Jan 24, 2009
I have a 52 y.o. male with DDD of lumbar spine. We've used TMR successfully in our sessions, and he usually leaves at a 0-10% issue. He has been using it successfully at home for almost 4 weeks, and again can decrease his issue (pain with forward bending) within 10 minutes. His chief complaint at initial visit is severe pain with bending upon rising in the AM. This hasn't improved at all. I don't know whether to advise him that he will always have to do TMR first thing in AM to get moving, or can we expect at some point he will have a decrease in "resting" pain?
Also, this patient finds bent-knee-toe-reach always increases his issue, and we've eliminated it from his Fab 5. Is there any reason to try and reintegrate this, or will he be "balanced" even if we ignore it?