from your original pain and may be felt in other places. New pains are the result of performing new exercises and maintaining new positions; they should be expected and will wear off in a few days, provided postural correction is continued on a regular basis. Once vou have become used to sitting correctly you \vill enjoy it and will soon notice the reduction or absence of pain and the improved comfort. From then on you will automatically choose chairs that allow you to sit correctly. Try the experiment once more, but now keep bending the finger past the point of strain until you feel pain. The sensation of pain is immediate. You have overstretched, and your pain warning system is telling you that to continue movement in that particular direction will cause damage. Should you ignore the warning and continue to overstretch, damage will occur. Of course, the pain warning tells you to stop over­ stretching, and when you do so, the pain ceases immediately. No Fig. 2.6 Bend the finger ~ntil damage will have occurred to your you feel the stram finger and the pain will have gone. No lasting problems will arise from this short-lived strain providing you take note of the pain warning system. If you fail to heed the warning and keep the finger in the overstretched position, the ligaments and surrounding soft tissues that hold the joint together will be tom. This tearing will result in an ache which continues even when you stop overstretching. The pain will continue even when the finger is at rest. The pain will increase with movement and reduce at rest but it will not cease until some healing has occurred. Healing may take several days but will be prolonged if, every day, you continue to apply the same strains to the finger. Edit: I liked the roll because it forces me to keep my posture while sitting and as it is there, it brings even more awareness.

Place your hand against your pelvis and gently press your hips toward the wall (it should feel like your pelvis is gliding underneath your ribs). tIIirty-five years taug! ..,. services were tho 1.'hesepatients also b ~ their own pll Lecame clear that by The exercise can also be used as an alternative to prone press-ups when you're in a situation that doesn't allow you to be flat on the floor, but you need to extend your spine. loosening process, and if we subsequently place ourselves in an unsupported position for prolonged periods, distortion within the more or less horizontal position and the com­ pressive forces that exist in upright man do not occur. In human beings, theFrom middle: osteoporosis. During and~ deficiency in supple mente consequence: structure res height. This. extremely ro spine. In person! occurring wi of the vertel: United Stat€: regularly (Fi compressioll similar grOU] had significa later. This st Are you generally worse when getting up in the morning, but improve after about half an hour? • Are you generally worse when inactive and better when on the move?

ing the distortion or bulging of the intervertebral disc, we can in turn reduce the level of pain that you experience. The exercises also identifY for you any movements or postures that are likely to increase distortion in the joints, thus delaying recovery. This will enable you to avoid damaging postures or activities in the future. There are three main effects that you may look for while performing the exercises. First, the exercises may cause the symptoms to disappear. Second, they may cause an increase or decrease in the intensity of the pain that you experience. Finally, they may cause the pain to move from where you usually feel it to some other location. In certain cases the symptoms \vill first change location, then they will reduce in intensity, and finally they will cease altogether. Bend forward. Reach your hands in between your legs toward the floor. Hold for 2 seconds. Return to starting position. ACUPUNCTURE Acupuncture is able to relieve pain and, when all else has failed, is well worth a trial. You should be aware, however, that as with taking medication, you can obtain relief from acupuncture, but acupunc­ ture itself does not correct the underlying mechanical problem. SEVENTY-FIVEAre you generally better when walking? • Are you generally better when lyingface down? When testing this you may feel worse for the first few minutes after which time the pain subsides: in this case the answer to the question is yes. lreal:ment table. the patient. \Vithout ~ dinical staff, he Jay fa! ~rstretched for SOIII eommence his treatm lying in what at that Ii position. On enqu.iri.uj IIim say that this was t Lad disappeared from Lad moved from the I he could now bend .. ''''hen Mr. Smith 31 upright and he remaiJ placed him in the S3III in complete resolutio As mentio we experic only by ill are no me common 1 be taken v Certain inflamma1 useful for than somE been reco Agencyfo Some people who 1 unaware of the l1IM their lifetime simp necessary informal When pains of p eliminated merely however, if uncom to the structure aD premature ageing 4 posture in the 1011ll hannful as the em .• L·:I!

Many, many thanks for all the assistance give to me today. Thank you for taking the time and in helping me try out the various Lumbar Rolls in my car. Your explanstions about the Lumbar Rolls were valuable as it helped me make up my mind to chose the Slimline and Super Rolls.ause the pain ISC in the positions. Fig. 4.0 Progressive centralisation of pain indicates suitability of exercise programme THIRTY-SEVEN Apply a little overpressure to bring your knees up further, and hold the position for a second or two.

inapproprn favourite p and physia If you all and have n the true Cal correctly aI appeared d afterward. look after your own er one is now offered. ryou how to put your put it out; and in e to avoid recurrence. y this book for first­ rides the most benefit 15. Our research also f, percent of the rience recurrence or up as completely II" pelvis, hips g.Onceyou I should lower : this 00y a little ch as possible eyour arms . two as this is •maintained l is reducing onward should practice this exercise as described on a regular basis. My own recommendation would be that the exercise should be performed fifteen to twenty times, four or five times per week. If you are uncertain regarding this advice, discuss the matter with your doctor before commencing the programme. Should you have difficulties with the exercises for one reason or another, you should consult a manipulative therapist who will show you means of modifYing the exercise without necessarily reducing its effectiveness. The muscles strengthened by performing the exercises recommended by the Mayo Clinic study are also the muscles responsible for holding you upright, and it is probable that maintaining good posture at all times will assist in the strengthening process. This may also reduce the likelihood of small fractures occurring. Monitor for signs of centralization. If your symptoms are moving toward the center of your spine, that's a sign the press-up exercise may be helpful for you.

any joint of the body, , hmv easily some mecl by a simple experime First, bend one :finJ 6nger until you feel a this strained position. but, as time passes, pc pain caused by proloJ] to appear. You should part of your liJ the onset of I that you watcl stresses be th. have little or I Thus, it is a for the rest of maintain goo< for long perio pain. As it takes I and two minu procedure,lal being able to