LOWER CROSSED SYN­DROME

Woman's Era - - Short Story - Dr Ash­wani Maich and MS, MCH (Ortho) Fel­low­ship Joint Re­place­ment (USA & Ger­many)

Lower-crossed Syn­drome or lower-cross syn­drome is the term for a par­tic­u­lar pat­tern of mus­cu­lar im­bal­ance in the lower body. The most com­mon re­sult of lower- crossed syn­drome is spe­cific pos­tural changes re­sult­ing in a slumped pos­ture with your pelvis tilt­ing for­ward and the curve of your low back in­creas­ing.

What is lower-crossed syn­drome?

Lower crossed syn­drome is char­ac­ter­ized by tight­ness of the tho­raco-lum­bar ex­ten­sors in the lower back, rec­tus femoris in the front of the thigh and the il­iop­soas that passes from the low back to the front of the hip. This pat­tern of tight­ness is re­flected by weak­ness of the ab­dom­i­nal mus­cles in par­tic­u­lar the transver­sus ab­domi­nus and the gluteal mus­cles of the bum.

This pat­tern of im­bal­ance cre­ates joint dys­func­tion at par­tic­u­lar points within the spine. Like the L4-L5, L5-S1 seg­ments and SI joints of the low back and the hip joint.

Why and when does lower- crossed syn­drome hap­pen?

There are sev­eral fac­tors in­volved in the de­vel­op­ment of lower- crossed syn­drome, one of those is thought to be a pre­vi­ous in­jury to the joints, lig­a­ments or mus­cles in the low back, pelvis or hip that doesn’t re­solve com­pletely and leaves cer­tain mus­cles tight and short. This short­en­ing and tight­en­ing of the mus­cles can also oc­cur from repet­i­tive ac­tiv­i­ties or with poor pos­ture, in par­tic­u­lar poor core ab­dom­i­nal mus­cles of­ten leave the lower back and pelvis less sup­ported and more likely to de­velop mus­cu­lar im­bal­ances.

What does lower- crossed syn­drome feel like?

The most com­mon re­sult of lower-crossed syn­drome is spe­cific pos­tural changes; how­ever th­ese pos­tural changes can, if left, be a con­tribut­ing fac­tor to in­jury de­vel­op­ment and re­cur­rence. Facet joint strains as well as pelvic and hip dys­func­tion are all likely con­di­tions that may de­velop due to the al­tered mus­cle balance. The spe­cific pos­tural changes no­ticed in­clude an­te­rior pelvic tilt where the pelvis overly tilts for­ward, in­creased lum­bar lor­do­sis ( the spinal curve of your low back), lat­eral lum­bar shift, lat­eral leg ro­ta­tion (out­wards ro­ta­tion), and knee hy­per­ex­ten­sion.

How is lower- crossed syn­drome di­ag­nosed?

Your doc­tor will be able to di­ag­nose you by lis­ten­ing to your his­tory, look­ing at your pos­ture and ex­am­in­ing you. Your doc­tor will look at your pos­ture in de­tail and may line you side on against a plum line to mea­sure how al­tered your pos­ture has be­come. The ex­am­i­na­tion will con­sist of mus­cle pal­pa­tion and stretch­ing to lo­cate the short and tight mus­cles and mus­cle test­ing to de­ter­mine the weaker mus­cle groups. Your doc­tor will also look at the move­ment of all of the sur­round­ing joints to check for un­der­ly­ing or causative fac­tors. No Xrays or any fur­ther in­ves­ti­ga­tions are needed to con­firm the di­ag­no­sis.

What treat­ments are avail­able for lower-crossed syn­drome?

Short term treat­ment will fo­cus on restor­ing the mo­bil­ity of your joints through joint ma­nip­u­la­tion and re­lax­ing the overly tight mus­cles with mas­sage. Treat­ment alone will not be enough to re­verse the mus­cu­lar im­bal­ance there­fore your doc­tor will also pre­scribe you with ex­er­cises. Specif­i­cally mo­bil­ity stretches for the tight mus­cles in your lower back and thighs with more spe­cific cor­rec­tive strength­en­ing ex­er­cises for the weak gluteal and ab­dom­i­nal mus­cle groups. In the long term it is im­por­tant that you main­tain a good work­ing pos­ture to avoid re­cur­rence.

quite fi­nan­cially well-off to buy them but she chose to steal the jew­els.

Klep­to­ma­nia is in some cases re­lated to masochism (De­sire to be harshly and cru­elly treated, as­so­ci­ated with sex­ual sat­is­fac­tion). The klep­to­ma­niac is fully aware that pun­ish­ment fol­lows de­tec­tion of the act of steal­ing. Es­pe­cially when all lead­ing jewellery shops are equipped with CCTV and that it would be easy for the po­lice and the pro­pri­etors to trace the cul­prit (s). Th­ese in­di­vid­u­als are im­pelled to act thus by the de­sire to suf­fer pun­ish­ment be­cause such an ex­pe­ri­ence is a source of de­light to them. It’s more or less sim­i­lar to a chronic gam­bler to de­sire plea­sure in los­ing, the pun­ish­ment th­ese types of fi­nan­cially well-to-do shoplifters, causes feel­ings sim­i­lar to those of sex­ual grat­i­fi­ca­tion.

