Treating Mechanical Dysfunctions of Lower Back through Lumbar Spine Assessment of Structural Diagnosis and Management (SDM): A New Comprehensive Approach of Musculoskeletal Medicine | Biomedgrid

Low back pain and radiculopathies are leading health issues and mainly managed through conservative approaches concentrating on articular and neural structures of lumbar spinal segments. Although more than one-third of the sources causing lumbar pain, radiculopathy or associated impairments may not arise from the lumbar spine, articulations, nerve roots or local structures. Structural Diagnosis and Management is a comprehensive and systematic approach of taking history, examination of arthokinemetic and osteokinemtic motions of lumbar spine, stretching the series of muscles in lumbopelvic and lower extremities with biomechanical rationale, strength test to relative prime, segmental and regional stabilizer, neurological examination to the biomechanical contributor, myotomes and isolated neural structures to generate a diagnosis. The concept is developed by Dr. M Shahadat Hossain with a hypothesis that, disc herniation, degenerative disc disease or other structural and mechanical phenomenon might be treated creating a biomechanical correction by strengthening the week structures and stretching the adherent or spasmodic structures with or without localized release to the adherent neural sensitivity. The concept integrates articular, contractile, inert structural dysfunctions concentrating on spinal, regional and biomechanical connections to ensure assessment and treatment through the appropriate clinical reasoning process.