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Overview of Knee Pain

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Filed Under (ACL Injury, Exercise Rehabilitation, Fitness Education, Knee Pain) by Rick Kaselj on 30-08-2010

I have got a lot of great feedback from my last post on knee pain, knee injuries and ACL injuries.

If you missed it, you can check it out here.

Overview of Knee Pain

Knee Pain Exercise 225x300 Overview of Knee PainThe knee is the largest joint in the human body. In the most recent report of the U.S. Department of Health and Human Services, the knee is also one of the most commonly injured joints. Each year, more than 5.5 million orthopaedic visits are made due to knee injuries. The joint’s high susceptibility to injuries is mainly attributed to its intrinsic anatomical structure and its function during weight-bearing. Moreover, because of the increasing problem of obesity and a sedentary lifestyle, knee injuries are one of the leading causes of disability in modern society.

Knee injuries are complex because they typically involve more than damaged structure. The anterior cruciate ligament, the major stabilizing ligament of the knee, is frequently the cause of knee pain and injury in young, healthy adults. ACL injuries can be devastating. A significant number of patients with ACL injuries require reconstruction, prolonged rehabilitation and as a result, high health care costs. For these reasons, ACL injury prevention has been the focus of many researchers over the last few decades.

Neuromusclar training programs consisting of specialized stretching and strengthening exercises of the knee’s dynamic stabilizers, agility training and plyometrics have been found to be the most effective strategies to prevent anterior cruciate ligament injuries. These exercise programs are designed to help clients regain and maintain the functions of the knee without putting much force on the ACL. Some of these exercises are introduced in the last section of this guide.

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Exercise Rehabilitation of the Elbow and Wrist

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Filed Under (Elbow Pain, Exercise Rehabilitation, Fitness Education, Shoulder Injury, Shoulder Pain) by Rick Kaselj on 27-08-2010

Exercise Rehabilitation of the Elbow & Wrist

courseimage elbowwrist 230x300 Exercise Rehabilitation of the Elbow and WristDESCRIPTION:

The elbow and wrist are common site of repetitive injury and trauma.  With the increase in computer use there has been an increase in carpal tunnel syndrome.  As people increase their activity with racquet sports, golf and strength training there has been greater reporting of tennis and golfer’s elbow.  In this practical and hands on course you will learn the key anatomy, assessment and exercise rehabilitation programs for tennis elbow, golfers elbow, carpal tunnel syndrome and wrist fusion.

OBJECTIVES:

- The key structures involved in elbow and wrist
- Assessing the elbow and wrist to determine exercise readiness and progressions
- The four most common elbow and wrist injuries – tennis elbow, golfer’s elbow, carpal tunnel syndrome and wrist fusion
- Rehabilitation exercises and contraindications for the four most common elbow and wrist injuries will be discussed, demonstrated and practiced

Rambles – What is on Rick’s Mind?

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Filed Under (Core Stability, Exercise Rehabilitation, Fitness Education, Scapular Stabilization, Shoulder Injury, Shoulder Pain) by Rick Kaselj on 27-08-2010

Hey, it is Friday, lets ramble.

Well, let me ramble.

More Rambles about Facebook

It is very cool to get comments like this on my Facebook account:

Thank You Rick Kaselj Rambles   What is on Ricks Mind?

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Abdominal Hallowing and Hamstring Injuries

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Filed Under (Core Stability, Corrective Exercise, Exercise Rehabilitation) by Rick Kaselj on 26-08-2010

BCAK Kinnected August 2010 Abdominal Hallowing and Hamstring InjuriesI just got the latest issue of BCAK Kinnected magazine.

There were a lot of great articles in it and they also were kind enough to publish one of mine on abdominal hallowing and hamstring injuries.

I don’t know why I keep typing hallowing, it should be hollowing.

Since it has been printed in the magazine, I am now able to share it with you.

It is one of those research summaries that I have done a number of times and fitness professionals have liked them.

Lower Abdominal Hollowing During Prone Hip Extension May Prevent Hamstring Injuries

What is the Big Deal?

Hamstring injuries are all too common in athletes, especially runners. There is evidence that when the stabilizing muscles in the hips (e.g., the gluteus maximus) become tired, increased workload is placed on other muscles in the legs, including the hamstrings. This disproportionate amount of work required by the hamstrings often results in injury.

Details of the Study

A recent study published in Manual Therapy examined whether adding lower abdominal hollowing exercises during Prone Hip Extension (PHE) exercises improves the relative timing of the activation of the gluteus maximus (GM) and the Biceps Femoris (BF) in the hamstring muscle group.

