the disc back into place
I worked as a Physical Therapist Assistant for 19 years, and these were our bread and butter for years, Nothing better for the newly immobile patient/person due to pain than getting them stretched out. Not the most comfortable at first, but after a day or two, my patients invariably were greatly improved.
For the client with a shoulder dysfunction McKenzie exercises may not be a viable option. Possibly trying this same activity in standing by placing the hands on the hips and gently bending backwards. If you have balance issues the standing activity may not work for you.
My Orthapedic Surgeon told me to google McKenzie Institute and find specialized therapist but I didn't listened and paid for many, many chiropractic visits 04-06 then PT visits (07-08), then in 09 found McKenzie Specialists. Had me back to work in 1/2 the time. This is SPECIALIZED training...Definitely find a PT with this training, near you.
My pain came from out of know where and has been with me for about a week.. now, i'am not saying its going to work for everybody,but this exercise has managed to give me some pain relief .. thanks ...
These exercises are just yoga and Pilates moves. Yoga is what sent me to the ER and I am still not fixed. It's been months. All from the bridge and wheel pose!
SOmething got pinched and they don't know where after many MRI's and other tests.
Dr. Mike am a student physiotherapist in Kosovo, with interest your exercises a lot, But not stay with the English language well but I want more that these courses can apply somewhat in order to write? Is there any way? if any as may to contact you? or if someone can help me about these exercises in order to write.I would be most grateful.
pt is performing extension of the spine/back. Abdominals are also being passively extended. You cannot extend abdominals and flex back at the same time. These are full body motions
I never meant to start a D.C vs PT fight. All I wanted to get across is the emphasis on patient independance. Don Murphy D.C said it best, ""Manual therapy can be a very useful tool if used for the right purposes, but it can also cause great harm-not from actual tissue injury but from something far more damaging in the long run--patient dependency"
The same can be said of PT's and exercise. When I went, they would watch me do exercises I was either already doing at home, or could just as easily have been doing at home. It cost a fortune to have that babysitter. One can't self-manipulate, however, so I think Murphy is probably talking about the extreme.
-I actually was introduced to McKenzie exercises by a chiro, not a PT, and do enjoy them. This is a good beginners vid-as he says.
Speaking from (painful) experience, I agree completely with lfauks. The chiro I visited worsened my symptoms in a big way, and a PT was most helpful in my rehabilitation.
Well, it's usually a pretty anecdotal comment. there is really almost no way for a chiro to truly 'make it worse', but the treatment may be beyond what the person can handle. That would be more accurate. As far as PT's, most I have gone to are little more than babysitters watching me do things I can do at home. I'd take a chiro every day of the week.
Unless you have had the experience, it's pretty easy for you to say there is almost no way to make it worse. I do agree, however, that somePTs aren't very helpful, I was fortunate in this instance to find a very competent one.
I've seen at least twenty different chiros over the years and not one has 'hurt' me. I see anecdotal comments about it (mostly on youtube) and very few look actual, if any. Please tel me how they hurt you. I'm interested in plausible mechanisms. The PT's that manipulated me all butchered the maneuvers badly, but I also wouldn't say they 'hurt' me by creating any new injury. If it were possible, they would certainly have done so long before the chiros. So enlighten me.
Actually, Gaklein21, you are making false statements. A chiro may/may not be beneficial, & in some cases may even worsen symptoms. Some PTs may have min experience with "adjustments", some of us are very skilled with appropriate mobilizations & manipulations.
PTs CANT adjust buddy...Not sure what school you went to but DCs are the only physicians that can adjust the spine and extremities. I'll be one of 40 D.C.s in the world certified in McKenzie so I'll never have to hire a PT in my office again.
Ummmm...DC's are NOT physicians and they are NOT the only medical professionals who can "adjust" the spine and extremities. It is also within a PT's (in many states) and a DO's scope of practice to do manipulations if they have the appropriate educational background. Have a good day.
