Lumbopelvic Hip Complex?

What is the Lumbopelvic Hip complex? Essentially, it is the key to solving most low back pain.

It is the body chain created by your low back, your pelvis and your hips. As you can see below, they are all interconnected. Many types of low back pain begin when the low back muscles are weak and the hips are stiff. Therefore, taking good care of your lumbopelvic hip complex is as simple as strengthening the proper core muscles and making your hips flexible.

In fact, most people with disc problems need to look at their injury through the lens of the lumbopelvic hip complex, and not zero in on the disc alone. 

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Your core muscles are made up of any and all muscles that attach to your pelvis. This means that besides the front and side abdominals, you need to strengthen your lower back and buttock muscles as well as the inner thighs, hamstring and hip flexors.

This type of global approach to core strengthening allows the pelvis to be under better control and therefore experience more resilience and less pain. And in order for lumbar discs to be healthy, the pelvis and hips have to be flexible. If not, whenever we lift something or move around, the leg bones pull the pelvis into positions that are harmful to the lumbar spine.

A good core exercise program incorporates an upper and lower body strengthening program as well as core muscle rehabilitation. Flexibility is also vital.

Another commonly overlooked aspect of low back care is the use of balance exercises. By challenging a patient’s balance, we train the body to control its center of gravity which is mainly manipulated by the lumbopelvic hip joint complex. A strong, flexible and co-ordinated lumbopelvic hip complex means a happier lower back.

Please watch the following videos for examples of patients overcoming low back pain through this type of rehabilitation.

 

 

Do Orthotics Really Work?

 DEC 2014 article drparenteau.com 3

When I practiced in California from 2003 to 2007, customized orthotics were all the rage.

Patients with foot problems wanted $250.00 insoles to cure them of chronic foot pain. Simple. Easy. Let’s go! So there they were, expectantly standing on a foam board, letting their body weight sink them into the foam and leaving a perfectly customized foot print. I would then send them off to the manufacturer and 2 weeks later, the patient received an insole orthotic support perfectly customized to their feet. Pop! They’d slip these insoles into their shoes and whammo, let the healing begin.DEC 2014 article drparenteau.com 2

The question is, did they work?

Actually, for some patients, yes they did. The best results were for patients suffering from plantar fasciitis. Arch supports raise the middle (i.e.: transverse and longitudinal) arches and put some slack on the plantar fascia. Helping to release the pressure on this ligament. Other patients who had hard to solve foot pain also often benefitted from customized orthotic insoles.

I estimate that roughly 75% of patients who received orthotics were satisfied. Obviously, when you drop a couple hundred dollars on medical equipment, you want the results to be drastic or else buyer’s remorse sets in.

DEC 2014 article drparenteau.com 4My main problem with orthotics is the price-per-pain-relief ratio. Your corner pharmacy will carry generic insoles for about $20.00. In my experience, if a patient will benefit from orthotics, they will get about 60% of the same effect from the cheap, generic insoles.

For many, the extra $230.00 for an extra 40% pain relief is worth the price tag. And I don’t blame them. Customized orthotics do provide the most protection for sore feet. Your amount of pain will determine your motivation for paying the high price tag. Orthotics usually last 3 or more years – depending on use – so they can potentially save you money in reduced treatment fees.

Foot care is a game of keeping the foot arches happy. As you can see below, the bones in your feet are arched upward. When you stand, your body weight would collapse these bones if it wasn’t for the ligaments and tendons that hold them up. Although some schools of thought say nature dictates “barefoot is best,” we were never meant to walk on cement and marble. So unless you are living in a forest or jungle, your feet will need help absorbing the force of your daily activities. Gray_foot_bone_medial_view

If you have been diagnosed with plantar fasciitis, watch the following video and follow the home care instructions. If these fail to heal you, come in for treatment.

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Is Social Media Healthy?

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If you are a human living on earth, chances are you have a social media account. Whether it be facebook, twitter, pinterest or any of the hundreds of options available, people are “connecting” through this digital medium.

Therefore, with so much “connecting” going on we should all be very happy and loneliness should be on its way to extinction, right?..

Unfortunately, this is not the case.

The data has come in and it appears our social ills have only been increased due to compulsive internet use, including social media. An article from the CyberPsychology & Behaviour magazine by PhD psychologists Kim, LaRose and Peng showed that those turning to the internet to fill a social and emtional void were only further disconnected from true human relationship.

For many of us who were born in the early 80’s or earlier, a world without social media is easy to imagine. A time when contact was real and organic. In contrast, modern concepts of human connectedness are — for the first time in human history — composed almost as much by digital “relationships” as they are by real human contact.

Combine this trend with the affordable nature of mobile devices and the near omnipresence of Wi Fi connections and you can see how we have been transformed into homo sapien digitalis. When I go to the grocery store or to the bank, I hardly ever see anyone stuck in line that will turn and start conversing. They used to. Nowadays, most everyone is looking down at a mobile device if they are at a bus stop, in a line up or even at the park while their kids are playing. I’ve even seen a couple at a restaurant texting away and ignoring each other!

After more than a decade of heavy social media use, it appears that we’ve come full circle and must realize that there is no replacing true human contact. The superficial nature of online relationships are millions of miles removed from the real touch of actual human social connection. Soul to soul. Not IP address to IP address. card-game

Third world countries who live with much less technology have lower rates of anxiety and depression. Although there are many reasons for this statistics, one thing is certain: they are forced to live more authentically then most Westerners because they deal with people all day, not avatars and internet trolls. The average third world resident’s day includes human contact that is comprised of actual human relationship and has nearly zero time spent in cyber-relationships.

I’m not advocated the annihilation of social media, but a much more restricted use of it.

A University of Waterloo self-administered test can be used to evaluate whether or not your are spending too much time “connecting” through your computer or mobile device. Although determining this will be more of an art than a science.

Perhaps another way to gauge your social media usage is to ask yourself how many of your social media usage is for business or for pleasure. It is inevitable to be hooked into online business connections. It is the new phone book. But it may be unhealthy to use it too much for personal emotional voids. I’ve recently asked myself how many of my “friends” on social media would actually take time to help me physically if I had an urgent need such as moving or renovating my house hold. The list is probably MUCH smaller than the hundreds of names on my facebook friends’ list. Just food for thought.

Sitting down at dinner and talking to your loved ones, reading books instead of status updates and playing with your children, friends and family is the only true “social media” and it has been practiced happily for thousands of years. Perhaps its time to lean a little away from the internet and back into reality…

Much love!