Exercise Rehabilitation of the Neck

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Filed Under (Exercise Rehabilitation, Fitness Education, Neck Injury, Neck Pain) by Rick Kaselj on 26-08-2010

Exercise Rehabilitation of the Neck

courseimage neck 230x300 Exercise Rehabilitation of the NeckDESCRIPTION:

Your neck is the most used joint in your body.  It becomes most evident when it is injured.  Poor posture and awkward sleeping can lead to neck strains while motor vehicle accidents can lead to disc herniations, whiplash and cervical fusion.  In the Exercise Rehabilitation of the Neck course you will learn the key structures of the neck, assess exercise readiness and effective exercises to recover from neck injuries.

OBJECTIVES:

- The key structures involved in neck
- Assessing the neck to determine exercise readiness and progressions
- The four most common neck injuries – cervical strain, disc herniation, whiplash and cervical fusion
- Rehabilitation exercise and contraindications for the four most common neck injuries will be discussed, demonstrated and practiced.

Exercise Rehabilitation of the Lower Back

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Filed Under (Exercise Rehabilitation, Fitness Education, Low Back Pain, Lumbar Fusion Exercises, Spinal Fusion Exercises) by Rick Kaselj on 25-08-2010

Exercise Rehabilitation of the Lower Back

courseimage lowerback 230x300 Exercise Rehabilitation of the Lower Back

DESCRIPTION:

In a clinic or rehabilitation centre, the most common “trouble” area is the back.  In this practical and hands on course, the most common back injuries will be discussed (degenerative disc disease; mechanical low back pain, lumbar disc herniation, post disc surgery, spondylolisthesis and spinal stenosis).  This course is a must if you would like to increase your understanding, success and confidence in working with clients with low back injuries.

OBJECTIVES:

- The key structures involved in low back injuries
- Assessing the lower back to determine exercise readiness and progress
- The six most common back injuries – degenerative disc disease, mechanical low back pain, lumbar disc herniation, post disc surgery, spondylolisthesis and spinal stenosis
- Rehabilitation exercise and contraindications for the six most common back injuries.

Exercise Rehabilitation of the Shoulder

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Filed Under (Exercise Rehabilitation, Fitness Education, General, Post Rehab Fitness, Rotator Cuff Exercises, Shoulder Injury, shoulder impingement) by Rick Kaselj on 24-08-2010

Exercise Rehabilitation of the Shoulder

DESCRIPTION:

courseimage shoulder r2 Exercise Rehabilitation of the Shoulder“Nearly 6 million people a year visit their doctor for shoulder pain, strains, dislocations or other shoulder related problems”
In the Exercise Rehabilitation of the Shoulder course, functional anatomy of the shoulder joint will be reviewed. In addition, common shoulder injuries (frozen shoulder, shoulder impingement, rotator cuff tear and shoulder instability) will be discussed, and rehabilitative principles and exercises for each will be presented.

OBJECTIVES:

- Functional anatomy of the musculature and supporting structures of the shoulder joint.
- Evaluation of the shoulder joint.
- Common shoulder injuries, key points of each injury and how to rehabilitate them.
- Rehabilitative exercises using the stability ball, body weight, tubing and free weights.

Foundations of Upper Body Conditioning with Brian Justin

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education, Rotator Cuff Exercises, Scapular Stabilization, Shoulder Injury, shoulder impingement) by Rick Kaselj on 21-08-2010

Foundations of Upper Body Conditioning

DESCRIPTION:

It can be confusing on how to approach upper body conditioning with your clients.  Most times fitness professionals start with strengthening and hope for the best.  It is important that fitness professionals have a systematic approach to assessing the upper body, corrective exercises that match the assessment results and a detailed program structure in order to get maximal and rapid results for the upper body. If you are looking for an active and practical course, where you will leave with a comprehensive upper body assessment, an expansive list of corrective exercises and training techniques to increase your success training the upper body.

OBJECTIVES:

- How to perform a structural and movement assessment of the upper body
- Quick screens to identify dysfunctional joints and muscles of the upper body
- Connecting corrective exercises with dysfunctions found in the upper body assessment
- Simple and fast tubing exercises that your clients can do anywhere for upper body injury prevention
- Why to perform a dynamic warm-up prior to upper body exercises
- Effective modifications to common upper body exercises to prevent joint irritation
- How to implement the foundations of upper body conditioning into your current client programs
- Functional Anatomy of the upper body
This course is for fitness professionals looking to bridge the gap between theory learned  to application in the real world clients.  The technical level will be at a beginning to intermediate fitness professional.  This this will be an active and practical course, wear active gear.  No jeans.

