Lower back‬ sublaxation and denervation:
By Jose Fuentes/Kinesiologist/Researcher/LBDCS

Lower back denervation and sublaxation is a common symptom on some of my patients who suffer
chronic pathology and are in constant pain due to nerve damage. A program with local and global
movements is essential to relief pain and accomplish ‪spinal‬ stabilization and movement. Treating the
entire system using their core, while staying on a safe environment has been a blessing from heaven
for some of my patients with excessive nerve damage and ‪chronic back pain‬. It's proven time and
again through many of my researches and case studies that: CLINICIANS ADDRESSING CHRONIC
PATHOLOGY (MUSCULAR PAIN AND IMPAIRMENTS IN THE BODY) SHOULD REMEMBER TO
EVALUATE AND TREAT THE ENTIRE BODY!.NO JUST ONE JOINT!
Here is my latest seminar on low back disorders and spinal rehabilitation and injury prevention!



If you are waking every morning with your back  feeling...

  • Stiff
  • Tight
  • Cant turned hips
  • Pinched Or Stuck

And If you....

  • Can't get out of bed without pain
  • Can't hold your children or grand children
  • Can't work as much as you like
  • Can't exercise
  • Can't wash your own hair without pain
  • Can't shave without pain


It's not your fault!

If all this applies to you, the following information can change your life!


Building Better Rehabilitation Programs For Low Back Disorders:

By Jose Fuentes/M.S/LBDCP/CPT
Let me begin by explaining why I feel that by attending my clinic, you are taking the first crucial step
towards healing.  I will share my knowledge and expertise on how you can
improve or prevent back disorders.  

In my search, I have studied over 500 industrial lifting jobs in 50 various industries.  In order to
classify what kind of risk each type of job was, I examined the medical records in each industry.  
Each type of job was classified as being either a low, medium or high risk for causing low back
disorders (LBD).  The single most powerful variable for predicting which of the jobs were a risk for
LBD, were those that consisted of maximum low back movement in all three planes of motion – front-
side-rotational.

Understanding the specific cause for each individual’s low back disorder, assists in finding the best
remedy to eliminate the cause and ensure that the cause is not replicated in my therapies.

EXERCISE AND LOW BACK DISORDERS:

I believe that both exercise and rehabilitation are necessary to promote healing in low back
disorders. Therefore, it is crucial that the correct exercises and therapies are done to ensure proper
healing.  

One of the things that I learned from many of my new clients, who had undergone therapy, was how
the loads imposed on their lower backs by therapists or chiropractors during their treatments
exceeded the tolerance of their already compromised back tissues.  Prescribing and applying such
improper treatments, will result in so much spinal compression that it will ensure that the individual
remains a patient instead of healing properly.

Muscle velocity contractions (MVC) must be quantified and action limited for low back compressions.  
It must be set by back professionals.  MVC over 730 lbs., measured in newtons repetitively, is linked
to higher injury rates. Therefore, exercises and therapies such as Superman’s, Roman chairs,
stability ball extensions, sit ups, wrong spinal stimulations called subluxations, etc., are on my ” NOT
TO DO LIST”  since they exceed the 730 lbs. limit!

What is the core?

I have heard trainers refer to their transverse abdomen, obliques and mid abdominal section
as their core muscles.  Core muscles are not just the abdominal wall muscles.  They also include the
muscles around your trunk and pelvis areas.  

Doing core exercises helps to improve your balance and stability.  They also help the muscles in
your pelvis, lower back, hips and abdomen work together.  The rewards of better balance and
stability are enjoyed on the playing field and in daily activities. In fact, most sports and physical
activities depend on stable core muscles.

Doing core exercises doesn’t require any type of specialized equipment or gym membership.
Any exercise that involves the use of your abdominal and back muscles working in coordinated
fashion, counts as a core exercise. Doing the “bridge” exercise is a classic core exercise. You can do
the “bridge” exercise by lying on your back with your knees bent. Make sure to keep your back in a
neutral position, not arched or pressed into the floor.  Avoid tilting
your hips and tighten your abdominal muscles.  Then raise your hips off the floor until your hips are
aligned with your knees and shoulders.  Hold that position for as long as you can without breaking
your form.


In Step 6 of my back training program, you will learn better ways to preserve the abdominal muscles
challenge while doing lower spine loads.

Here is my “Six Steps System” for a healthier and pain free back:

1.  Interpreting Patient Presentation:

• The first thing I do is observe a person’s movements – sitting posture, rising up from a chair,
standing and walking.
•  Record the person’s health history and link injury mechanisms with pain mechanisms.
•  Perform provocactive tests:  What loads, postures, and motions exacerbate pain and what relieves.
•  Perform functional screenings and tests:  Are there perturbed postural, motion and motor patterns?

2 Groove Normal Spine Mechanics While Sparing Joints:

•  First I try to identify the diurnal variation in spine length (the spine is longer after a night’s rest).  I
have measured sitting height losses of up to 19mm.  Studies indicate that approximately 54% of this
loss occurs within the first 30 minutes of waking.  Over the course of the day, hydrostatic pressures
cause a net outflow of fluid from the disc, resulting in narrowing the space between the vertebrate.  
This in turn reduces the tension in the ligaments.  Grooving spine mechanics by using the
lumbodorsal fascia (a large fascia band on each side of the back) will reduce spinal loads.  I
recommend therapies that involve lifting postures involving all the LDF  (lumbodorsal fascia system).  
This will transfer most of the work to the internal  oblique muscles.  As a result, lateral bonding will be
easier.  This also produces a  force per unit of a cross sectional area in which muscles can produce
up to 30%. Therefore, lateral bending patterns (a big cause for low back injuries) will be grooved and
improved to reduce LBP.  We will also address patterns from basic movement  patterns up to specific
complex activity patterns.

3.  Build Whole Body and Joint Stability:

•  We will build stability while sparing the joints.
•   Ensure that sufficient stability commensurates to the demands of the tasks.
•   Transfer the patterns into applications during daily activities.
•   Increase Endurance:

•   We will address basic endurance training to ensure the capacity needed for stabilization.
•   We address activity-specific endurance (duration, intensity).

4.  Build Strength:

•  Spare the joints while maximizing neuromuscular compartment challenge.


6. Build Balance:

•   We will address from basic balance challenges to complex and specific balance environments.





For Free Consultation And Screening Please Call:
973-536-5963