• Is the technique more than 100 years old
• it can be used to learn to use the body and mind more efficiently and easily without effort
• this will reduce unnecessarily high muscle tension and thus reduce pain

Alexander’s technique will help you, for example:

• learn natural and correct breathing
• find optimal and comfortable sitting positions in sedentary work
• relax in pregnancy and preparation for childbirth
• improve athletic performance
• with performance – for actors, singers, etc.
• and also relieves anxiety and depression

In everyday life, we usually don’t think about how we move, how we hold our body, and it never occurs to us that what our thoughts are affects our posture and how we feel. And that the interconnectedness of thoughts and our muscles, muscle tension has a great connection.

Understanding how to function, walk balanced without much effort, sit with a straight spine without rigidity in this is what Alexander’s technique helps us to do.

Giving attention to our body pays off and can bring not only big changes, but also mainly pain relief.

Experience with the effect of alexander’s technique

One of my clients suffered from repeated muscle and joint pain and was very sensitive to a bad mattress while sleeping. She was even sensitive to normal movements that put more strain on her body than expected.  The pain came in various activities, both specific and common, e.g. playing the piano – wrist pain, using a mobile phone – cervical spine, thumb pain when moving, long sitting during meditation – lower back. Gradual work on the overall tuning of the system, but also on individual activities, the pain subsided. And if they came back, she knew how to treat them.

By being aware of the body at rest and moving, by understanding the context, our patterns, which often harm us and prevent us from living life without tension and pain.

Personally, I appreciate this work more and more, after many years of practice and also after many years of pain, I find more meaning in it and I cannot imagine that I would not have this tool for myself.

„Exercise“ with the Alexander technique lasts 50 min. and costs 800,-

Šárka Provazníková

Arrange a consultation directly at

tel.:  608 802 218

mail: sarka9@hotmail.com

Článek Alexander’s technique se nejdříve objevil na BeBalanced.

Are you after gynecological, abdominal or plastic surgery in the area of external or internal female organs?

These interventions can often be followed by:

• pain in the lower back, lower abdomen or hip joints
• irregular or painful menstruation
• discomfort or pain during sexual intercourse

Sometimes they are of a long and long-standing character.

But why let your life be unpleasant, when even such a problem is often solved by physiotherapy!

Why does a painful condition arise after surgery?

Operative intervention in the body (e.g. hysterectomy, caesarean section, endometriosis surgery, plastic surgery in the urinary tract, etc.) often leads to a change in the tension (often an increase) of soft tissues in the area of the abdominal wall, back, pelvic floor and its surroundings.

With the tension of soft tissues is associated with the tension of the ligaments and the hanging apparatus of the internal organs, since even these have their mobility, that is, mobility.

The tension of the above-mentioned muscles, ligaments and hinges affects the mobility of the joints – i.e. thoracic, lumbar spine, SI joints and hip joints, where subsequent blockages often occur.

How can these painful conditions be addressed?

By combining fascial, visceral, internal techniques, exercise and other physiotherapy techniques, it is possible to eliminate or alleviate these problems. Even with these problems, we can help you.

Our physiotherapists have highly qualified education in fascia therapy, visceral manipulation, mobilization techniques of joints and spine.

Our physiotherapists will be happy to help you with pain after surgery. Contact us via the form below and we will contact you immediately.

Článek Physiotherapy of painful conditions after gynecological and urological operations se nejdříve objevil na BeBalanced.

Gastroesophageal reflux (GER) characterizes the reverse flow of gastric contents into the esophagus. To some extent, this is a physiological process that can occur throughout the day in both children and adults. If ger-related problems occur, we define it as gastroesophageal reflux disease (GERD).Risk factors in childhood include: chronic respiratory diseases (bronchial asthma, primary ciliary dyskinesia, cystic fibrosis, etc.), constipation, obesity and psychomotor delay. However, it often occurs without these factors. GER is formed by transient relaxation of the lower esophageal sphincter (DJS).