More of Rick’s Rambles

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education, muscle imbalances, muscle imbalances revealed) by Rick Kaselj on 20-08-2010

Here is another edition of Rick’s Rambles.

This has been fun to do.

You can see one of my past ones, here.

Have a look at this one, it is my 3rd ramble but 151st blog post.

Fun on Facebook

Rick Kaselj Facebook ACL Injury More of Ricks Rambles

I am big into Facbook.

A lot of times when I am bored, I will go on Facbook to see what others are doing.

I am also adding a lot more stuff on injuries and exercises over there.

I try to put up a quote of the day and an article that I have read that day.  A lot of people are getting a lot of benefit from all the stuff I am putting up.

If you are looking for some more stuff on exercises and injuries, make sure to visit my Facebook page – http://www.facebook.com/Rick.Kaselj

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ACL Injuries in Female Athletes

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Filed Under (Exercise Rehabilitation, Fitness Education, Knee Injury, Knee Pain) by Rick Kaselj on 19-08-2010

ACL Injuries in Females

NASA knee brace ACL Injuries in Female AthletesOver the last decade, torn and ruptured anterior cruciate ligament (ACL) in female athletes have increased at an alarming rate.

Consistently, it has been found that a higher prevalence of ACL injuries occurs in female athletes over their male counterparts.  Women are 2.4 to 9.7 times more likely to suffer from ACL injury when compared to men of similar competition and training levels.

Females involved in sports involving landing from a jump, abrupt changing of directions and cutting, such as basketball, soccer, gymnastics, skiing and gymnastics are especially at risk. Reports state that women basketball players are 5 to 7 times more likely to have an ACL injuries than men and that female soccer players are injured more than twice as often as men (American Council on Exercise, 2009). On average, women rupture their ACL ligaments 5 years earlier than men do. In addition, majority of females with torn ACLs are between the ages of 15 and 25.

Although the exact cause is still unclear, and the possibility of a complex interplay between different factors is likely, possible explanations of the gender difference in the rate of ACL injuries have been suggest and reviewed. The suggested reasons are anatomic differences, joint laxity, range of motion, hormonal secretion and training techniques are suggested factors that predispose women to ACL injuries.

There are two different factors that can influence an injury.  The first is intrinsic factors.  Intrinsic factors are internal factors with the body that can increase the risk of injury.


5 Intrinsic factors that Lead to ACL Injuries in Females

Lunging to Improved Performance DVD Review

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Filed Under (Exercise Rehabilitation, Interviews, Post Rehab Fitness, Profitable Exercise Rehabilitation Business) by Rick Kaselj on 15-08-2010

Lunging to Improved Performance Review 1 300x300 Lunging to Improved Performance DVD Review

I was contacted by a fellow fitness professional, John Izzo.

He asked me to review his new DVD on lunging.

It is always great to give a fellow fitness professional feedback on one of their products.

I know how much time goes into researching and developing them.

Since he sent me one of his DVDs, I sent him my Core Stability for the Rehab Client DVD set.

John was nice enough to review it and had some nice words to say about it:

“Rick Kaselj is a great exercise physiologist from Canada and a great presenter. His 3-disc DVD set Core Stability for the Rehab Client is a fantastic resource for trainers that work with anyone demonstrating postural deficiencies and post rehabilitative status.” – John Izzo

You can check out what else he had to say by clicking here.

Now to a review of John’s lunge DVD.

Initial Thoughts on Lunging to Improved Performance

I didn’t know what to expect from this DVD.

To be honest, I was not too excited about watching a video on lunging. I wondered how much more could I learn about the lunge and will this DVD give me any more information to help my clients.

To my surprise I learned a lot!

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The Fitness Industry and Injuries

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Filed Under (Exercise Rehabilitation, Fitness Education, Interviews) by Rick Kaselj on 08-08-2010

When I was down at the NFBA conference in Seattle, Washington.  I swung by Kirkland, Washington to visit my friend Belton Lubas and Rommel Acada.  They both attended a fitness education course that I had hosted a few years back in New Westminster, BC, Canada.

Since then I have ran into Belton in Orlando, Florida.  We did an interview there as well, you can check it out here: exercise rehabilitation interview .

I have know Belton for two years.  It seems like every time I see him, he interviews me.  While visiting his facility, we did another video interview.

