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Lina's failed back surgery (Can we rehab squatting ability?) (Squatting NOT necessary at birth!)
To remove yourself from my list, send a BLANK email to .
I will delete you immediately... LINA'S FAILED BACK SURGERY (microdiscectomy)... See below. First things first... PREGNANT WOMEN: MDs are closing birth canals up to 30% by using semisitting and dorsal delivery. It's EASY to allow your birth canal to OPEN the "extra" up to 30%! SQUATTING IS NOT NECESSARY AT BIRTH: You do NOT have to squat to allow your birth canal to open the "extra" up to 30%. Just roll onto your side - but see the WARNINGS below. LINA'S FAILED BACK SURGERY (microdiscectomy)... Lina Talbot, MD (perhaps she is an MB?) writes of her failed back surgery... "When the radicular pain returned after my microdiscectomy, I battled for months to cope...I returned to the neurosurgeon, who did computed tomography, pronounced that the prolapse had not recurred, and told me it would take more time. Despite twice weekly physiotherapy and utmost care with all physical activities, I gradually worsened and developed bladder problems. Only after many consultations and investigations did I pick up a book and read about Postdiskotomie-Syndrom. I then began to understand that, although the nerve roots were not damaged directly by the surgery, they were now encased in a web of scar tissue causing pain and spasm...tweaked...by movements of the spine and legs...After four years I still haven't found appropriate rehabilitative support in the United Kingdom...Even in Germany, where I participated in a rehabilitation programme..."" --Talbot L. BMJ 2003;327:985-986 (25 October) http://bmj.bmjjournals.com/cgi/conte...l/327/7421/985 OPEN LETTER (archived for global access***) Lina Talbot, MD (or perhaps MB?) Registrar (retired) General Medicine 1 Torquay Devon TQ1 3TB GREAT BRITAIN Lina, How very sad that four years after your failed back surgery you "still haven't found appropriate rehabilitative support..." I, too, am interested in finding appropriate rehabilitative support. I'm *particularly* interested in finding appropriate rehabilitative support for... CHILDREN... BEFORE spine surgery - before conservative care - before SPINAL PAIN... Should we not allow/encourage our children to rehabilitate their innate comfortable prolonged flat-footed squatting ability? See Fahrni WH. Conservative treatment of lumbar disc degeneration: our primary responsibility. Orth Clin N Am 1975;6(1):93-103. ADULTS... Since it may be impossible to rehabilitate (recover) lost bony "squatting" facets. Since it may be impossible to fully rehabiliate an adult's *innate flat-footed squatting ability* once lost. PREVENTION of the squatting loss may be best. Prevention may lower risk of future back injury... I noted in my peer review of the first draft of the 1994 US Public Health Service sponsored Acute Low Back Problems Guideline: Making squatting an activity of daily living again would certainly increase "flexibility," a distinct concern of the U.S. Department of Health and Human Services, Public Health Service. Quoting from the PHS publication Healthy People 2000: "Flexibility describes the range of motion in a joint or sequence of joints. Those with greater flexibility may have a lower risk of future back injury...Joint movement through the full range of motion helps to improve and maintain flexibility... "...The performance of routine daily activities is particularly important to maintaining functional independence and social integration in older adults. Increasing public awareness of all of these potential benefits may help to encourage the pursuit of activities that will promote...flexibility." [Harrell JA, Artz LM, Files A, Baker D (eds.). Healthy people 2000: National health promotion and disease prevention objectives. DHHS Pub. No. (PHS)91-50212, 1991:100] Lina, regardless whether you find the "appropriate rehabilitative support" you are looking for... I hope you will join me in working to rehabilitate (or prevent loss of) the innate flat-footed squatting ability. See Feldenkrais lesson: Effortless Squatting... http://health.groups.yahoo.com/group...t/message/2211 Thanks for reading, Sincerely, Todd Dr. Gastaldo PS1 Lina, you wrote: "I have learnt to be wary of enthusiastic physiotherapists." http://bmj.bmjjournals.com/cgi/conte...l/327/7421/985 I, too, have learnt to be wary of enthusiastic physiotherapists (and enthusiastic MDs/MBs and DCs and DOs)! (I still haven't learnt to be wary of my own enthusiasm, though. : ( Perhaps I'm wrong - but I don't