The esophagus runs from the oral cavity to the stomach through an opening (hiatus) in the diaphragm. The diaphragm is the main respiratory muscle and determines the optimal tension in the thoracic and abdominal cavity. DJS is located under the diaphragm, in the lower region of the esophagus (called cardia, or gastroesophageal junction). DJS can be thought of as a muscle ring that differs from other muscles of the esophagus and stomach by a higher tension and also by a different response to hormonal, pharmacological and nerve stimuli. The separation of the esophagus and stomach is achieved precisely by the higher tension of the DSJ. The main causes of GERD include a decrease in DJS tension, antral hypomotility (reduced mobility of the stomach in the area of DJS, possibly even duodenogastric reflux – reflux of bile from the small intestine to the stomach).

Difficulties caused by GER arise from exposure of esophageal tissue to gastric acidic contents. GERD can manifest itself: pylorosis, pain behind the sternum, a feeling of acidity in the mouth, repeated vomiting, increased tooth decay, morning sore throat. These specific problems may be associated with non-specific difficulties such as: restlessness, intermittent sleep, refusal to eat, more serious symptoms include aspiration pneumonia, chronic bronchitis, irritating cough, apnea, repeated inflammation of the larynx, middle ears and sinuses.

In addition to these somatic difficulties, we find specific associated blocks in muscles and ligamentous formations and their concatenation indicating this dysfunction. Sometimes the typical standing of a child with GERD is noticeable, with the center of gravity in front, up to a slight forward bend, with the right shoulder slightly oriented forward and the left shoulder turned backwards and slightly drooping .A slight rotation of the torso to the left is probably the result of turning the lower part of the esophagus downwards and obliquely to the left. During neural examination, we find the involvement of n. vagus and n. phrenicus on the left, which we palpate as higher tension in precisely defined areas.

In hiatal hernia (part of the stomach de facto passes through the hole in the diaphragm), which is also one of the causes of GERD, we find tension on the fascia of the neck and torso on the left. Due to the above disorders associated with GERD, the child may complain of pain in the left side of the neck and left-sided headache, left-sided pain in the upper limb. The fourth intercostal is often sensitive. In adults, up to left-sided frozen shoulder syndrome may occur. I have repeatedly encountered this comorbidity in a long-lasting GERD in an adult patient, and it is not so common in a child and an adolescent. However, what is a frequent phenomenon in children is the limited mobility of the jaw joint connecting and the pain of the head part behind the left ear, in the area of the cranial seam of the so-called occipitomastoideal suture.

There are many different investigative procedures. In children, a carefully conducted medical history is probably the most important, and the gold standard is the 24-hour measurement of pH in the esophagus (esophageal pHmetry). Which is represented by the introduction of a thin probe through the nose into the esophagus; connection of the probe recording the pH in the esophagus. The patient performs normal activities within 24 hours, eats normal food, and then the probe is taken out and the record is evaluated (note: there are also other special examination methods, but they are not the topic of this text).

If GERD is suspected, treatment should be initiated in the first place. In the hands of the doctor is the question of the use of medication, but its results in children may be questionable (the desired effect is not always achieved even in adults). In most professional articles, you will read that in children from toddler to adolescent age, it is not proven that success in treatment is brought by some of the regimen measures that are usually recommended for infants. Thus, similar recommendations can be applied in adolescents as in adults.Therefore, the advice remains very general: first of all, it is recommended to reduce weight in obese people, do not smoke and drink alcohol, do not eat shortly before falling asleep, or adjust the position in sleep (e.g. sleep on the left side).

As the main therapeutic method, I would recommend manual treatment such as visceral and neural techniques, exercises focused on the proper functioning of the diaphragm and trunk muscles and specific regime measures. It is necessary to work with the diaphragm, tissues and organs around the cardia, or in the neck and head area. Neural treatment of nerves that are negatively affected by GERD and that innervate DJS can also help. We can never forget the treatment of the fascia of the chest and neck. All these methods are not demanding for an adult or a child, neither in terms of time nor otherwise. Only if it is necessary to work with the diaphragm and other muscles of the trunk, it is necessary to find time for daily exercises in the home environment. Working with the diaphragm means changing the tension of the muscle and ligamentous part, as well as the surrounding muscles, optimizing their mutual coordination and their activity. If a parent exercises with a child at home, a better effect is always achieved. It is up to each physiotherapist what method of harmonizing the tone of the diaphragm he chooses and how he is able to pass the exercise to parents and the child patient.