In the Interview this is what Belton and I chat About:
- Which fitness trends have increased my post injury personal training business
- The percentage of people that are not ready for a fitness program
- A new trend in the fitness industry to help your clients prevent injuries
- Importance of adding an apple a day exercise to keep injuries away
- Learning never ends when you want to be the best fitness professional you can

Interview with Me by Belton Lubas of Element 5 Fitness

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Win a FREE Copy of the Muscle Imbalances Revealed Review Program

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education) by Rick Kaselj on 22-07-2010

On Tuesday, the Muscle Imbalances Revealed will officially go on sale at 9 am EST at the one-time grand opening sale, but…

Today’s your one and only chance to win a copies of “Muscle Imbalances Revealed”.

And it will only take you a minute to enter.

Just leave a short message for me about…

“Why Muscle Imbalances Revealed would be the perfect resource to finally help you with your clients with injuries, fitness plateaus and prevent injuries?”

products in box Win a FREE Copy of the Muscle Imbalances Revealed Review Program

Rick’s Random Rambles – 7-16-10

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Filed Under (Chronic Conditions, Corrective Exercise, Exercise Rehabilitation, Post Rehab Fitness, Rotator Cuff Exercises) by Rick Kaselj on 15-07-2010

It has been a bit of a crazy week.

I have been in Orange County at a Fitness Conference.  It was a little more than a fitness conference, it was a fitness mastermind group.

After the fitness mastermind in Los Angles, I was off to Seattle for a fitness business conference.  The people presenting were Tom Plummer and Bill Parisi.

Just Marked Her Rotator Cuff exam


The great thing about the scoliosis and rotator cuff manuals that I have written, I have been able to help people with these injuries and fitness professionals better understand these injuries.  These manuals have helped people around the world.  I just sent off a scoliosis manual to Seol, Korea.  How cool is that.

Here are a few kind words from a fitness professional in Calgary, Alberta, Canada had to say about the Effective Rotator Cuff Exercises.

“Thanks Rick!  Always great to read your manuals though – I find them very thorough and I really like the progression that you write them in – anatomy, purpose of exercising, etc.”

Fiona Yeoman
Wellness trainer, Kinesiologist
Talisman Centre, Calgary

cuff 3D big 2 Ricks Random Rambles   7 16 10

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The Best Exercise for Patellofemoral Pain Syndrome

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education, Knee Injury, Knee Pain) by Rick Kaselj on 06-07-2010

What Exercise is Ideal for Clients with Patellofemoral Pain Syndrome due to Muscle Imbalances

Leg Extension 202x300 The Best Exercise for Patellofemoral Pain SyndromeApproximately 60% of athletes have patellofemoral pain syndrome (PFPS) sometime in their life, and a long line of research has shown that PFPS is primarily caused by muscle imbalances in the vastus medialis oblique (VMO) and vastus lateralis (VL) muscles.

Activation, endurance and strengthening of these muscles is key to PFPS prevention and rehabilitation, but the best exercises for these muscles have not been conclusively determined.

In an effort to help clarify contradictory findings in the exercise science literature on this topic, researchers in the United Kingdom conducted a study designed to test the effect of two closed kinetic chain exercises and one open kinetic chain exercise on VMO and VL muscle activity in healthy individuals.

Highlights of the Study

The study’s participants were 11 men and 11 women between the ages of 18 and 40 who were not experiencing any symptoms of PFPS at the time of the study.

Researchers used electromyography (EMG) to measure VMO and VL activity and calculate a VMO:VL ratio while the participants performed three quadriceps-strengthening exercises after a 5-minute indoor cycling warm-up.

Other Amazing Stats about Patellofemoral Pain Syndrome

- incident rates in the general population of 25%
- one of the most common injuries in the lower body
- the ratio of VMO:VL should be 1:1 but in people with PFPS it is estimated to be 0.54:1.
- muscle imbalance of VMO:VL leads to a decrease in medial pull leading to patella maltracking

7.1.10 – Random Thoughts

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Hip Injury, Low Back Pain, Lumbar Fusion Exercises) by Rick Kaselj on 01-07-2010

These random thoughts things have been fun.

I don’t think anyone reads them but I enjoy sharing and writing.

Here you go with today’s random thoughts.

Hip Replacement

I got an email from a Kinesiologist in Regina, Saskatchewan who specializes in training clients with hip and knee replacement.

She had taken the Core Stability of the Hip webinar and is using the concepts and exercises with her hip and knee replacement clients.

If you are looking at increasing your understanding, confidence and getting some exercises for clients with hip and knee replacements, I would recommend Jody Kennett.

Jody Kennett, is a fitness professional that has a specialization working with clients with hip and knee replacements.

She will be presenting her The Joint Replacement Client: Pre & Post-op Exercise Guidelines on November 6 in New Westminster, BC.