think so - but obviously I am biased - perhaps over-enthusiastic about my ideas. If you perceive any error, please immediately point it out - preferably publicly.) MAINTAIN THE LUMBAR LORDOSIS? Enthusiastic physiotherapists **bizarrely** promote maintaining the lumbar lordosis... Indeed MANY enthusiastic physiotherapists (and MDs/MBs and DCs and DOs) bizarrely promote "maintaining the lumbar lordosis." SARAH KEY, enthusiastic physiotherapist to HRH Prince of Wales bizarrely promotes "maintaining the lumbar lordosis." I wrote to Sarah: "Most humans on the planet make the lumbar lordosis DISAPPEAR in circumstances where we Westerners sit in chairs or on bus benches and have 'spine experts' exhort us to 'maintain the lumbar lordosis'" - or words to that effect... Sarah never responded... See Sarah Key's huge balls (also: Kids can SQUAT motionless for hours)... http://groups.yahoo.com/group/chiro-list/message/2084 Lina, what I'm getting at is this: You may NEVER find "appropriate rehabilitative support" in a chair-dwelling culture which robs its members of the ability to rest their spines whilst standing. When we squat we rest our spines - we stack our lumbar vertebrae EVENLY thereby forcing water and metabolites out of our lumbar discs EVENLY. When we sleep, we take pressure off our lumbar discs and they absorb water and nutrients. When we sit or stand for prolonged periods (in circumstances where most humans would squat)... We **hammer** our posterior disc quadrants...The posterior disc quadrant degenerates because posterior disc quadrants aren't designed to take the full weight of the trunk for prolonged periods - i.e. - when we rest for prolonged periods, our WHOLE DISCS are supposed to take the load. Canadian orthopedic surgeon W. Harry Fahrni, MD treated low back pain by stopping people from hammering their posterior disc quadrants... At least that is my take on Fahrni's 1975 paper cited above... See again: Fahrni WH. Conservative treatment of lumbar disc degeneration: our primary responsibility. Orth Clin N Am 1975;6(1):93-103. PS2 LINA GET THIS: As Western culture robs its children of an innate flat-footed squatting ability (I call this The Great Squat Robbery)...your fellow MDs/MBs rob children of up to 30% of pelvic outlet area at birth! The kicker? Some MDs/MBs blame their bizarre birth-canal-closing practice on The Great Squat Robbery! See Gardosi et al.'s 1989 Lancet "randomised controlled trial of squatting" - where nobody squatted... Incidentally, Gardosi - a Brit - has changed his tune since initially telling me (erroneously) that sedentary women can't squat well enough to do so in labor. Sedentary women CAN squat well enough to do so in labor [Paciornik. Birth 1992;19:230] - but they don't have to squat to allow their birth canals to open maximally. See above - and see PREGNANT WOMEN, below. CHIROPRACTIC BIRTH EMERGENCY LINA!... MDs (and MBs and midwives) are senselessly closing birth canals up to 30%. MDs (and MBs and midwives) are gruesomely manipulating - pushing and pulling on the tiniest spines - with birth canals senselessly closed up to 30%. Some babies are dying... OBs are killing an estimated six babies per DAY with vacuum-assisted spinal manipulation alone - with birth canals senselessly closed up to 30%... See USUAL MECHANISM (PS5) in my article, "Pregnant chiro patients: BIZARRE chiro legislation - babies be damned..." http://groups.yahoo.com/group/chiro-list/message/2135 MD-obstetricians CAUSE cephalopelvic disproportion (and failure to progress) - then perform c-sections BEcause of cephalopelvic disproportion (and failure to progress)! Epidural pain relief is a godsend for some women - but why close birth canals and make women beg for it? MORE MD crime against mothers... MDs are performing "generous" episiotomies when they use their vacuum extractors and forceps... MDs are performinig episiotomies - "generous" or otherwise - in MOST births! Stated more usefully, in most births MDs are routinely SLASHING VAGINAS - surgically/FRAUDULENTLY inferring they are doing everything possible to OPEN birth canals - even as they CLOSE birth canals - up to 30%! PREGNANT WOMEN: You can allow your birth canal to OPEN the "extra" up to 30% - just roll onto your side - or use kneeling or hands-and-knees or stand or squat - ANYTHING but semisitting or dorsal. WARNINGS: 1. Most MD-obstetricians close the birth canal up to 30%^^^ even as they acknowledge that closing the birth canal FAR LESS can kill. 2. Some MD-obstetricians will let you "try" "alternative" delivery positions BUT they will move you back to dorsal