Osteopathic Treatment on the lumbar disc herniations with David Lachaize DO

Problems attributed to herniated lumbar discs are very common in our practices. Sciatalgia and true sciatica are recurrent, and it’s important to know the difference between the two before attributing responsibility for a clinical picture to this symptomatology.

The classic medical “arsenal” is limited to analgesics and anti-inflammatories, and has no influence on the cause of the clinical signs. Before a rare, but possible, referral to neurosurgical treatment, it is essential to offer simple, objective, rapid and often highly effective osteopathic treatment.

It therefore seems essential to be able to make a precise diagnosis in relation to a clinical picture, and to propose appropriate and controlled technical gestures. This involves, on the one hand, osteopathic treatment targeting the intervertebral disc and its structural lesion, and on the other, reintegrating this lesional system into an osteopathic (de)structuring globality with a view to efficient function.

OBJECTIVES :

• Perform a precise osteopathic manual diagnosis
• Develop disc tissue perception
• Acquire a local, precise and effective technique for the lumbar intervertebral disc
• Propose a broader technical pathway, aiming to reintegrate the disc system within a global osteopathic approach.

PROGRAM :

DAY 1

Morning:

– Welcome, why this course?

– Essential anatomical, physiological and pathophysiological reminders

– Classification of lumbar disc herniations

– Clinical symptoms

– Concept of connective tissue

– Notion of structure

– Notion of biotensegrity

– Notions of attention and presence

– Principles of osteopathic disc work. What do we do, what do we act on?

– Tests: Clinical / General / Local tissue

Afternoon session:

– Proposed osteopathic therapeutic paths. Different models

– Notion acute/chronic

– Adaptation of the “lumbar disc herniation absorption technique” developed by Alain Géhin

– Author’s presentation

– Theoretical concept of the technique

– Progression and pedagogical construction of the technique in practice, training

– Variations according to location

DAY 2

Morning :

– Review of local tissue tests and gestural relevance

– Structural disc technique : decubitus and procubitus

– Theoretical aims, practical implementation, training

– Disc opening” technique

– Active opening technique

– Local recoil

– Notion of energy and vibration

Afternoon session :

– Structural manipulative techniques? Yes or No? Which techniques, in which cases, when?

– Proposed “Structural Tissue Manipulation” techniques according to David Lachaize: Lumbar and sacrum

– Brief theoretical concept

– Technical parameters and training

– Discussion

DAY 3

Morning :

– Working with L2

– Interest and theoretical justification. Adapted timing

– Suggested thrust and non-thrust techniques

– Work on the T12/L1 hinge

– Interest and theoretical justification. Adapted timing

– Suggested thrust and non-thrust techniques

– Diaphragm techniques – 3 techniques

– Consideration of anterior visceral volume and benefits of work in disc lesio

Afternoon :

– On-demand revision

– Theory: proposed global osteopathic pathway and structures to investigate in the treatment of lumbar disc herniations:

– Axis: coccyx to occiput

– Subtalar and postural balance

– Skull

– Fluid and air volumes

– Recommended lifestyle habits

– Discussion

– Conclusion