L4 L5 S1 low back pain treatment involves stretching a tightened psoas muscle. Lengthening the psoas muscle is essential for repairing the L4 L5 S1 region. The best method of opening the psoas muscle is not through massage therapy. The best way to open the psoas is through Active Isolated Stretching The relationship between L4 L5 S1 region low back pain and psoas muscle restriction is poorly understood by the medical community. Techniques on how to unlock a tight psoas muscle are also poorly understood.
L4 L5 S1 issues are resolved by advanced stretching techniques
Low back pain treatment involves more than one muscle being tight. A series of tight muscles are involved. Correcting the psoas muscle is an essential element of low back pain treatment. Chiropractic adjustments, epidural injections, and acupuncture do not lengthen a tight psoas muscle. Massage is unable to reach all the attachments of the psoas muscle. Active Isolated Stretching (AIS) has the best method for opening the psoas muscle. The therapist assisted psoas stretch in AIS involves the client laying face down on a table and a strong therapist pulling the leg upward - separating the space between the junction of the upper thigh and the pelvis (see picture below: back exercises psoas). The target psoas muscle lies towards the front of the pelvis but it attaches to the lumbar vertabrae (L3, L4, L5, S1). A tightened psoas muscle will pull down on the L4, L5, and S1 discs, the pressure of this action causes low back pain.
After the client has received AIS assisted stretching for the psoas, the client will be taught the self-applied psoas stretch, but psoas lengthening initially requires the help of a trained therapist. The self-applied stretch will maintain an open psoas but not open it initially. In the early stages of recovery, the client may have to do the self-applied psoas stretch two or three times a day to keep it open.
L4 L5 S1 massage will not work. AIS will work.
L4 L5 S1 issues involve a tightened psoas muscle. For L4 L5 S1 massage to be corrective, massage must be able to fully repair the psoas. However, the psoas cannot be opened through deep tissue massage. Some massage therapists have techniques for trying to open the psoas, but it is a muscle that needs to be stretched. Massage techniques are ineffective because the psoas has so many attachments to the vertebrae that it is impossible to massage each attachment. Furthermore, the psoas lies deep inside the stomach. It is too deep to affect with massage.
Herniated disc, bulging disc, degenerative disc in the low back
Back pain that originates in L4, L5, and S1 is commonly diagnosed. But psoas stretching through the AIS method is not fully understood by other back pain specialists. Unfortunately, too many diagnosed with L4 L5 S1 pain are opting for surgery. Surgery does not elogate the psoas. Which is why the pain surrounding the L4 L5 S1 region frequently returns after back surgery. Back surgery will shave off or fuse the discs in between L4, L5, and S1. Often times a tightened psoas results in bulging disc, herniated disc, or degenerative disc. Why is the disc bulging, herniating, or degenerating? The cause is a tightened psoas. That's what needs to be adjusted, not a microdiscectomy or spinal fusion.
Back surgery or AIS therapy?
The back surgery approach theorizes that if the disc around L4. L5,or S1 is fused or shaved then the pain will diminish because the disc protrusion is irritating the nerve. Unfortunately, this theory does not address why the disc is protruding. The AIS approach claims that a tightened psoas is principal cause of L4 L5 S1 low back pain. If the psoas is lengthened to normal position, the disc will be encouraged to slide back inside the vertebral column.