Spondylolisthesis Exercise Most Dangerous Mistakes Part 1- Torso Extension
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- Опубліковано 25 лип 2024
- Learn how to exercise without aggravating spondylolisthesis pain using self treatment avoiding torso extension. Presented by sports injury and healing exercise expert Dr. Michael C Remy, DABCO, CCSP. Learn more exercises and build your very own spondylolisthesis exercise program at: www.painfreeandfit.com
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The best man on UA-cam!
Awesome vid, you explain the biomechanics very well 👍🏼
One of the most helpful videos for weight lifters with this condition on here, thank you very much
I am glad you found it valuable, and I hope it helps you MightyMouse.
I just want to thank you so much, doctors told me not to lift weights no to go to the gym. Recently went to chiropractic who told me to have a pelvic tilt and I could do it. But i still didnt have gym guidance, a personal trainer doesnt know this. So all your videos have helped me immensely! I may be able to build my body now and avoid surgery as well I have a 52% L5-S1 spondy little into grade 3 from grade 2.
Pelvic tilt is common with spondy. There is so many guides on YT from PT. The MOST important thing is to work in your pelvic alignment by core training. I mean deep core public bone area. Total focus on that area will help keep pelvic aligned/strong by pulling it forward. I heard a PT say (maybe this one). Be core strong/dominant, not just limb strong. Oh, and glutes of course!
Very wise advice
Thank you, Dr. Michael. Valuable information as usual.
Thanks for watching!
Thank you so much Dr.
You are most welcome Muayad!
Excellent brilliant Thanks a ton!
You're very welcome!
Thank you good information on spondy.
I am glad it was helpful!
Amazing...
Thanks for watching. I hope it helps.
I did not know horizontal aggravation affected spondylolisthesis that much during exercises, thank you for putting emphazis on this issue. It is strange how PTs recommend exercises like the ones you demonstrated, because they do hurt for peeps with spondylolisthesis (ouch!).
I am glad the info helped.
This is a very good video. It has taken me a handful of years of trial and error to find what I can do with my spondylo. The worst advice I was given (by a doctor) was not to do weightlifting. As a matter of fact, Weight lifting has been the best thing for me. HOWEVER, For those of you in a similar boat the NO 1 key is to start light. For us, the importance of good form is multiplied by 100. You can always do more reps. Drop your ego and reduce the weight… I’m down 60 lbs thanks to high volume weight training. Mainly dumbbell training. Still getting stronger, and still never trying to hit a 1 rep max.
Thanks for the comment Porta. The other plus of using lighter weights ( and slower rep speed) is it allows better form in terms of correcting the postures and movements that aggravate spondylo and allows one to focus on recruiting the weak spinal stabilizing muscles to protect the spondylo segment during exercise.
Bro are you ok now ?? Bcs i also have spondy grade 1 very small shift ... Sometimes I feel like something is sucking my back inside or sometime I feel like a get fixed .. I also go to gym so please help me by guiding...🙏
Want more exercise to help my back.thank you.
Of course! Thank you.
thank you so much! What do you think about swimming with spondylilisthesis? Is there any style that I should avoid? Thanks again!
While this will be different for everyone due to a person's unique mechanical issues that affect spondylo, the most typical mistake I see is face down breast strokes that over-arch the lower back. Crawls, side strokes and limited reach back strokes (reaching sideways but not over head) are commonly easier for most to avoid extension in the lower back.
@@DrMichaelCRemypainfreeandfit thank you so much!!
Hi! Excuse me Doctor C Remy, can i ride a bicycle with patellar tendinopathy or will i make the pain worse?
Its just for short distances, only moving around my neighborhood, the terrain is flat.
I also suffer of lumbar herniations, should i set the handlebar the highest and closest to my arms possible, in order to keep my back straight in an upright position?
Or just ride my city bike as it is? With the handlebar and saddle almost parallel, making me to bend my back. Dont know if that position might hurt my back?
Hope you can help me!
Thanks in advance, greetings!
Hi Berny.
Remember that each case is specific and pain relief will always be related best to engaging your RPI for a body region to best stabilize the joints and provide correct mechanics. In this way you will stand the best chances of avoiding the mechanical stresses caused by abnormal posture, stability and movement that cause pain. With that said however, generically speaking, patella tendinopathy will typically be less stressful with lesser angles of knee flexion, meaning a higher seat on a bicycle so your knee bends less. Lumbar disc herniations typically are aggravated with sitting, especially when the low back is flexed forward or slumped. Here, your high handle bars will typically be helpful. A wider handle bar will stretch the lat muscles more which may help keep the curve on the lower back (lordosis) and help resist against disc aggravation due to flexion. Thanks for the great questions and I hope this info helps.
@@DrMichaelCRemypainfreeandfit Dear Doctor C Remy, i have no enough words to thank you for taking the time to answer me! It was very kind of you to give me such detailed explanation!
I really appreciate every one of your advice, and I will keep them in mind!
Wish you the best, have a wonderful sunday!
I've just been diagnosed with Spondylolisthesis, my symptom drop foot with numbness in my foot/shins.
Is it ok to continue weight training but taking these precautions?
Hi Dhesi.
Check with your doctor as you will want the appropriate resentment to avoid further/permanent nerve damage. While a neutral spine and RPI is usually helpful long term, proper treatment short term is essential.
Dr. Remy
Are these guidelines also valid for spondylolysis as well?
It all depends on a person's unique mechanics, posture and stability issues related to their pain Chris
Same, with RDL's I'm assuming.
Torso extension can happen in all compound lower body standing exercises
Gymnastic bridge is dangerous because of hyperextension?
Hi Heister.
For most people with low back spondylolisthesis, the answer is yes- it is too dangerous because as opposed to other exercises where extension can be limited in the lower back and emphasized in the hips and mid back, the gymnastic style bridge is maximizing extension in all of these regions, which typically will aggravate lower back (lumbar) spondylolisthesis. Thanks for the question.
Dr. Remy
@@DrMichaelCRemypainfreeandfit Thanks for the answer!
Too much flexion is dangerous too, right? For example the jefferson curl?
Is spondylolisthesis the same as pars fracture?
Hi Stephanie.
Spondylolytic is the break or fracture of the pars of a spondylolisthesis ( forward slippage of the vertebrae).
Is this also for Retrolistesis?
No. Retrolisthesis has its own unique mechanical considerations. I currently have a couple of retro topics on the channel, but more will be coming this year
If arching your back is so bad then the “ cat and camel “ exercise my physiotherapist told me to do is not good ?
It all depends on your unique neutral spine position and tolerable range of motion as determined from a detailed analysis of your mechanics and pain generating issues. Some may perform a certain degree of extension (or flexion) without stressing their spinal tissues, while another may be limited by 60% of that for example in a certain range, or need to emphasize a certain spine stabilizing muscular contraction or hold a corrective rotation or lateral (side) tilt while flexing or extending to get a fuller pain- free and stress- free range. Also, due to changing disc pressure, soft tissue extensibility and nutrition/hydration of spine soft tissues changing throughout hours and days, these ranges may need to be altered on a fluctuating basis. Generic rules for spine rehab is way outdated (and often dangerous). Exercises and movement need to always be tailored for the best results based on mechanical tendencies, posture habits, stabilization issues, etc. That is why unless you get a thorough detailed analysis, exercise prescription is often full of mistakes. A cat camel is taught differently to each of my patients and clients based on their unique body- there is no standard when it comes to specific exercise prescription!
Sounds like my days of lifting are over … too much to focus on