- How it is given
- The Low Back
- What it is used for
- Each Point in Use
Watch
From The Low Back
L4 FRACTURE and L5 FRACTURE
A mirrored pair: face up on the inner calf, face down on the outer
A mirrored pair in which everything is reversed — the position of the patient, the side of the calf, the level named. Learn them together or you will one day give one while reading the other.
L4 Fracture — सीधा लिटाकर, laid face up. This is to be given to those whose L4 vertebra has fractured — that is, broken. Laying the patient face up, giving force on the inner side of the calves, descend from the knee to the heel at many places, giving jerks with your heel, so that the nerves of the L4 vertebra are stretched and the broken vertebra gradually sets. Supine Both sides
L5 Fracture — उल्टा लिटाकर, laid face down. This is to be given to those whose L5 vertebra has fractured. Lay the patient prone, so that the head is straight and the toes point outward. Give a pillow under the feet. Then, with your heel, giving force on the outer side of the calves, give jerks at many places from knee to heel, so that the nerves of the L5 vertebra are stretched and the broken vertebra gradually sets. Prone Both sides
| L4 Fracture | L5 Fracture | |
|---|---|---|
| Patient's position | Laid face up — सीधा लिटाकर Supine | Laid face down — उल्टा लिटाकर, head straight, toes pointing outward, a pillow under the feet Prone |
| Where the feet go | Force on the inner side of the calves | Force on the outer side of the calves |
| Count | Jerks with the heel at many places, descending knee to heel | Jerks with the heel at many places, knee to heel |
| What it is for | A fractured L4 — the nerves of L4 stretched so that the broken vertebra gradually sets | A fractured L5 — the nerves of L5 stretched so that the broken vertebra gradually sets |
The therapy's own reason, stated at the point
ध्यान दें — Note. Both these points too are based on dermatome charts. The nerves of L4 go to the inner side of the calves, and the nerves of L5 go to the outer side of the calves. So by giving treatment at these places, such patients will surely get relief!
That is the same reasoning as the JJ pair — the level chooses the territory. L4 inner, L5 outer is the sentence to learn, and it is the sentence that keeps the two points apart.
Three details in L5 Fracture are skipped by almost everybody. The head straight, on top of the compulsory chest pillows. The toes pointing outward, which rolls the thighs outward and turns the outer border of the calf upward, so the side the instruction names is the side actually presented to your heel. And the pillow under the feet, which takes the ankles out of their fully pointed position and lets the calf lie soft. Position the patient wrongly and you are working the back of the calf instead of its outer side — a different point aimed at a different level.
The boundary, plainly. A broken bone in the spine mends by growing new bone across the break, and what it needs for that is stillness. A suspected fracture is a question for a picture and a doctor before any of this is considered — which is why it stands among the findings that end a session, later in this article.
Also explained in
- Introduction The Low Back
Give JJ⁺¹ and JJ⁺² with their pillows, territories and three graded rounds; L4 Fracture face up on the inner calf and L5 Fracture face down on the outer; and Blood Supply to Legs from the one stance in the atlas that fac
- The heading this group carries The Low Back
Several points here are not prone: L4 Fracture is given face up, and JJ⁺¹, JJ⁺², Bending forward and Standing point may be given seated on a chair or laid straight.
- FRACTURE POINT ('T' + 1-2-3) — two treatments, no pause between The Low Back
Everywhere else in this article a number beside a letter is a spinal level — L3,4,5, S4–S5, L4 Fracture.
- JJ⁺¹ and JJ⁺² — the segmental pair The Low Back
JJ⁺¹, JJ⁺², L4 Fracture and L5 Fracture as one scheme: the level named on the card chooses the territory worked on the leg, with the dermatome idea and its honest qualification beside them.
- STANDING POINT The Low Back
The same error in its other form: L4 Fracture given prone because the patient was already prone, when the point says face up and names the inner calf, which a prone leg does not present.
- BINDU POINT — the long diagonal The Low Back
L4 Fracture — face up, inner calf.
- The low back, the sacrum and the tail bone Each Point in Use
L4 fracture Prone Given if the L4 vertebra — the mankā — breaks or slips.
- The master list — every treatment point, by the position the patient is placed in The Shorthand
Code Full name / Hindi Where it is taught in this wiki Adr Adrenal Face Down Swt Sweat Face Down Back Arrow Back Arrow, or Blood supply to lungs Face Down H arrow — Face Down On the spine — Face Down Beside the spine — Face Down Round arrow —