Shrigiridhari Physiotherapy Center

"Back Neck and Joints"

India's Only Certified Mckenzie Clinic

Dr. Asha Menon (P.T.), Dip. MDT

Diplomated McKenzie Clinician

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As the facility provider

Accredited From The McKenzie Institute International, New Zealand 

A Non-surgical superspecialisation center for Back, Neck and Joint pain.

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There is a myth amongst those treating and those receiving the treatment, that it is muscle tightnesses that brings about recurrent low back or neck pain, and they need to be stretched to bring about reduction of your symptoms.

Lower extremities and hamstrings and psoas tightness fail to predict future episodes of LBP (Hellsing, 1988c; Nadler, 1998).

So why are we spending time and money getting the muscles stretched regularly to avoid recurrences? Have you ever thought, those in high performance sports who have their muscles stretched and strong with regular exercises have also been suffering from such easily reducible mechanical disorders.


Leg length differences as a cause for back pain has been debated for the last three decades.

It is estimated that about 90% of the population has a leg length inequality with a mean of 5.2 mm. This is however, not clinically significant (Lederman E 2008).


The comments on the radiographic report on the presence or absence of lordosis has been linked to the cause of your symptoms.

The extent of lumbar lordosis as well as the presence of scoliosis failed to show an   association with back pain (Dieck, 1985; Norton, 2004; Haefeli et al., 2006; Christensen & Hartvigsen, 2008, syst. rev.).

What does this mean? The lordosis is variable with individuals. Radiographic documentation of the reduction or increase in your lordosis does not mean it is the cause of your symptoms. What we have to examine is, how does the change in the lordosis affect your symptoms?

Scoliosis can also be aymptomatic. What we need to assess is, has the scoliosis come with your back pain and is it presently relevant to your symptoms, in the sense, can we change the symptoms with changes to the spinal scoliosis.

Back and neck pain is genetic.

Some relationship between disc degeneration and LBP it has been suggested that the genes that play a part in the heritability of back pain also play a part in disc degeneration, that is, pain may not be due to the mechanical changes in the spine but to shared biological factors, linked to variations in the collagen and immune-repair system/processes between individuals (Battie et al.,2007). But this is not conclusively proved.


Being overweight is the cause of all the back and neck pain.

Overweight/obesity have a low association with LBP (Leboeuf-Yde, 2000, syst. rev.).

In the sense, just ask yourself the question, does all overweight have such back or neck problem as you?


A lot of strength programmes have to be done to reduce your back pain and to prevent recurrences?

A recent systematic review found strong evidence that low trunk muscle endurance is not  associated with LBP (Hamberg-van Reenen, 2007, syst. rev.). This review found inconclusive evidence for an association between low trunk muscle strength and LBP. Also there is no association between erector spinae pairs imbalances during extension and LBP (Reeves et al., 2006;Hamberg-van Reenen, 2007, syst. rev.; Van Nieuwenhuyse et al., 2009).


'Solving the mystery' would solve a lot of your queries about your condition.
Simple questions that come to your mind are answered very simply by a Orthopedic physician.