or semisitting (close your birth canal up to 30%!) for the actual delivery! ^^^NOTE: If the pubic arch is narrow, semisitting and dorsal likely close the birth canal MORE than 30% in some women. According to Williams Obstetrics [2001]: "...With increasing narrowing of the pubic arch, the occiput cannot emerge directly beneath the symphysis pubis but is forced increasingly farther down...the ischiopubic rami. In extreme cases, the head must rotate around a line joining the ischial tuberosities [!] (p. 438)..." PROOF that MDs know they are closing birth canals: At my request, the authors of Williams Obstetrics *published* "my" biomechanics - but they left in their text the "dorsal widens" bald lie that first called my attention to their text. Here are the biomechanics that were added at my request to Williams Obstetrics: "It should be noted...that the increase in the diameter of the pelvic outlet occurs *only* if the sacrum is allowed to rotate posteriorly..." [1993:285, *italics* in original] OBVIOUS NEGLIGENCE: The authors of Williams Obstetrics left in their text (in the same paragraph!) the "dorsal widens" bald lie that first called my attention to their text. For a discussion of other obvious obstetric negligence - and how the 30% figure was radiographically derived - see http://home1.gte.net/gastaldo/part2ftc.html. My thanks to Prof. Dr. Moyses Paciornik, MD, Curitiba, Brazil, for calling my attention to this chiropractic emergency. See the Paciornik and Gastaldo letters in Birth [1992;19:230] FURTHER proof that MDs know they are closing birth canals: ACOG's shoulder dystocia video purports to show MDs how to OPEN the birth canal maximally when the shoulders get stuck - which of course is an indirect admission that MDs are indeed routinely CLOSING birth canals... Unfortunately, the ACOG method for opening the birth canal (PROPER McRoberts) actually keeps it closed... See IMPROPER McRoberts can save tiny lives and tiny limbs... http://groups.yahoo.com/group/chiro-list/message/1308 (ACOG = Amercian College of Obstetricians and Gynecologists - the obstetric trade union to which most MD-obstetricians belong.) The massive MD crime is obvious. PARDONS FOR MDs... As always, I am in favor of pardons in advance for MDs. MDs are just academic prime cuts forced through this culture's most powerful mental meatgrinder - medical school. LINA... Don't you think our most powerful mental meatgrinders - medical schools - should stop teaching MDs/MBs to close birth canals? Don't you think they should start telling this chair-dwelling culture that it is robbing its children of the ability to rest their spines whilst standing? THINK ABOUT IT LINA: This culture denies its members the very human ability to rest on their feet in virtually any terrain. You wrote: "I battled for months to cope with ward work while seeking out an unoccupied bed in a quiet corner for periodic breaks. The availability of beds, in Germany at least, makes medicine seem the perfect occupation for someone with failed back surgery." http://bmj.bmjjournals.com/cgi/conte...l/327/7421/985 Lina, I suspect that... Long before your back surgery... Long before you started experiencing back pain... You could squat. But your culture didn't let you. You had to sit in a chair. DO I KNOW THAT THE CHAIR CAUSED YOUR DISC DEGENERATION? (I don't even know if you sit in chairs!) I agree with Fahrni (as I interpret his work) and the US Public Health Service quote above... I believe many people are suffering low back pain because they are forced to sit in chairs for prolonged periods... BUT... Even if sitting in chairs does NOT cause back pain... Even if allowing/encouraging children to squat does not prevent back pain... WITH NURSING HOMES OVERFLOWING... Why would we continue to deny our elderly a childhood range of motion and the lower limb power to rise from a squat? It makes no sense - just like it makes no sense for your fellow MDs/MBs to close birth canals and gruesomely (sometimes fatally) manipulate most babies' spines at birth. Please help stop these obstetric/orthopedic travesties. Thanks for reading, Sincerely, Todd Dr. Gastaldo ***This Open Letter will be instantly archived for global access at... http://groups.yahoo.com/group/chiro-list/message/2221 Within 24 hours it will be in the google archive. Search http://groups.google.com for "Lina's failed back surgery (Can we rehab squatting ability?) (Squatting NOT necessary at birth!)" To remove yourself from my list, send a BLANK email to . I will delete you immediately... |
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