In addition to the general advice, I would also like to specify the regime’s measures. Children should not eat immediately before bedtime, they should not wear a tight belt or other tight clothing, I recommend sleeping with the upper torso and head on the pillow, not staying long in a forward bend or during sports or other activity, do not stay with raised arms or bowed head, prevent constipation with an appropriate diet and avoid eating oranges and other citrus, chocolate, tea, fatty foods, fried foods, mustard, if you already consume these foods so never in the evening, but as a first course and in small quantities. For girls who are already menstruating, it is advisable to avoid food just before menstruation, because hormonal changes in the body also affect the tone of DJS. For adolescents or anyone else who suffers from GERD and not only because of GERD, I do not recommend coffee, tobacco or alcohol.

Mgr. Michaela Zahrádka Kohlerová

Reference
1. BARRAL, Jean-Pierre, MERCIER, Pierre. Viscerální terapie, Poznání, ISBN 80-239-6721-5.
2. http://eportal.chirurgie.upol.cz/portal_final/?page_id=241
3. http://www.nemcb.cz/cz/page/76/Vysetreni-hodinovou-phmetrii.html?detail=409
4. KLUSÁČEK, Dalibor. GASTROEZOFAGEÁLNÍ REFLUX V DĚTSKÉM VĚKU. Pediatrie pro praxi [online]. 2001, roč. 2, vol. 1, s. 36-38, dostupné také z <http://www.solen.cz/pdfs/ped/2001/01/11.pdf>. ISSN 1803-5264.
5. MUNTAU, Ania Carolina. Pediatrie. 4. vydání. Praha: Grada, 2009. s. 359. ISBN 978-80-247-2525-3.
6. THOMSON, Mike Andrew. Endoscopic approaches to the treatment of GERD. J Pediatr Gastroenterol Nutr [online]. 2011, vol. 53 Suppl 2, s. S11-3, dostupné také z <https://www.ncbi.nlm.nih.gov/pubmed/22235451>. ISSN 0277-2116 (print), 1536-4801.
7. VAN DER POL, Rachel, Marije SMITE a Marc A BENNINGA, et al. Non-pharmacological therapies for GERD in infants and children. J Pediatr Gastroenterol Nutr [online]. 2011, vol. 53 Suppl 2, s. S6-8, dostupné také z <https://www.ncbi.nlm.nih.gov/pubmed/22235448>. ISSN 0277-2116 (print), 1536-4801.
8. VANDENPLAS, Yvan, Colin D RUDOLPH a Carlo DI LORENZO, et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr [online]. 2009, vol. 49, no. 4, s. 498-547, dostupné také z <https://www.ncbi.nlm.nih.gov/pubmed/19745761>. ISSN 0277-2116 (print), 1536-4801.
9. WENZL, Tobias G, Marc A BENNINGA a Clara M LOOTS, et al. Indications, methodology, and interpretation of combined esophageal impedance-pH monitoring in children: ESPGHAN EURO-PIG standard protocol. J Pediatr Gastroenterol Nutr [online]. 2012, vol. 55, no. 2, s. 230-4, dostupné také z <https://www.ncbi.nlm.nih.gov/pubmed/22711055>. ISSN 0277-2116 (print), 1536-4801.

Článek Gastroesophageal reflux in children from toddler period to adulthood se nejdříve objevil na BeBalanced.

This is the most common strait syndrome. It involves oppression of the median (median nerve) in the area of the carpal tunnel on the wrist. The carpal tunnel consists of wrist bones and ligament – ligaments. carpi tranversum, between them passes into the palm of the tendon of muscles, vessels and nerves. If, for some reason, there is a thickening of the tendons and swelling of the ligaments. carpi transversum, begins to be oppressed and irritated n. medianus and appears pain, numbness, tingling or tingling, especially in the area of the 1st to 4th finger or the whole hand.

Problems can worsen if the upper limb is raised above the head, they often appear at night, when they wake up from sleep and it is necessary to relieve yourself by shaking your hand. The muscular strength of the hand is weakened when pressing and grasping, and there may be failures in the surface sensitivity of the skin. Mostly it is a chronic disease, but it can also occur acutely, for example, after an injury.

