II. Protocol
- Initial assessment by methodology trained PT and then individualized self treatment
- Structured exam classifies patient's Low Back Pain (predicts PT response and best approaches)
- Derangement Syndrome
- Articular displacement and joint disturbance
- Dysfunction Syndrome
- Trauma or degeneration resulting in structural and soft tissue deformation
- Posture Syndrome
- Prolonged postural stress resulting in local mechanical pain (e.g. slouched sitting position)
- Other
- Does not fit in other categories
- Derangement Syndrome
- Approach to therapy is based on 2 key findings
- Centralization
- Pain localizes distally to start and then centralizes in response to treatment
- As an example, initial Foot Pain centralizes to buttock pain on repeated movement
- Directional Preference
- Decreased pain on extension or in shifting weight to the left or right
- Centralization
III. Resources
- McKenzie Method for Clinicians
- Treat Your Own Back (Self-Directed McKenzie Method Book for patients)