Physiotherapies

Biography

Biography: Umasankar Mohanty

Abstract

The development of bipedal plantigrade progression is a purely human accomplishment. We share two-legged locomotion with some flightless birds, such as the ostrich, and an arched plantigrade foot with the bear. However, the orthograde position is exclusively human and permits us, literally, to view the world in an upright manner, although not always acting in an upright way. It is this orthograde position primarily responsible for the enigma called Low Back Pain. Eighty per cent of the population suffers a disabling episode of low back pain at least once during their lives and at any one time 35% will be suffering from low back pain. Manual Therapy Techniques are very useful for the treatment of Disc Prolapse, Facet Syndrome, Muscular Assymetry, Sacroiliac Joint involvement and Piriformis syndrome. In Disc prolapse for effective prognosis and treatment the centralisation phenomenon is very important. The useful techniques are 1) Manipulation Extension (Cyriax) 2) Dallison Technique for Lateral Shift Correction 3) Springing Technique. In Facet syndrome manipulation therapy is believed to solve the problem by separating the apposed articular cartilages and releasing the trapped apex. The sacroiliac joint (SIJ) has been implicated as the primary pain source in 10% to 25% of the patients with low back pain. The innominate dysfunctions (up slip, anterior rotation and out flare) give rise to SIJ pain. Correcting the position of innominate helps in amelioration of pain associated with the Sacroiliac Joint.