The most common causes of occurrence:

• Excessive one-sided overloading of the hand – work with hand tools, work with mouse and keyboard, playing a musical instrument
• Vibration with transmission to the hand – work with a jackhammer, chainsaw, etc.
• Hormonal causes – that’s why it often affects women in menopause
• Hand injuries, even those that happened a long time ago
• And other diseases such as: diabetes mellitus, gout, obesity

The most common cause is the above overload. There is a thickening of the tendons of the finger and wrist benders (so-called flexors), which are too stressed and remain permanently in increased tension. Our hands are generally overloaded, constantly either holding something, stirring, lifting or doing long-lasting delicate work – e.g. typing on a keyboard.The muscles of the forearm and hand are often not even able to relax, they are constantly ready for action. This leads to their hypertrophy, later swelling and oppression in the narrow canal together with the nerve and vessels. If this condition lasts longer, then degenerative changes occur on the nerve itself, and the muscles of the hand weaken.

Try to realize how often you subconsciously clench your fist and palm and fingers are in tension.

Diagnostics:

Many will tell the typical symptoms ( tingling of the hand in the morning, shaking, numbness, etc. will help). However, it will confirm with certainty the carpal tunnel syndrome up to EMG. That is, a method by which it is measured how well the impulse is conducted by the nerve. EMG will also confirm the level of oppression and how much the nerve is already damaged. If you do not have problems for a long time and do not have numbness or blackouts, then there is a great chance that carpal tunnel syndrome will be managed conservatively.

If the trouble lasts longer, it is likely that the oppression of the nerve in the strait is great and there will be no other way than to have this channel released surgically.

Operative treatment with long immobilization:

Let’s start with operative treatment. This most often consists of cutting part of the leagues. carpi transversum and thus in the release of pressure on the n. medianus. However, then there is at least 6 weeks of long immobilization, i.e. fixing the hand so that the tissues can heal well. But the results of the operation tend to be good.

Conservative treatment with physiotherapy can completely solve the problem if started on time

You can delay the operation or avoid it with timely conservative treatment. If you are at the beginning and you only have trouble tingling your hand in your sleep or in the morning, the chance of a conservative cure is great. First of all, it is necessary to relax the muscles – the so-called hand benders (wrists and fingers). Relaxation is done by so-called soft tissue techniques, stretching and very intense but very effective fascial manipulation.Thanks to these techniques, we will induce overloaded muscles to relax and regenerate. Together with regime measures (not overloading the hand, regular exercise), swelling may begin to decrease. Then we also need to look at the true cause of the problem – whether the forearm overload is not a role in the non-ideally built shoulder, thoracic spine and non-ideal involvement of the center of the body. It seems that such distant parts of the body cannot be related, but the opposite is true. You can read more about it here:

https://www.bebalanced.cz/jak-se-telo-vyrovnava-se-zranenimi/

However, prevention works best. How to do it?

Regularly stretch the muscles of your hand and forearm, try to ergonomically adjust the working environment and working position, take regular breaks at work, you can massage the wrist and palm area, last but not least, it is advisable to include compensatory exercises for the correction of muscle imbalances.

If you do not know what to do with prevention or you are already solving this problem, do not hesitate to visit us. Our team of physiotherapists will be happy to advise and help you.

Článek Carpal tunnel syndrome and how to avoid surgery se nejdříve objevil na BeBalanced.

The prevalence, i.e. the proportion of people with given difficulties in the population, is 1-3% for intervertebral disc herniation in developed countries. This pathological condition, when the vertebral disc can bulge symmetrically over the circumference of the vertebra or completely protrude outside its original position and thus oppress the spinal cord or nerve roots, is most often accompanied by intense pain in the back propagating to the limbs. Furthermore, it is disturbed, sensitivity (sensitivity) also changes and muscle weakening occurs depending on the specific oppressed nerve.

