During equine stretching training courses, I am always asked the same thing: “But the back, I want to learn techniques for the back…” (implied: “So when are we going to start working on the important things?”). As if all the problems come from the back.

When a light bulb won’t turn on anymore in a room, the problem might, of course, be the bulb—but it might also be the switch, the wire carrying electricity to the bulb, or the fuse controlling the flow of electricity to the wire. The spine is even more complicated than a light bulb; it protects the entire nervous system. If there is dysfunction anywhere along the spine, it can cause peripheral pain, and the reverse is true: a tendon or joint in a dysfunctional limb can lock a spinal area, which in turn will become painful. This osteopathic lesion will be secondary to the limb problem; therefore, it is the limb that needs to be treated, and once that treatment is successful, spinal function will correct itself automatically.

We have learned in our overview of anatomy that the postural muscles allow the underlying architecture of the skeleton to be stable. The spine is in contact with the ground through the limbs, and the brain receives sensory information from receptors in the limbs. The brain analyzes and integrates the information it receives, and sends instructions for a postural adaptation to the back, according to the quality, amplitude, and speed of the body’s movements. It is common for back pain occurring without a traumatic (fall, shock, blockage) or infectious cause to be due to hypercompensatory inflammation of another restricted area. That leaves one or more vertebrae crying out, “Help, I’m sick of doing all the work!” The solution is to give them a vacation, but also, and above all, to increase muscle length and range of motion in other areas, so that they no longer always have to compensate.

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