Dedications

Fig. la & Fig. lb—Acute low back syndrome
Here, as with most cases of low back pain, sprain of ligaments and strain of muscles, fascia and connective tissue is present. Note: signs indicate the body is assuming a position which avoids movement in affected area even movement for balance.

Fig. la.

1. Marked primary lumbar scoliosis (curvature) with compensatory thoracic and cervical curves.
2. Pelvis lists; left iliac crest higher than right crest.
3. Thickening (spasm) of back muscles on left side of lumbar spinal column.
4. More prominent sacroiliac dimple on left.
5. Left leg abducted; sometimes knee is bent for same effect.
6. Widespread stance.
7. Left shoulder droops.
8. Uneven Gluteal folds (not shown here).
9. Arms at flail abduction.
10. Decreased ilio-thoracic angle on affected side.

Fig. lb.

• Decreased lumbar lordosis.
• Pelvis tilted backward and upward.
• Sagging abdomen.
• Head held forward.
• Station of arms and legs for balance.

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