According to the severity of the finding (depending on how and how much the nerves are affected), the doctor chooses a treatment procedure. In the vast majority of cases, the first stage of treatment is so-called conservative and only when it fails is approached to surgical removal of the prolapse. In the acute beginning after the onset of prolapse, we choose calm, drugs to relieve pain, relieve muscle tension or possibly corticosteroids (to reduce swelling and thus relieve pressure on the nerve) and last but not least, targeted rehabilitation treatment, physiotherapy.

Physiotherapy and targeted exercise, physical activity are an absolutely necessary basis for correcting this condition. The physiotherapist teaches the patient to activate the deep stabilization system of the spine (sometimes referred to as the core, the center of the body, etc.), which will help straighten the spine and relieve the pressure on the nerve root oppressed by the intervertebral disc. Properly functionally connected deep muscles of the abdomen, pelvic floor and diaphragm in cooperation with the muscles of the back will allow the spine (in the area of prolapse) to regenerate and are the way to correct and heal the patient. Over time, there should always be a centralization of pain – that is, if the pain no longer shoots up to the area of the little finger as before, but only to the knee, the therapy is successful and led in the right direction.

Part of life and improvement of the condition during prolapse of the intervertebral disc are also certain lifestyle adjustments. It is necessary to avoid or reduce as much as possible stressful situations – lifting excessively heavy loads, sharp rotational movements, impacts and shocks or long static loading of the spine, e.g. sitting. And it is necessary to acquire healthy movement habits – correct posture, ergonomic lifting of loads, pay attention to the position during prolonged sitting and the position in sleep.

On the way to recovery, it is good to think and perceive the psychological load and state of a person. The psyche is significantly reflected in our musculoskeletal system – excessive stress or conflicts with friends or family can affect the healing process, slowing it down. It is necessary to include exercise and appropriate physical activity, plenty of rest and sleep and, last but not least, a balanced healthy diet and sufficient drinking regime.

Why is the DNS method so successful?

Herniation of the disc of the lumbar spine

Center of the body, core, get to know each other! Can we really engage him?

Breathe to a healthy spine

Pain in the lumbar spine shooting into the leg. Pain, tingling or numbness of the foot from the lumbar spine.

Článek Life with a herniated disc – treatment and rehabilitation se nejdříve objevil na BeBalanced.

What is the so-called hotplate and how is it damaged?

The intervertebral disc, less often called the plate, is an elastic cartilaginous tissue lining the space between the individual vertebrae and (not only) thanks to it our spine is flexible, flexible and mobile. Pathological changes in the disc can then have several stages: starting with symmetrical bulging of the disc, then its bulging through the circumference of the vertebra to the most serious stage of prolapse of the disc itself, when its mass causes oppression in the area of the spinal cord or nerves from the spinal cord withdrawing.

Symptoms of intervertebral disc herniation

A person with a herniated disc usually feels intense pain in the back, which can only later (sometimes within days or weeks) turn into pain propagating to one or both limbs. Gradually, muscle weakening and disorders and changes in sensitivity in specific areas also develop – all depending on which of the nerves is oppressed by the prolapse. The onset of pain is sudden, most often when lifting an object and rotational movements.
Pain is often further provoked by turning on the abdominal press (i.e. sneezing, coughing, laughing or pressure on the stool), as well as sitting or standing for a long time. On the contrary, relief can be when walking or lying down. With the developed state, however, there is no longer any position of relief and pain can not even sleep and turn in bed.A specific example may be the most frequently occurring disc herniation at the level of the vertebral L5/S1, when the root of the S1 nerve is oppressed – the patient has pain in the back, which further radiates along the back of the buttocks, the back of the thigh and calf to the outer edge of the sole of the foot and little finger. In the described area, there is a decrease in sensitivity or its alteration in the form of tingling, tingling.Gradually, a weakening of mobility develops, when the patient is not able to stand on his toes, in more severe stages he is not able to put his foot in the hip joint.

