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Mission Statement
 
Our primary mission with each patient is to identify the cause of pain or loss of function. We evaluate each patient at the area of complaints as well as the contribution of the surrounding areas to the identified problem. Our approach on patient function at home and work versus focusing on symptoms alone. We achieve patient goals by assessing and treating muscle imbalances, poor posture as well as functional status.
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Core Stability
 

Core stability is a very important aspect in decreasing and in some cases eliminating back pain. The lumbar spine is surrounded by many different muscles. Some are designed for motion or mobility, while other deeper muscles are for stability.

 
Your "core" is made up by muscles of the pelvic floor, the abdominal region, and certain muscles of the back. Having a strong "core" helps protect your back when performing daily activities, especially with lifting activities. Your "core" can act as an internal back brace.
 
It is very important that you learn proper technique for contracting the correct muscles in the correct sequence before beginning a "core" exercise program.
 

There are essentially 3 major steps to achieve a core contraction.

Step One - Pelvic floor contraction
Step Two - Abdominal or draw - in contraction
Step Three - Isolated lower back muscle contractio

All 3 steps must be performed correctly, in the correct sequence to achieve true benefit from core strengthening.
 
When learning how to "turn on" core muscles, it is important to find a place free of distraction, perform "the 3 step sequence" in short bouts, but frequently throughout the day, i.e. 5 minutes 3 to 5 times / day. Once you are able to perform the correct contractions, you should be able to hold the contractions for 10 seconds and repeat 10 times. Compensation my occur if you try too hard. This is why it is important to consult a professional before beginning any exercise program. A lot of the exercises associated with "core strengthening" involve the arms and legs, but they are not arm and leg exercises.
 
One last important aspect to these exercises that you must remember is there should be NO pain doing the exercises at any time, if there is do not continue.