Today I'm going to share a typical soft tissue injury of the low back pain.
The patient is male, who was 34 yrs, when he came to see me first time.
His low back pain was right side, I remembered, was very severe, and the pain was down to the leg. His main complaint was, of corse, low back pain, he was unable to sit, stand, and walk no more than 5 minutes, because the sharp pain from low back going down to the leg. And once a year he had a spasm on his back.
Here is the patient's story of his low back.
When he was about 8th grade, he played a wrestling with his friend, at the time, he fell very hard on his back to ground and he was ok, felt sore. Next day, he felt normal, fine. Since then, as he grows up, he started feeling achy on his low back, so when he was 17-19 yrs, he went an acupuncture clinic, the Dr said his kidney function is weak, so low back feels sore and weak. Therefore, he had acupuncture treatment and took many oriental medicine but they didn't help his low back much. After 20 yrs, he had more pain and more often. Before his first visit, about six months ago, one day morning, when he got out of the bed, he had a bad spasm on his low back. He couldn't move his body at all for a couple of days. Every time he sneezing, the right side low back was so painful. The pain was getting worse, it started going down to the right leg. He couldn't sit, walk, stand no more than 5 minutes, he was only able to lie down any position. He saw many acupuncturists, chiropractors, neurologists but his low back wasn't better. The neurologist said I had disc herniation between L5-S1. He was referred by his friend to me.
His first visit, his low back muscles were so tight. Right side was bigger then left. I used my palm to touch erector spinae muscle to relax. I felt the right side of thoracolumbar fascia was thick and the erector muscle was still spasm. Through careful examination, I found an adhesive scar on the right side of thoracolumbar fascia (anterior layer) which is running parallel to the spine (L3 Transverse process). This scar tissue was about 1.5 inch. I started using my thumb to relieve the pain, spasm and inflammation over the L3 transverse process, and then started separating the adhesion from the healthy soft tissue. After 5 months of treatment, the patient had no more pain on low back as well as leg. He's lived back to normal life without any pain so far.
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| The blue mark is the original injury of the thoracolumbar fascia (anterior layer) |
This was the injury of the thoracolumbar fascia at the L3 transverse process, which is longer the the other transverse processes, so it gets to injury easier such as external force causing the fascia to tear.
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