Diagnosis of prolapse

The doctor makes a diagnosis of intervertebral disc herniation on the basis of taking an anamnesis (by interviewing the patient, he determines the circumstances of the onset of difficulties, their development and current condition, etc.). Furthermore, clinical examination (it is necessary to evaluate the functionality of the spine and other segments of the body, including hip joints, to find out their limitations and problems), neurological examination (specific tests to verify the oppression of the nerve, examine nerve reflexes, etc.) and last but not least, the use of imaging methods (X-ray, magnetic resonance imaging, CT scan). It is important to distinguish disc herniation (when the nerve root is actually compressed, the so-called radiculopathy) from the state when it is acute back pain imperfectly imitating the state of prolapse called pseudoradicular syndrome.In pseudoradicular syndrome, when, for example, pain never exceeds the level of the knee, there are no signs of compression of the nerve (sensitivity is not violated, nerve reflexes are not affected, specific tests to verify nerve oppression are negative). This condition is caused by a functional disorder of the lumbar spine or hip joints, or both.

Disc herniation has many of us…

Finally, on the topic of disc herniation, an interesting fact: prolapse can be demonstrated in about 20-30% of performed examinations (CT/MRI) in healthy individuals – prolapses are so-called neurolgically asymptomatic, people have no difficulties. However, it is important to remember that this condition is accompanied by reactive changes in both muscles and soft tissues. These are changes in function, these functional changes will then lead to the development of difficulties in the long term.

Why is the DNS method so successful?

Herniation of the disc of the lumbar spine

Center of the body, core, get to know each other! Can we really engage him?

Breathe to a healthy spine

Pain in the lumbar spine shooting into the leg. Pain, tingling or numbness of the foot from the lumbar spine.

Článek We successfully treat disc herniations. How is a herniated disc recognized? se nejdříve objevil na BeBalanced.

Burning behind the sternum, acidity in the mouth, pain under the ribs, and sometimes pulmonary complications. These are all manifestations of the so-called gastroesophageal reflux (the term could be translated as „stomach esophagus“). These unpleasant conditions are caused by leakage of gastric juices back into the esophagus, which irritates by its acidic nature.

The incidence of this disease is increasing and for its frequency it is classified as a civilization disease. The usual method of treatment involves (in addition to dietary measures) long-term use of drugs that work on the principle of reducing the acidity of gastric juices (so-called proton pump inhibitors), which, however, can have unpleasant side effects. In extreme cases, the problem is solved operatively. Are these really the only ways to mitigate the effects of this diagnosis?

How can exercise help with reflux?

The so-called lower esophageal sphincter is responsible for keeping the contents of the stomach in the right place. This allows food to be freely transported to the stomach, but if it works properly, it does not let the digestion back (without preventing vomiting or burping). If its function is insufficient, undesirable leaks occur. The sphincter is partly made up of smooth muscle of the esophagus, partly of the muscle fibers of the diaphragm. And here is the potential for movement therapy. The function of the diaphragm is trainable. It all starts with improving posture. This is followed by diaphragmatic breathing training in connection with its involvement in the function of the deep stabilization system (the so-called „center of the body“). Part of physiotherapy is also an adjustment in the tension of the abdominal wall, which significantly affects the position and work of internal organs, including the stomach. Last but not least, it is important to think about the role of excessive stress, which generally has a significant impact on the function of the internal environment.

In this way, it is possible to significantly affect the symptoms of a life-threatening disease such as gastroesophageal reflux.

All our physiotherapists work with the diaphragm as a key part of the deep stabilization system. The involvement of the diaphragm is the main part of Prof. Kolář’s DNS method. To learn more about the problematic diaphragm, body center, and DNS method, read these articles:

Why is the DNS method so successful?

Breathe to a healthy spine

Center of the body, core, get to know each other! Can we really engage him?

Článek Reflux and how to effectively treat it with physiotherapy se nejdříve objevil na BeBalanced.

We successfully treat back pain and disc herniations in the lumbar and cervical spine.

Pain in the sacrum as a result of the crossing of forces from the whole body.

„Cross“, i.e. the area of transition of the lower lumbar vertebra into the sacrum, or „esíčka“ (SI articulation or sacroiliacal, in translation cross-hip, articulation) are a frequent place of pain and discomfort. No wonder: in a relatively small space, influences from above from the spine and torso, as well as from below from the pelvis, hips and lower limbs, meet here. This makes this area vulnerable and prone to overload.
In addition to pain localized directly in the sacrum, it can also radiate to the sides, hips, buttocks, groin or even to the lower limbs.

