One of the fascinating and often under-appreciated consequences of asymmetry in the human body, which is entirely the ‘norm’ rather than the exception, are the resulting twists (rotations) that accompany side-to-side spinal curves. As this is the ‘norm’ it affects everyone to one degree of another.
Consider this: it’s nigh impossible to grow two legs (feet, tibia, femur) and their two associated halves of the pelvis (a further three bones) that are identical mirror images of each other. Not only will they be different in form (length, breadth, height, mass) but they will also be different in function (left and right handedness, occupational or sporting use, previous injury or disease). Perhaps this is one reason why more than 90% of individuals (for all intents and purposes, everyone) has a side-to-side spinal curve. Of course, there are those with more serious scoliosis of a developmental nature; these are uniquely different and not being considered here.
What is often overlooked is, when the pelvis tips slightly to one side (because of that slightly shortened limb on the same side), the spine will introduce a curve to the opposite side in order to maintain equilibrium. The spinal curve also comes with a twist to the same side, resulting in global rotation of that region of the body. Continuing up the spine, the curve will gently tilt to the other side, maintaining the equilibrium of the head and the plane of the eyes largely level with, and facing the horizon. Likewise, a twist will also accompany this tilt, opposite to the earlier, lower twist.
The end result is that from above, you resemble a subtle corkscrew on two legs; yes that’s right, skewed in 3D! Now factor in right or left handedness, all the other asymmetric activities of life including the anxieties(!), and one can easily see how asymmetric muscle tension patterns develop. To add insult to injury, we tend to slump to one side, favouring the short leg so your body weight is slumped onto the short side, the opposite long knee bent a little and pelvis dropped on that side, spinal curves exaggerated, shoulder dropped, neck tipped. What a predictable picture and what a comfortable slump!
That’s often why your back or neck pain may keep arising in the same place, and becomes an ‘old friend’. Sustained muscle tension and loading patterns result in changed tissue texture and physiology, resulting in pain, which of itself, creates greater tension and loading, and so the positive cycle continues. These ’strain’ patterns are detectable in diagnostic palpation of tissues, engendering tenderness or pain upon pressure. They may be easily traced from the lower limb to the head. They are also modifiable with suitable osteopathic treatment.
That’s why, at Dunedin Osteopathic Clinic, Focused Osteopathic Care strives to identify underlying causes and reasons for your pain, and also why you don’t have to keep endlessly coming for treatment, either because there is a failure to identify the cause by diagnosing the underlying problem (even of the treatment is ‘free’) or because a particular on-going, life-long treatment is advocated as ‘desirable’, in order to achieve the impossible, namely a ‘perfect’ frame.
In fact, a rational osteopathic treatment approach identifies and addresses any minor leg length discrepancy, identifies and addresses asymmetric habitual postures (slumping into your comfortable curves) and educates a heightened perceptual awareness of your body’s asymmetries. A little suitable treatment helps you over the reason for your initial presentation and the prescription of minor, judicious exercise movements on occasion, reinforces improved and more efficient postures.
Once again, there’s a spring to your step. The old pain and stiffness is gone and there are two bonuses; you actually know and understand how to maintain your new found comfort, and you no longer have to worry about on-going care, be it ‘expensive’ or ‘free’!
This is the blog of the Dunedin Osteopathic Clinic's