While undergoing Osteopathic care, it is not unusual for a patient to experience an enhancement on an issue that seems unrelated to their main problem. For example, a patient with a temporomandibular condition may report a reduction in their jaw symptoms following care in the neck or upper back muscles. Or treatment to strengthen the function of the hip can also support the ankle or knee. In this article, we will look at how therapy for low back pain may help a patient who also has bladder problems.
There are many potential causes of bladder problems, but one contributing factor is the weakness of lower pelvic muscles. It therefore makes sense that some patients may benefit from therapies addressing pelvic function disorders. A 2018 Cochrane systematic review concluded that lower pelvic muscle training is more successful than either placebo therapy or no care for certain individuals with bladder problems. This is the place where back pain comes into play.
It is estimated that more than 80 percent of us will be affected by back pain during our entire life. We also change our daily activities to escape pain, both consciously and unconsciously. These irregular movements may place additional stress on other parts of the body. In the case of the lower back, it is common to alter the function in the waist and pelvis.
A November 2019 research published in the Craniovertebral Junction & Spine Journal reached the conclusion that people with lumbar degenerative disc disease, spondylolisthesis, and failed back surgery symptoms are more likely to exhibit unnatural spino-pelvic alignment. Over time, these people may develop secondary conditions in the hip or pelvis, which may impair the function of soft tissues, including muscles, in the region. Or, in the same way, injury to the hips/pelvis may lead to abnormalities in the lower back, which may be the reason why the patient sought treatment in the first place.
Osteopaths are trained to examine the patient’s medical record and to perform a comprehensive examination of the patient as a whole in order to understand the factors contributing to the patient’s primary complaint. That is why it is important to note all symptoms, including those that seem insignificant or that may be embarrassing. If a patient with low back pain has a history of bladder problem and the examination identifies abnormal pelvic posture, therapy is likely to address improved function in both the pelvis and the lower back to deliver the best results.
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