When and why does the loin and sacrum hurt?

Pain with me occurs when leaning forward or bowing the spine, but also when walking, sitting, playing sports and even in a relaxed lying position.
Even with regard to the above, we often do not find the changes that cause problems directly in the area concerned. The cause may be increased tension in the pelvic floor muscles, pathological changes in the hip joints, unequal length of the lower extremities and, in general, muscle imbalance between the abdominal, gluteal, back muscles and muscles related to the hip joints. Often there is a disorder of the straightening of the spine with insufficient function of the deep stabilization system. Predispositions include hypermobility or, conversely, increased stiffness in the higher segments of the spine (usually combined with instability in the lumbar region). Obesity or, for example, scars from operations in the abdomen, groin, hips or back can also play a role.

Treatment of pain in the lower back and sacrum

In physiotherapy, first of all, we diagnose which of the above-mentioned causes is the main one in a particular case. We then work on this problem using manual techniques (whether it is the adjustment of muscle tension altered by imbalances, joint mobilization or scar treatment) and movement therapy aimed at stabilizing the spine, hips and inducing the proper functioning of the trunk muscles.

In our Be Balanced physiotherapy, we mostly use the DNS method of Prof. Pavel Kolář, which is the most effective for back pain and disc herniations.

Our physiotherapists will be happy to help you as well.

Read the experience of our clients who got rid of their troubles completely with us.

More about the DNS method and back pain therapy:

Why is the DNS method so successful?

Herniation of the disc of the lumbar spine

Center of the body, core, get to know each other! Can we really engage him?

Breathe to a healthy spine

Pain in the lumbar spine shooting into the leg.

Pain, tingling or numbness of the foot from the lumbar spine.

Článek Pain in the sacrum possibly with hip pain, shooting into the leg se nejdříve objevil na BeBalanced.

Pain in the lumbar spine shooting into the leg. Pain, tingling or numbness of the foot from the lumbar spine.

A frequent reason to seek help from a physiotherapist or doctor is unpleasant tingling and pain in the lower limb, which have their origin in the lumbar spine. There may be several causes, but in general we can divide them into conditions where the nerve in the lumbar spine is oppressed due to intervertebral disc disease (the so-called radicular or root syndrome) and situations where the discs and nerves are undamaged, but nevertheless similar manifestations occur (so-called pseudoradicular syndrome).

Weakness, tingling, or decreased sensitivity of the buttocks, outer and back of the thigh and calf or even the big toe

Other symptoms may be weakness, a feeling of alienation or impaired sensitivity of the lower limb (these symptoms usually refer to a neurological problem, i.e. a situation where a nerve is irritated). As a rule, these difficulties are localized in some part of the lower limb.Either they are needed on the entire outer side of the lower limb from the hip to the outer ankle, but in the initial stage only in the side or outer thigh. Frequent propagations are also on the back from the buttocks to the knee or heel, often also manifested only by tingling or numbness of one of the fingers, most often the thumb.

In the so-called pseudoradicular syndrome, the reason for the difficulties may be joint blockages and increased tension of soft tissues (not only directly in the lumbar region, but often transferred from other structures of the musculoskeletal system).

How does a disorder of the lumbar spine arise with impaired sensitivity of the lower limb?

In both cases, the problem develops gradually „drop by drop“. One uncoordinated sharp movement or, for example, a physically demanding weekend can be an apparent cause. But it usually lies much deeper in our past.
In case of straightening disorder and deformities of the spine, the function of the so-called center of the body (or deep stabilization system of the spine) is fundamentally impaired, which is responsible for ensuring that our spine, intervertebral discs and the muscular system of the back are not overloaded.The basis of treatment, which does not only solve the symptoms, but works with the cause of the problem, is therefore movement therapy, which aims to optimize the curves of the spine, muscle tension and muscle function. In any case, as with the emergence of a problem that was gradual, the difficulties are gradual. Their long-term solution also includes the adjustment of work habits and lifestyle (including the area of movement, but also diet, rest, relationships, …). That is, all the factors that could have contributed to their creation.