I've seen at least three PT's who attempted manipulations on me and they did no more than a fair job. The first I tought was pretty good, until I went to a chiro two years later. In retrospect, the maneuver was a very gross and bastardized side posture adjustment. All of the PT's were very overly confident at it as well and to claim a chiro can make anything worse but not a PT is absolutely ridiculous..
Actually GeorgeBest (on youtube) has this same technique (McKenzie) posted. it helped me tons. At first getting to my elbows was a nightmare. Then getting up onto my arms (press-up position) was a nightmare. Now I can get up to hte press-up position for minutes at a time. My disk is almost 100% back in alingment.
HOWEVER, mobs/manips are not always required for max benefit. ALSO, using the McKenzie Method appropriately will tell you if a patient needs extension or flexion or any combo of movements to centralize, reduce & abolish symptoms.
Please see a McKenzie experienced, certified or credentialled PT or chiroprator for any type of spinal symptoms as someone trained appropriately in this method will be able to sort out exactly what you need - not just extension exercises.
I recently had xrays on my spine and i have retrolisthesis. I tried this and it hurt so much!
kaileighbrooke9 1 month ago
Very good, but you could provide subtitles.
ftdoga 3 months ago
I have read lying on your stomach is the worst position to be in when you have disc problems!
josephanimation 5 months ago
simply arbitrarily lol
mschneider212 8 months ago
i found this sexual
booiiboot 9 months ago
This has been flagged as spam show
This is Dr. Brian Prieto of Prieto Chiropractic & Spinal Decompression and I have a DRX9000 spinal decompression unit in my office for the past 6 years in Yorba Linda, Orange County. Glad to see some education on Mckenzie exercise therapy, great job!
prietochiropractic 9 months ago
Comment removed
xnol1fex 10 months ago
co ja kurwa oglądam
xnol1fex 10 months ago
@xnol1fex no właśnie
kubaorzel1 9 months ago
There is no silver bullet, the video simplifies the McKenzie METHOD to a single exercise in a single direction which is a misrepresentation. I agree that for a majority of patients the extension principle is appropriate, but if your symptoms persist or peripheralize (meaning they go farther to one side or down the leg) you should consult a professional. E. Payson Schumacher, PT, Cert MDT
paysonpt101 10 months ago
Interesting. Why don't they just use the yoga names for this.."cobra?" I guess Western medicine likes to take credit for everything they can. :-)
VladtheEmailer 10 months ago 6
@VladtheEmailer - so ignorant.
lilzeus7 4 months ago
@lilzeus7 - young and foolish.
VladtheEmailer 4 months ago
is it wise to combine these exersizes with kness to chest or hams trings streches? would they just push the disc back out?
jn45672 1 year ago
If you have a fused SI joint, are these exercises still safe? I was in an accident and the bones have fused together due to being pinned while broken. I can't remember if my old PT told me this movement would torque lumber spine or not.
MrBuccaBoy 1 year ago
@MrBuccaBoy i am physio and my advise is to try flexion before, because extension will compress more
Shimeko 11 months ago
@Shimeko Thank you so very much. I couldn't remember why I should not do this. It makes sense that it would cause more compression though. Thanks a million!
MrBuccaBoy 11 months ago
You're a moron. Just so people know, "physio" is also what people call themselves when all they have is a bachelors and work under people with professional degrees. Flexion and rotational torque movements are generally what CAUSES disc herniations. If you might remember, the lumbar spine is naturally in a lordotic curve and flexion will compress the spine and move the disc posteriorly, putting more pressure on the nerve root.
Tonsolitis15 5 months ago
@Tonsolitis15
In Europe, physiotherapy is a universitary course, and in many countries, we are first care health providers. Please get some knowledge before making yourself a fool.
As you seem to now some basics of lower back biomechanics, explain to my why, MrBuccaBoy, that says he have an SacroIiac FUSION - that meens a join compression condition (NO Disc prolopse), you say that he have to avoid FLEXION??? I am really ansious to see your answer...
Shimeko 5 months ago
@Tonsolitis15 From my knowledg, its seems that SI joint dont have intervertebral disc... but its just me, a moron "physio"...I really hope you are just an idiot,not a therapist...