I have taken the course twice and I highly recommend the it.
corestability DVD in large 277x300 7.1.10   Random Thoughts

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Muscle Tightness: Overactive Fatigue vs. Dysfunctional Stiffness – Part 2

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Filed Under (Exercise Rehabilitation, Interviews, Post Rehab Fitness, Profitable Exercise Rehabilitation Business) by Rick Kaselj on 23-06-2010

Muscle Tightness: Overactive Fatigue vs. Dysfunctional Stiffness – Part 2

Here is part 2 of Dean Sommerset’s blog post for you.

If you missed what he talked about in part 1, CLICK HERE.

muscle imbalance wheel Muscle Tightness: Overactive Fatigue vs. Dysfunctional Stiffness – Part 2As the wheel loses that stability, it becomes “out of true” and winds up warping and not working too well.

What Happens First when Your Back Hurts

So if my hamstrings were tight to make up for my low back, stretching them without stabilizing my back would actually make the problem worse. Normally, when something happens to make my back start to hurt, the first thing that happens is that my glutes and hamstrings tighten up almost immediately. The first thing I do is start to do some light core activation work and spinal stabilization work, and magically my hamstrings feel better!!

What to do if the Muscle is Stiff Due to Disuse?

If the muscles are stiff from disuse, This could be considered a pathological condition as the muscle has undergone degenerative changes to its’ structure, as well as to the fascial envelope around each fibre. The best thing is not simply static stretching to gain length, but a series of active stretches to engage that muscle and the ones around it. This helps to reset the neuromechanical transmitters to lower the tone of the muscle and allow it to re-gain its’ strength and ability to contract and relax properly. This is the type of tight muscle that should be stretched.

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Muscle Imbalances and Flexibility

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Filed Under (Exercise Rehabilitation, Fitness Education, Knee Injury) by Rick Kaselj on 21-06-2010

I was talking about that project coming up.

Another person involved in Kevin Yates.

Here is a clip from Kevin’s webinar lower body assessment for muscle imbalances:

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Exercises for Shoulder Impingement

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education, Shoulder Injury, shoulder impingement) by Rick Kaselj on 20-06-2010

Exercises for Shoulder Impingement

Description:

The shoulder is one of the most injured joints in the body.  One of the most common injuries to the shoulder is shoulder impingement.  A key component in the recovery from shoulder impingement is exercise.  The role of exercise for shoulder impingement is key in helping speed up recovery, decreases pain, improving movement, increasing strength and creating stability around the shoulder joint.  The focus of the Exercises for Shoulder Impingement webinar will be exercise program design and exercises for a client that has shoulder impingement.

What you will learn during the webinar:

- A 12 week shoulder impingement exercise program that you can use right away with you shoulder impingement clients
- The exercises to DO and NOT do when training a client recovering from shoulder impingement
- Essential components of an exercise rehabilitation program when training a client recovering from shoulder impingement
- Recommended and research backed exercises when training a client recovering from shoulder impingement
- Key structures involved in shoulder impingement

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How Common is Spinal Fusion Surgery?

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Low Back Pain, Lumbar Fusion Exercises) by Rick Kaselj on 19-06-2010

What Makes Up Spinal Fusion 227x300 How Common is Spinal Fusion Surgery?What Makes Up the Lower Back?

It is difficult to fully understand a lumbar spinal fusion without briefly discussing the normal anatomy of the spine. The vertebral or spinal column consists of 33 bones called vertebrae. Each are that stacked on top each other to for them spine. The spine, which extends from the base of skull to the pelvis, has four regions: the cervical spine, thoracic spine, lumbar spine and the sacrum. Between each vertebra are the flat and circular plates of cartilage called the interverbral discs. Intervetebral discs maintain the integrity and continuity of the spine by holding one vertebra to the next. It acts as an effective cushion that absorbs shock and pressure placed by the everyday movements of the back. This disc also makes bending and head rotations possible.

The lumbar spine makes up the lower back, extending from the lumbar curve down to the sacrum. Among the four regions of the spine, the lumbar region endures the greatest stress. Carrying the entire body weight, this region is supported by the five thickest and sturdiest of all vertebrae of the spinal column. It has also been determined that the intervertebral discs between two adjacent lumbar vertebrae are the thickest. Attaching to the lumbar vertebra are some of the largest stabilizing muscles of the lower back, which include the lumbar erector spinae, psoas and quadratus lumborum. Because the greatest amount of work and stress are placed against this region of the spine, the lumbar spine is most susceptible to injuries and structural alterations.

How Common is Spinal Fusion Surgery?

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