KLEP­TO­MA­NIA TRAITS

Sadism (de­sire to treat an­other per­son cru­elly) is also re­lated to klep­to­ma­nia. Many klep­to­ma­ni­acs are pleased that their thefts cause dis­tress to those whom they rob. This trait of the klep­to­ma­ni­acs is graphically shown in the Tamil se­rial now run­ning Priyamaanaval pro­duced by Vikatan TV se­ri­als. The sadis­tic heart im­pulse leads ei­ther to the theft of pre­cious ob­jects, on which the owner’s is set, or to steal­ing of worth­less ob­jects which have only an emo­tional value for the owner. There is the least doubt that the theft brings about feel­ings of a sadis­tic-sex­ual na­ture.

It is gen­er­ally agreed that most cases of klep­to­ma­nia have a sex­ual ba­sis. Thus Dr Healy says; “The in­ter­pre­ta­tion of the causes of this im­pulse to steal is of great in­ter­est. The re­pres­sion is found of­ten about sex af­fairs. This re­la­tion of steal­ing im­pulse to the men­strual or pre­men­strual pe­riod in women leads us to reach much the same con­clu­sion. Dr Gud­den who seems to have made the most use­ful stud­ies main­tains that prac­ti­cally, all of the shoplifters whom he ex­am­ined were at the time of their com­mit­ting the of­fence, in or near their pe­riod of men­stru­a­tion.

The ques­tion may oc­cur why do klep­to­ma­ni­acs have to steal in or­der to at­tain sex­ual sat­is­fac­tion? The an­swer is that most klep­to­ma­ni­acs are not able to at­tain sex­ual sat­is­fac­tion by nor­mal means; they may be sex­u­ally in­hib­ited they may be im­por­tant of frigid.

Doubt­less klep­to­ma­nia is a re­sult of sex­ual mal­ad­judt­ment. The man or woman who leads a nor­mal sex­ual life is never a klep­to­ma­niac. It’s only when some­thing goes hay­wire, when some very def­i­nite de­vi­a­tion oc­curs in his or her sex­ual life their steal­ing is re­sorted to ex­pe­ri­ence the thrill in or­der to gain sex­ual sat­is­fac­tion.

Klep­to­ma­nia is a def­i­nite from the sex­ual per­ver­sion. It is harm­ful to the one who has it as well as to so­ci­ety? It’s an ab­nor­mal form of sex life which re­quires cor­rect treat­ment. Klep­to­ma­nia is not a hope­less dis­ease. It is ca­pa­ble of be­ing cured. Psy­chi­atric treat­ment is in­di­cated in all cases of klep­to­ma­nia. Con­fine­ment to prison is of no value. A prison has never cured any cases of klep­to­ma­nia.

Treat­ment con­sists for get­ting at the root of the trou­ble in klep­to­ma­nia, which is al­ways sex­ual. The pa­tient is fre­quently a woman whose sex­ual crav­ings are height­ened dur­ing the monthly pe­ri­ods or pre­ced­ing them. She may not be able to of­fer sat­is­fac­tion to th­ese crav­ings in the man­ner she is ex­pected to. Ree­d­u­ca­tion to th­ese crav­ings with re­spect to nor­mal sex­ual sat­is­fac­tion will of­ten oc­ca­sion in good and sat­is­fac­tory re­sults. Myr­iad women are klep­to­ma­ni­acs who are un­able to have nor­mal of sex­ual cli­max and har­bor a feel­ing that they must steal in or­der to achieve this re­sult. Treat­ment of the causes of their frigid­ity, re­sult­ing in the ca­pac­ity to at­tain cli­max by nor­mal sex re­la­tions, will cause the ten­dency to steal to dis­ap­pear.

In the case of men­folk, lack of af­fec­tion, im­po­tence, pre­ma­ture ejac­u­la­tion, and other sex­ual dis­abil­i­ties are of­ten found to be at the root of klep­to­ma­nia. Most of th­ese con­di­tions can be reme­died by treat­ment. S host of im­po­tent men who found them­selves un­der a com­pul­sion to steal be­cause they could not ob­tain sex­ual sat­is­fac­tion in the nor­mal man­ner are cured of klep­to­ma­nia as soon as the po­tency is re­stored. The same is true of the other sex­ual de­fe­cien­cies. We

SADISM (DE­SIRE TO TREAT AN­OTHER PER­SON CRU­ELLY) IS ALSO RE­LATED TO KLEP­TO­MA­NIA. MANY KLEP­TO­MA­NI­ACS ARE PLEASED THAT THEIR THEFTS CAUSE DIS­TRESS TO THOSE WHOM THEY ROB. THIS TRAIT OF THE KLEP­TO­MA­NI­ACS IS GRAPHICALLY SHOWN IN THE TAMIL SE­RIAL NOW RUN­NING PRIYAMAANAVAL PRO­DUCED BY VIKATAN TV SE­RI­ALS.

Do not an­tic­i­pate trou­ble, or worry about what may never hap­pen. Keep in the sun­light.

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