What is the McKenzie Method?
Conditions treated by the McKenzie Method
How is Mckenzie Method different from other types of physiotherapy?
The McKenzie Method stages :
The information gathered during the assessment stage will guide your therapist to identify patterns of pain response, getting to the root cause of your pain. Using the comprehensive classification system known as MDT, they will categorize your pain into one or more of three syndromes :
- Postural syndrome: pain experienced while in certain postures or positions
- Derangement syndrome: pain experienced from a change in position that impacts a disc in the spine
- Dysfunction syndrome: intermittent pain and limited movement caused by problems with scar tissue on shortened or tightened muscles/ligaments
Benefits: Using the McKenzie Method for back pain, neck pain and extremity musculoskeletal system:
The Four Categories Of MDT Classification:
1) Derangement Syndrome
- This is the more common and known syndrome
- Inconsistency and change is the major characteristic of this syndrome
- Symptoms may be local, referred, radicular or a combination, the symptoms could also move from side to side or proximal to distal.
- Symptoms can be constant or intermittent and could vary through the day
- The onset can be sudden, with no known cause, or gradual over time
- The symptoms can be influenced by postures or normal daily activities
- Directional preference is a hallmark of derangement syndrome, which a specific repeated movement or sustained position causes a relevant improvement in symptoms.
- Treatments involve specific movements that cause the pain to decrease, centralize and/or abolish.
2) Dysfunction Syndrome
- Refers to pain which is a result of mechanical deformation of structurally impaired tissues like scar tissue or adhered or adaptively shortened tissue.
- The symptoms must be present for 8-12 weeks, this time allowed the tissues to deform
- The pain is always intermittent and arises at the end range of a restricted movement.
- The treatment includes: repeated movements in the direction of the dysfunction or in the direction that reproduces the pain. The aim is to remodel that tissue, which limits the movement, through exercises so that it becomes pain-free over time.
3) Postural Syndrome
- Refers to pain which occurs due to a mechanical deformation of normal soft tissue from prolonged end range loading of periarticular structures.
- The pain arises during static positioning of the spine: for example sustained slouched sitting.
- The pain disappears when the patient is moved out of the static position.
- There is no pain with performing movement or activity.
- The treatment includes: patient education, correction of the posture by improving posture by restoring lumbar lordosis, avoiding provocative postures and avoid prolonged tensile stress on normal structure.