Motion Stability's Blog

Stretches for lower back pain? by charlestlee

image source:

Brian Yee PT, MPhty, OCS, FAAOMPT

The most common muscle that is strained on the side of your back is the quadratus lumborum (QL). The QL attaches from the side and bottom of your rib cage to the top of your pelvis. There is a right and left QL and when it contracts its side bends your spine, as well as extends the back.

Lets say your right QL feels tight – to stretch this:

1. While sitting place a thick book or half foam roll under your opposite / left hip.

2. Lean to the left, away from your painful side, fulcruming over the roll and left hip.

3. Slightly bend forward and rotate towards the right. Keep your right hip bone on the seat.

4. You should feel a nice stretch on the right side where the QL muscle is.

This stretch should not cause increased back pain or nerve symptoms down the leg. Please consult with a qualified health practitioner to display proper technique.

Is stretching supposed to be painful? by charlestlee

image source:

Brian Yee PT, MPhty, OCS, FAAOMPT

Stretching should at most be moderately uncomfortable. Many people think that stretching only targets the muscles, but consider that there the joints, ligaments, nerves, and fascia are also stretched. If you have a joint hypermobility or an irritated nerve, such as sciatica, over-stretching can actually injure the tissue and cause more problems than good.

What do the callouses on my feet say about my sports injury? by charlestlee

image source:

Brian Yee PT, MPhty, OCS, FAAOMPT

Even by looking at someone’s callouses on their feet we can begin to make an assessment why and where the patient is injured somewhere higher in the body. For example, runners that have an excess of callousing along the entire ball of the foot tells us that they are putting an excessive amount of force their. Like pressing on a gas pedal, we can deduct that the athlete is using alot of their calf muscles to generate movement and power. It is possible to make assumptions that calf cramps, achilles tendinitis and shin splints occur due to the increased stresses at the ball of the foot.

Another example are bunions along the first toe. What that indicates is an excessive force on the medial or inside of the foot. Like a rudder, if the foot turns inward when you step through it, the knee and hip will follow that line of force causing increased stresses along the inside of the leg. Commonly we see people with bunions have some type of medial knee or patellar pain as well as hip or back pain as the foot is not adequate in absorbing shock causing increased forces into the joints above. If you’re not sure what the callouses on your feet mean in terms of your overall sports performance, we recommend that you contact a qualified Physical Therapist that understands the relationship of your foot to the rest of your mechanics.

Correlations and Interactions Between the Viscera & Musculoskeletal Systems. by charlestlee

Image Source:

Brian Yee PT, MPhty, OCS, FAAOMPT
The International Association for the Study of Pain (IASP) has named the 2012-2013 years as the Global Year Against Visceral Pain. Your viscera, or essentially your internal organ system can be a source of pain, but also referred pain to your musculoskeletal system. There are times when people present with low back or mid back pain that may be referred from an internal organ or visceral source. In chronic pain situations, there are many times that correlations and interactions between the viscera and musculoskeletal systems occur that require Physical Therapists to assess and treat both systems as well as collaborate with other health practitioners. Here is a link to a quick Fact Sheets about the IASP on visceral pain.
If you have chronic musculoskeletal pain and ongoing internal organ issues, there may be a relationship between the two. Feel free to contact us if you would like to know more about this at
The Motion Stability Team

Chronic Pain Can Be a Pain by BCollier

Most all people have experienced some form of pain in their lifetime.  Feelings of pain can present from skinning your knee on your first fall off of a bicycle to the tiniest of papercuts or rehabilitating a surgical procedure. Each person can feel and interpret pain in many different ways in the many different circumstances it may present. Generally, pain is thought of as a symptom or result of an incident, such as those mentioned above, or a disease, like the aches commonly felt with the flu. In these cases, most healthcare practitioners focus on treating the cause of the pain, knowing that eventually the pain should subside as your body heals.

However, in cases in which pain persists outside of its expected time frame of body healing, other ideas must be considered.  Commonly in these instances, patients are sent from doctor to doctor in search of a diagnosis or cause of their unrelenting pain, often undergoing many different tests and treatments often only left with a vague diagnosis of  “fibromyalgia” or “myofascial pain syndrome.”  For these individuals, pain takes over many aspects of their life and become functionally limited or even disabled.  Pain then becomes less of a symptom of a disease and, rather, becomes a primary disease in itself.  Patients may even experience other non-pain-related symptoms as a result of the pain process, such as sweating, redness, sensitivity to touch, changes in hair or nail growth, changes in bathroom habits and feelings of depression. It is necessary at this stage to change the treatment approach to stop the pain cycle to best allow the patient to return to normal daily function. Understanding the many factors which may affect pain is imperative to best treat patients with such presentation, including nutrition, exercise, internal organ system function, and psychosocial situations.

The physical therapists at Motion Stability have collaborated with a network of physicians around the Atlanta area to establish a strong approach to the treatment of patients with chronic pain. Utilizing a biopsychosocial treatment model, it is our goal to spend time with patients who may have undergone failed treatments in the past to understand their unique individual situations and to outline the best possible plan of care. For more information patients or physicians may directly contact our therapists at Motion Stability at

– Beth Collier PT, DPT, OCS

*Reference: Cousins, Sidall. Persistent Pain as a Disease Entity: Implications for
Clinical Management. Anesth Analg 2004;99:510 –20.