Dr. Lesch uses a variety of diagnosis and treatment methods. The following are brief descriptions of some of the more frequent techniques he uses in practice:
The McKenzie Method, also known as Mechanical Diagnosis and Therapy of the Spine and Extremities, is the gold standard in spinal care. It remains the most researched method of care and has been found to be as reliable as MRI in determining the source of the problem. Unique to the McKenzie Method, is the use of repeated movements and sustained postures to thoroughly assess and identify the source of pain. The findings from the evaluation help determine the most effective treatment strategy to abolish the pain and restore function. The most exciting part of the McKenzie Method is that it is a philosophy of active patient involvement and education that allows the patient to take advantage of their own movements and forces to treat themselves.
This simple yet effective manual approach addresses spinal and extremity disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain. The key to the effectiveness of the Mulligan technique is that the mobilizations are totally pain-free and result in immediate and dramatic improvement in terms of pain and range of motion. Similar to the McKenzie Method, when appropriate, the Mulligan techniques are very effective and can be shown to patients in order to self-treat.
Unfortunately, most of us have been taught improper bending and lifting skills, even by the so-called experts. The Power Lift Training method teaches proper body mechanics with lifting, bending, pushing, pulling and other techniques commonly used throughout the day. It’s used in large and small industries all over the world as a safe and effective way of material handling that has led to reduced injuries and significant cost savings. It’s something I teach to all of my lower back patients. The cumulative trauma associated with poor lifting and bending habits, along with poor posture, is the most common cause of lower back pain and is critical to address in care in order to prevent further damage and future flare-ups.
Selective Functional Movement Assessment
The body is designed in an alternating pattern of mobility and stability for optimal function. For example, the ankle has numerous bones and joints that allow for generous movement in all directions. The next joint, the knee, is a hinge joint that mainly flexes and extends – designed for stability. Above the knee is the hip, a ball and socket joint, designed for mobility. The lower back is meant to be stable and the same alternating pattern continues up the spine. Any change to these regions can compromise areas above and below, resulting in early degenerative changes, injury and pain. For example, if a patient has loss of hip motion, the lower back or knee will now have to take up the slack. Instead of providing stability, their roles will change in order to provide more mobility, which can result in soft tissue injuries to the knee and spine. The Selective Functional Movement Assessment is a series of tests to assess fundamental patterns of movement and flexibility to identify possible areas of dysfunction above or below the area of pain that may be contributing to your problem. This technique allows me to help identify and correct any weak links in other areas that may be leading to poor movement quality and excessive wear and tear at the site of pain.
Chiropractic Biophysics emphasizes structural rehabilitation of the spine. Sometimes, functional rehabilitation (stretching and strengthening exercises) isn’t enough to correct the problem. Until the normal alignment is returned, it can be difficult to make a full recovery and experience lasting benefit from treatment. Chiropractic Biophysics often uses traction and extension devices/techniques to restore the normal curves of the spine. Structure dictates function in all areas of science, and the spine is no exception to that rule. Studies clearly show reduced or abnormal curves in the neck are associated with early degenerative changes, neck pain, reduced range of motion, disc disorders, trigger points, headaches and more. Simple, inexpensive at home traction units or orthoses can be used to help restore normal curves and alignment in order to reduce pain and restore normal function.