Shimeko 5 months ago
This is YOGA. I always believed YOGA is the best Lumbar spine discomfort or injuries go away. Very true
calibans31 1 year ago
@calibans31 be careful with yoga, i did download dog and had major pain i think because it pushes the disc out. mckenzie is a specific technique to get the disc back into place
wkriski 1 year ago
I worked as a Physical Therapist Assistant for 19 years, and these were our bread and butter for years, Nothing better for the newly immobile patient/person due to pain than getting them stretched out. Not the most comfortable at first, but after a day or two, my patients invariably were greatly improved.
YoFrankee 1 year ago 2
How about for fused lumbar?
hunglikeyoura8 1 year ago
uhhh she's hot
Darnulin 1 year ago
he wants to tap
iDeaTHeoRyi 1 year ago 12
@iDeaTHeoRyi Who wouldn't.
orenco 1 year ago
@orenco I know I would ^^
SexxyKevin 1 year ago
@orenco chris crocker
iDeaTHeoRyi 1 year ago
For the client with a shoulder dysfunction McKenzie exercises may not be a viable option. Possibly trying this same activity in standing by placing the hands on the hips and gently bending backwards. If you have balance issues the standing activity may not work for you.
PostRehabSpecialist 1 year ago
How do I do this with a disfunctional shoulder related to disc problems in the neck
which have lingered for 22 years even after surgery
gvblk4yt 1 year ago
He says very much what my physiotherapist (whom I trust implicitly) is telling me. I would like to see more of what this person has to say and show.
garianne12 2 years ago
what do you do during acute phases where lying on your stomach or extending causes severe pain and pinching?
wkriski 2 years ago
You may have found an answer by now, but try putting 2 pillows under your hips while lying on your stomach.
ChristieJill 2 years ago
@ChristieJill hai
SexxyKevin 1 year ago
@wkriski Try lying on your back with your feet elevated on a chair (z-position), this will take loading off the lumbar region.
grambo22 1 year ago
My Orthapedic Surgeon told me to google McKenzie Institute and find specialized therapist but I didn't listened and paid for many, many chiropractic visits 04-06 then PT visits (07-08), then in 09 found McKenzie Specialists. Had me back to work in 1/2 the time. This is SPECIALIZED training...Definitely find a PT with this training, near you.
nancydrew50 2 years ago
My pain came from out of know where and has been with me for about a week.. now, i'am not saying its going to work for everybody,but this exercise has managed to give me some pain relief .. thanks ...
massusm25 2 years ago
i have 2 bulging discs in my lower back..and these work so good!!! Provides great pain relief
ConnorShawMusic 2 years ago
These exercises are just yoga and Pilates moves. Yoga is what sent me to the ER and I am still not fixed. It's been months. All from the bridge and wheel pose!
SOmething got pinched and they don't know where after many MRI's and other tests.
Jenteall 2 years ago
Dr. Mike am a student physiotherapist in Kosovo, with interest your exercises a lot, But not stay with the English language well but I want more that these courses can apply somewhat in order to write? Is there any way? if any as may to contact you? or if someone can help me about these exercises in order to write.I would be most grateful.
fatiatk 2 years ago
what extension are we talking about ? I see you extending your abdominal muscles but not extendiing your back :S
s1phor 2 years ago
pt is performing extension of the spine/back. Abdominals are also being passively extended. You cannot extend abdominals and flex back at the same time. These are full body motions
pijokas40 2 years ago
upward dog
nystagmus 2 years ago
Bla bla bla...
miki2006rumbero 2 years ago
this was very helpful, thank you!
cryms0n 2 years ago
Good presentation, thanks, 5 stars.
doodydude234 2 years ago
I never meant to start a D.C vs PT fight. All I wanted to get across is the emphasis on patient independance. Don Murphy D.C said it best, ""Manual therapy can be a very useful tool if used for the right purposes, but it can also cause great harm-not from actual tissue injury but from something far more damaging in the long run--patient dependency"
gaklein21 2 years ago
The same can be said of PT's and exercise. When I went, they would watch me do exercises I was either already doing at home, or could just as easily have been doing at home. It cost a fortune to have that babysitter. One can't self-manipulate, however, so I think Murphy is probably talking about the extreme.
