(N.Morgan) A multitude of people who suffer from low back pain also experience radiculopathy or sciatica.
It is most often described with symptoms such as numbness, mild burning sensation, needles and pins, tingling, ants, shooting pain or electricity that happens around the hip or down the leg.
Piriformis syndrome, sciatica and lower back pain cause extreme discomfort and though many people have the symptoms associated with these health conditions, the methods used for their treatment vary.
So as to successfully treating this pain and help their patients, some healthcare professionals developed a concept called Centralization.
Centralization describes a phenomenon where pain originating from the spine and referred distally, moves or retreats back towards the midline of the spine in response to repeated movements or guided positioning.
The pain often diminishes or is eliminated entirely.
To determine if this occurs in individual patients, a standardized physical assessment is performed using repeated lumbar end-range test movements or positions in various directions, most often in the sagittal or frontal planes, while monitoring the individual’s pattern of pain response.
This phenomenon was described initially as a part of the diagnostic and treatment methods of McKenzie, who first observed it in 1956.
There is the strong possibility that this procedure will intensify the pain, but this is a clear indicator that the treatment is providing positive effects. If the leg pain and symptoms are alleviated, then, this method is working. Most often, back pain doesn’t increase much by so-called self-reported VAS.
In 2008, Werneke decided to conduct an examination in 2008, which should have pointed out whether the symptoms reported by patients following centralization were indicators of positive results or not.
Patients suffering from cervical and lumbar syndromes were healed with different methods, not just with McKenzie.
The findings of this study were remarkable. Only 17% of patients showed symptoms linked to centralization.
Perhaps the results were influenced by the type of the injury, the time frame in which the treatments were done and the type of treatments these patients have followed.
However, it was evident that centralization was much higher in patients who had more severe symptoms, patients that were younger and had better health in general.
On the other hand, non-centralization was linked to reduced ability on functional task testing and significantly higher pain results in patients with lumbar symptoms.
In patients with cervical pain, non-centralization was linked to higher pain ratings but all other indicators were the same.
Furthermore, the final results were absolutely not affected by the number of visits. To be more specific, probably centralization helps the prediction of pain status and functional status in those with lumbar pain.
Robin A. McKenzie tried to offer another solution to these problems. He was a famous PT and an experienced specialist focused on reduction of pain linked to disc issues.
This condition is characterized by pain that begins from the glutes and goes all the way down to the toes affecting the entire leg.
The specific sensation can be described as tingling or numbing pain that can be felt regardless of your position – standing, lying down,sitting or even walking.
He invented an exercise that can be of great help in these cases. It is called “the McKenzie press up” and it has already helped hundreds of people to soothe the pain and centralize this pain in the specific area of the lower back which is extremely beneficial.