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I read a magazine article saying McKenzie exercises are the answer to low back pain. Six months later and I'm still in pain. McKenzie exercises didn't work for me. Do they work for anyone, really?

The McKenzie Method was named for a physical therapist who developed the idea by the name of Robin McKenzie. When used correctly the McKenzie Method is a way of classifying and diagnosing then treating low back pain patients.

It's not intended to treat all back pain patients -- only those who have certain patterns of symptoms based on movement. Each movement is repeated over and over to see its effect. For example some patient's pain goes away completely when bending forward. This is called directional preference. The patient is told to avoid motions that increase the pain and move into positions that are comfortable.

If bending forward moves the back or leg pain to the middle of the low back or takes it away altogether, it's called centralization. If movement in one direction causes the pain to travel down into the buttocks or down the leg, it's called peripheralization.

If you don't have a directional preference, then the McKenzie Method isn't likely to help. Many patients who are helped by the McKenzie Method can avoid surgery. If McKenzie exercises didn't help you, then you may not be a good candidate for this treatment. This may be a good time to go back to your doctor or therapist for a follow-up visit. There may be other forms of treatment that would work better for your problem.


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