-I actually was introduced to McKenzie exercises by a chiro, not a PT, and do enjoy them. This is a good beginners vid-as he says.
trulyheaven777 2 years ago
ok disregarding the DC vs PT discussion, is this person's demonstration a good example of this McKenzie Exercise and being performed correctly?
LuckySnare7 2 years ago
Speaking from (painful) experience, I agree completely with lfauks. The chiro I visited worsened my symptoms in a big way, and a PT was most helpful in my rehabilitation.
utubecindylhoffman 2 years ago
Well, it's usually a pretty anecdotal comment. there is really almost no way for a chiro to truly 'make it worse', but the treatment may be beyond what the person can handle. That would be more accurate. As far as PT's, most I have gone to are little more than babysitters watching me do things I can do at home. I'd take a chiro every day of the week.
trulyheaven777 2 years ago
Unless you have had the experience, it's pretty easy for you to say there is almost no way to make it worse. I do agree, however, that somePTs aren't very helpful, I was fortunate in this instance to find a very competent one.
utubecindylhoffman 2 years ago
I've seen at least twenty different chiros over the years and not one has 'hurt' me. I see anecdotal comments about it (mostly on youtube) and very few look actual, if any. Please tel me how they hurt you. I'm interested in plausible mechanisms. The PT's that manipulated me all butchered the maneuvers badly, but I also wouldn't say they 'hurt' me by creating any new injury. If it were possible, they would certainly have done so long before the chiros. So enlighten me.
trulyheaven777 2 years ago
Actually, Gaklein21, you are making false statements. A chiro may/may not be beneficial, & in some cases may even worsen symptoms. Some PTs may have min experience with "adjustments", some of us are very skilled with appropriate mobilizations & manipulations.
lfauks 2 years ago
PTs CANT adjust buddy...Not sure what school you went to but DCs are the only physicians that can adjust the spine and extremities. I'll be one of 40 D.C.s in the world certified in McKenzie so I'll never have to hire a PT in my office again.
gaklein21 2 years ago
Ummmm...DC's are NOT physicians and they are NOT the only medical professionals who can "adjust" the spine and extremities. It is also within a PT's (in many states) and a DO's scope of practice to do manipulations if they have the appropriate educational background. Have a good day.
TheBRichar 2 years ago
I've seen at least three PT's who attempted manipulations on me and they did no more than a fair job. The first I tought was pretty good, until I went to a chiro two years later. In retrospect, the maneuver was a very gross and bastardized side posture adjustment. All of the PT's were very overly confident at it as well and to claim a chiro can make anything worse but not a PT is absolutely ridiculous..
trulyheaven777 2 years ago
See a chiro that has it as a diplomat bc PTs have no adjusting skills and mediocre myofascial techniques.
gaklein21 3 years ago
Actually GeorgeBest (on youtube) has this same technique (McKenzie) posted. it helped me tons. At first getting to my elbows was a nightmare. Then getting up onto my arms (press-up position) was a nightmare. Now I can get up to hte press-up position for minutes at a time. My disk is almost 100% back in alingment.
r1skate 3 years ago
HOWEVER, mobs/manips are not always required for max benefit. ALSO, using the McKenzie Method appropriately will tell you if a patient needs extension or flexion or any combo of movements to centralize, reduce & abolish symptoms.
Please see a McKenzie experienced, certified or credentialled PT or chiroprator for any type of spinal symptoms as someone trained appropriately in this method will be able to sort out exactly what you need - not just extension exercises.
lfauks 2 years ago
McKenzie rulez!!! I LOVE this method, I saw it actually helped many ppl, but i'd advice to visite a physiotherapist who work with McKenzie method!!!
ryjowka81 3 years ago
I totally was able to avoid surgery on my lumbar disk with these exercises. McKenzie's book explains it all. Ax
axtv321 3 years ago
This is good advice, my physio has got me doing these exercises after having sciatica down my left leg for at least 2months now. They help a little.
dhol7 3 years ago