Monday, April 22, 2019

Low back pain, the role of calf muscles

Lower back pain causes pain and tension in the calf muscles, and the calf muscles play a huge role in the development and maintenance of lower back pain. These calf muscles [gastrocnemius and soleus muscle] are often very stressful in most people, especially in women wearing high heels. The calf muscles are very painful and often wake people up during sleep. These warts are a warning that nerve root involvement in the spinal cord causes nerve-related muscle problems. Even if you don't complain of low back pain or lower limb pain, this is usually the case if you have calf muscle tension and frequent nighttime paralysis.

There are three calf muscles, two of which are called gastrocnemius muscles [the inner and outer muscles are called the medial and lateral sides, respectively] and the third is called the soleus muscle.

The gastrocnemius is from the lower part of the thigh bone above the knee. The soleus muscle is produced by leg bones called the tibia and fibula and does not pass through the knee joint. All three muscles are inserted into the heel bone through the heel cord. The sacral nerve mainly supplies the S1 nerve root fiber to the inner gastrocnemius muscle [medial side], and the L5 nerve root fiber is supplied to the outer gastrocnemius muscle [outer side], mainly the S1 nerve fiber to the soleus muscle.
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  The gastrocnemius and soleus muscles are primarily responsible for bending the ankles and feet so that the toes point to the ground. However, when the foot is flat on the ground, such as sitting down, crouching or licking, the gastrocnemius can bend the knee instead of the soleus muscle. Those with tight calf muscles will notice that they can't put their heads flat on the floor.

During walking, because the heel hits the ground, it is difficult for the person with tight calf muscles to be unstable and easy to fall. They also encountered difficulties during the launch phase of walking. The only active muscle during relaxation standing is the soleus muscle. It is responsible for stabilizing the legs so that the weight line can fall in front of the knee. Otherwise, the knees will bend.
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  Due to increased pressure on the lower back muscles, tight calf muscles play an important role in causing and aggravating low back pain. Because these calf muscles are tight for a long time, it is very difficult to try to reduce or release these muscles. In addition, nerve-related muscle tension and weakness are also present in these muscles due to the aging of the L5 and S1 spinal nerve roots.
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  In order to make the situation worse, the muscles that lift the feet and ankles in the front of the leg are in a weak state for a long time. Since these muscles are provided by the L5 nerve root, which is the most common damaged nerve root, the disadvantages are primarily related to the nerve. Injury or irritation originates from degenerative arthritis of the spine, disc herniation, disc herniation, etc. L5 nerve root fibers are mainly transported through the phrenic nerve, and the phrenic nerve is also susceptible to knee joint habitual crossover and/or ankle joint trauma. More weak.

Therefore, in order to treat the calf muscle tension, the muscle in front of the leg must be treated before the calf muscle is treated, which is called the back muscle. During walking, the dorsiflexors of the feet and ankles are contracted by the ligaments for a long time. Therefore, it is necessary to selectively activate these muscles by inducing shortening of contraction. Walking on the heel is one of the ways to shorten the dorsiflexion of the foot and ankle.

The best treatment for tightening calf muscles cannot be separated by symmetrical treatment of calf muscles. Treatment must include the underlying cause of tension in the treatment of spinal nerve root problems primarily at the L5 and S1 levels.

It is necessary to treat all related muscles that are continuously subjected to prolonged contraction. The recovery of these muscles is achieved by shortening the contraction. Treatment must include treatment of the extensor of the spine, gluteus maximus, adductor muscle, tension fascia, rectus femoris and dorsiflexion of the ankle. The selective activation of these muscles by exercise point stimulation is most effective using the eToims Twitch Relief Method.

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