I didn't quite understand why my GP didn't send me for an MRI 'right away'. After reading Dr. Hall's book, I understand her sequence - she basically followed what Dr. Hall said - and it makes perfect sense to me now. First, a few months of physiotherapy and exercise was prescribed but also 'the usual' SLR, reflex, and EMG/NCV checks. When all of those tests indicated issues - (no left ankle jerk with a strong right response), a very awkward toe-first gait, a 'very loud' EMG, inability to do even one left calf raise or hip abduction while normal on the right side, limited SLR, and failure to respond to conservative measures, then she sent me for an MRI. At that point, I think it was a case where a surgery was almost a certainty and I am pretty sure I met Dr. Hall's criteria. The surgery reduced the leg pain and almost eliminated it but not so much the back pain - exactly as I expected. The back pain is subsiding slowly with exercise and PT.
The mechanical level, outside of a clearly identified trauma, is almost always downstream in the causal chain. The first domino is usually metabolic syndrome; either early or advanced. Grain(= sugar)based diets rot more than your just the teeth. That is what's driving $50B+ annual health care costs in Ontario alone.
I have his original book, and his follow up. Great advice, and alot of myths shattered about back pain.
I didn't quite understand why my GP didn't send me for an MRI 'right away'. After reading Dr. Hall's book, I understand her sequence - she basically followed what Dr. Hall said - and it makes perfect sense to me now. First, a few months of physiotherapy and exercise was prescribed but also 'the usual' SLR, reflex, and EMG/NCV checks. When all of those tests indicated issues - (no left ankle jerk with a strong right response), a very awkward toe-first gait, a 'very loud' EMG, inability to do even one left calf raise or hip abduction while normal on the right side, limited SLR, and failure to respond to conservative measures, then she sent me for an MRI. At that point, I think it was a case where a surgery was almost a certainty and I am pretty sure I met Dr. Hall's criteria. The surgery reduced the leg pain and almost eliminated it but not so much the back pain - exactly as I expected. The back pain is subsiding slowly with exercise and PT.
thank very much Dr. Hamilton , what you said is the hidden truth , which is simple but it needs decades of experience to show itself .
The mechanical level, outside of a clearly identified trauma, is almost always downstream in the causal chain. The first domino is usually metabolic syndrome; either early or advanced. Grain(= sugar)based diets rot more than your just the teeth. That is what's driving $50B+ annual health care costs in Ontario alone.
It's looks like McKenzie Technique only.
Does Dr. Hamilton have a video or article specific to an annual tear in disc?
Metabolic syndrome is certainly a factor mechanically (wheat belly weight), and slow tissue repair. Geeze Louise!!