We successfully treat back pain and disc herniations. Start on time, avoid surgery. Our physiotherapists are ready to help you as well.

Here you will not find stories of people who got rid of their problems not only with their backs.

Other articles:

If you are interested in what is the so-called center of the body and how to really engage it well read here:

Center of the body, core, get to know each other! Can we really engage him?

And we also point out that many exercises look like exercises of the center of the body, or the body Core. But they don’t always involve the right muscle interplay. Read about this in the article: Core can be practiced even without the involvement of Core!

Attention! Exercises on the core can be performed even without its involvement

About disc herniation we write here:

Herniation of the disc of the lumbar spine does not have to mean a definitive stalk
What to do with prolapse of the intervertebral disc in the acute phase?

Článek Pain in the lumbar spine shooting into the leg. Pain, tingling or numbness of the foot from the lumbar spine. se nejdříve objevil na BeBalanced.

Orthopedic insoles and barefoot shoes – it seems that these are opponents, each as a representative of the opposite current of opinion. To support, support the leg and absorb the impacts, or to give the leg freedom and wait for it to activate naturally? This is a question and an eternal dispute even among experts. Yet, like life, nothing is black and white, and you can’t show and say „this is wrong and this is good.“  How about finding a compromise and taking the good from both?

Will barefoot shoes fix the foot automatically?

Barefoot shoes give the toes a generous space for their work, they also do not provide cushioning and drop (that is, the inclination of the sole), so the foot learns to walk more gently. However, for a civilized person accustomed to standard shoes with life-long imperfections of the foot, this may be too much. And then it cannot be expected that everyone’s leg will „fix“ itself, activate and start working optimally.There are quite a few people who were attracted to „barefoot“, but they found out that it was not for them – that they hurt the transverse arch, heel or even after a day of walking headache.

But there is also no solution to give up and resort again to nicely cushioned shoes, with the support of the vaults and a soft pillow under the heel. Then the foot has no chance to learn something and start working better.

Functionally created orthopedic will help to work the foot better

So what if we combined it? We can take barefoot shoes and help the foot to better function with targeted support, so that it starts to work better with an orthopedic insole. For example, if you have a problem with a zero drop, we can glue the insert with a heel 4 mm high. Even such a drop is still quite minimalist, definitely smaller than in standard shoes, but again not zero. The leg gradually adapts to a smaller drop, less stomping and what a person can not yet cushion on his own, does the insert for him. The heel can be sanded or completely torn off over time. With an insole, if it has a good heel secure, we can also help keep the heel in the axis, and the foot will not tend to sink inward (into excessive pronation). It is the heel guidance that is essential for the condition of the longitudinal vault.For another example, you may have a problem with the transverse vault. It is held very ligamentously and little muscularly. Therefore, if it already falls once, it is a little more complicated with it. In order to start working at least partially again, she must be able to stretch and rest her fingers. However, if it is sunken and the fingers are properly hammered, then it is difficult for the fingers to start to engage on their own and there is rather a risk that the transverse arch will start to hurt you in the barefoot. And then again we can use the insert – but forget about the old familiar hearts, which support the transverse arch only passively and do not teach the foot anything. It is also possible to support the thumb and pinky side of the foot so that the thumb and little finger can lean back and start working in the step and bounce.

We perceive orthopedic insoles for barefoot shoes as a reasonable compromise and as a long-term sustainable way that leads to better work of the foot and may be necessary by switching to a complete barefoot style. Just a warning – the barefoot shoe must fit well in the heel, so the heel part of the shoe must not be too wide, and must have enough space in the front for the toes. And if you buy barefoot shoes and want to have insoles made into them, leave enough space for them in the shoe.

We have a lot of types of inserts – from the very thin ones, with little support, to the more subdued ones with more pronounced support. We further adjust the inserts very individually according to how the foot behaves in them and how it works in them. These corrections can be gradually changed as the work of the foot improves. More about making orthopedic insoles here.

Let your barefoot shoes, perhaps with our orthopedic insoles, be well worn!

Článek Orthopedic insoles for barefoot shoes – nonsense or a reasonable compromise? se nejdříve objevil na BeBalanced.