Movement Therapy Can Improve Back Pain: Alexander versus Feldenkrais Technique

By Christina Lasich, MD, Health Pro Wednesday, August 20, 2008
If you moved more efficiently and with a better posture, would your back pain disappear? Well, some British researchers recently released some more evidence in favor of a movement therapy called the Alexander Technique for the treatment of back pain. For those who have not heard of the Alexander Tech...
8/26/08 11:44am

"With the efforts of movement therapy, you too can climb out of a back pain rut."

 

It is wonderful that some people respond positively. I look forward to reading the study and learning about the types of poulations that respond and the types that do not respond. 

 

Sounds severely optimistic as worded. Honestly, for those non-responders, failed response to movement therapy is not a personal failure, simply a more complex set of initial conditions and continued research is indicated. Given the cost of movement therapy, I wonder if there is a point in which one can determine early on, if the aproach does in fact hold promise such that continued effort is warranted, or not. 

 

Given that movement therapy targets a fairly homogenous group, it is worthwhile to explore the research article to see if one has a similar pre treatment presentation. The wide divide between "can" and "may" is so vast that I would endorse the latter, as a concludin statement. anytime we give a very optimistic spin to a specific treatment, we risk isolating the non-responders. Also, the reality is that back pain can be so complex as to require a multifactorial approach, including significant lifestyle changes. Given the complexities of low back pain I would be more cautious with a concluding statement such as:

 

With the efforts of movement therapy, you too may find benefit in assisting you in climbing out of a back pain rut.

 

Sincerely,

Jerry Hesch

8/27/08 11:26am

Thank you for your feedback.

 

I used to be a "non-responder" with back pain, until I found the better therapist (physical therapist, in my case). How many "non-responders" would improve with a better therapist?

 

As I said, successful treatment takes the perfect combination of a motivated student and a good teacher. To those who have been labeled "non-responders", keep searching for the teacher who is right for you.

Dr. Christina Lasich, MD

Anonymous
KZ
7/15/09 11:51pm

If you have chronic muscle tension and/or bone pain of inexplicable origin, you may want to consider taking a vitamin D test. Recent research has shown that chronic muscle tension can be caused by a vitamin D deficiency. See vitamindcouncil.org for more info. For me, the main symptoms were chronic tension in the neck, shoulders, back and hamstrings. It took me three years before I figured out what was wrong. After I started taking an ultra high (50,000 IU/week) prescription dose of vitamin D (D3 to be exact) the symptoms gradually went away over the course of a few weeks.

8/ 4/09 2:36am

so your doctor wrote u a perscreption for that dose? I curios want to talk to my doctor about it at my appointment next week. thanks

Anonymous
Anonymous
8/ 5/09 11:26pm

Yes, the vitamin was prescribed in a single weekly 50,000 IU dose. A single weekly pill is just a bit more convenient than having to take two or three pills every day. I think I have seen over-the-counter doses of up to 5,000 IU, but in any case it is a good idea to talk to your doctor about taking this much vitamin D since it is well above the daily recommended value (400 - 1,000 IU) and only taken if you have a vitamin D deficiency.

8/ 5/09 11:28pm

i do have low levels thanks

Anonymous
Heather Beachum
2/20/12 3:08pm

Hello, I am a Feldenkrais practitioner, and wish to correct inaccuracies in the essay on the differences between the Alexander Technique and the Feldenkrais Method. 

 

Firstly, you said that Feldenkrais doesn't focus on the spine. This is not correct. Feldenkrais is a whole system approach meaning the whole skeleton is addressed so that includes the spine.

 

Secondly, you said that Feldenkrais is experience through verbally guided sessions, and that there isn't a hands on approach.  You are correct that one form is verbally guided, but you need to note that Feldenkrais is also done in hands-on sessions known as Functional Integration. Both of these approaches help countless people with back pain.

 

To conclude, Feldenkrais is a viable, potent way to address back pain.

 

Thank you, Heather

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By Christina Lasich, MD, Health Pro— Last Modified: 02/20/12, First Published: 08/20/08