13/07/2021
If you have uneven hips or shoulders, you will like likely have some degree of lateral curvature to the spine.
Often, but not always, this is paired with a history of nerve/disc issues. Disc bulges and herniations usually result in compression of lumbar root nerves, which can be debilitating at worst and uncomfortable at best.
You will shift your body away from the site of pain, resulting in a lateral lumbar curvature. Attempting to keep the head balanced in space, the upper back may form a secondary curvature. Although, not all cases of scoliosis look like this.
There tends to be layers of dysfunction at play. First, many back injuries will form, or result from, a dysfunction in the intrinsic core, resulting in loss of abdominal stability, lumbar spine compression and further irritation of the discs and nerves.
Secondary compensations will include actively removing pressure from the affected structures, involving muscles of lateral flexion and hip hiking - psoas, quadratus lumborum and the obliques. Multifidus, while not (or, barely) fitting the above description is also often involved.
There may be one primary dysfunction that gives rise to the others. In many cases, an inhibited multifidus or psoas unilaterally. Often, when the root dysfunction is addressed, downstream dysfunctions glide into place. With older and more complex dysfunctions, there may be multiple relationships to address.
The typical approach is to manually release to the shortened structures. In a lumbar curvature this will mean lateral flexors - psoas, QL, obliques, plus whatever else your therapist feels like.
⚡Without identifying, activating and strengthening the dormant structures, the release will not last long before the structures tighten back up.
⚡This is good thing. With those structures no longer protecting the spine, it is now unstable. Picture the mast of a ship being supported by two wires in opposite directions. Stable, right?
Now, cut one of the wires. Still stable?
Couple this with a lack of intrinsic stability and your asking for further injury. Not fun, dont go there.
Book in an assessment with an NKT practitioner, DM for more.