Excessive Extension in the Low Back

 The normal curve in our low back is an “extension,” or forward-facing curve.

In some people, this curve is abnormally pronounced, which can be due to chronic locking back the knees when standing, or the accentuated curve may be part of the congenital anatomy of the low back.

This excessive extension can cause chronic low back discomfort, partly due to posterior compression between the lumbar vertebrae and / or compression between L5 and the sacrum.

My treatment plan for these patients includes precise, gentle adjustments to the spine and pelvis with the Activator instrument, accompanied by exercises to strengthen the abdominal muscles, specific stretches, activities of daily living (ADL) advice, and postural counseling.  

Head-Forward Postures

  Our head should be in line with the center of gravity of our body. Any position of the head that is forward of our center of gravity gets us in trouble.

For example, “craning” the neck / head to look upward / forward toward a TV or computer monitor, or tilting the head backward to see a monitor through the near-focus part of bifocals, is a common cause of neck pain, tension, and headache. 

This posture causes the occiput (the bone across the back of the head, just above the spine) to be stressed inferiorly. This inferiority may be more on one side or the other (unilateral) or global (bilateral). The result is tension across the back of the neck and head.

Working at a desk, at a kitchen countertop, etc., with the head bent forward of the body’s center of gravity leads to similar problems of neck & upper back pain, tension, and headache. 

Note also that when we are sitting, if we lean forward from our hips, our head in this position  is again out in front of our center of gravity; we immediately begin to feel the stress in our neck. Be mindful of this; rest your back against the chair, feel your head comfortably in line with your center of gravity.