Over time, muscles may no longer activate when required. Core Stability retraining involves isolating and contracting the deep postural muscles (multifidus and transversus abdominis muscles) in the core or trunk of the body. These are the deepest layers of your abdominal and back muscles. In individuals with no back pain, these core stability muscles automatically isolate prior to movement to stabilise the spine. In patients with back instability or pain, these core stability muscles lack the ability to contract appropriately.
This inability, places undue stress upon the spine, hips, knees and ankles when performing any movement or exercises that utilise the power muscles such as cycling, running, pilates, exercises ball etc. However, there may be a need for these types of rehabilitation following the completion of the back program and once the core stability muscles are activating correctly. Over time, these muscles may no longer activate when required due to injury, pregnancy or abdominal surgery.
If you have a recent, recurrent or long term back injury, have under gone abdominal surgery, have had a child or you would like to avoid future injury, you may benefit from an accurate assessment of your lumbar core stability with the ultrasound imager.
Initially, patients usually require an average of four sessions to retrain core stability muscles successfully and then intermittent follow-ups over a three month period are required to ensure bad habits do not occur. This three month time frame mostly consists of unsupervised exercises that are task driven in the every day life of the patient. Your therapist may recommend these sessions to be used in conjunction with manual therapy or specific forms of therapeutic exercises.
The most common spinal conditions treated at Coolangatta Physiotherapy include:
Acute (short-term) pain.
Chronic (long-term) pain
Facet joint pain
Sacroiliac joints (S.I.J.)
Spinal canal stenosis