How do you activate multifidus in spondylolisthesis?

Answered by Douglas Hiatt

To activate the multifidus muscle in spondylolisthesis, it is important to focus on core muscle activation and stability. The multifidus muscle is a deep muscle in the back that helps support the spine and maintain proper alignment.

Here’s a step-by-step guide to activate the multifidus muscle:

1. Start by lying on your back with your knees bent and feet flat on the floor. This position helps to stabilize the pelvis and lower back.

2. Place your fingers on the sides of your lower back, just above your pelvic bones. You should be able to feel the bony prominences on each side.

3. Take a deep breath in and as you exhale, gently engage your core muscles by imagining you are pulling your thigh towards your chest. Visualize the action, but do not actually move your leg.

4. As you perform this contraction, you should feel a bulging sensation under your fingers. This is the activation of the multifidus muscle.

5. Hold this contraction for three seconds, focusing on maintaining a stable and engaged core.

6. Relax and repeat the activation exercise 10 times on each side.

It is important to note that activating the multifidus muscle is just one component of a comprehensive treatment plan for spondylolisthesis. It is essential to consult with a healthcare professional or physical therapist who can provide a personalized exercise program that addresses your specific condition and needs.

In addition to multifidus activation, other exercises that can help strengthen the core and support the spine include pelvic tilts, bridging exercises, and bird dog exercises. These exercises target the deep stabilizing muscles of the core and can help improve spinal stability and reduce symptoms associated with spondylolisthesis.

It is also worth mentioning that maintaining good posture and practicing proper body mechanics throughout daily activities can help alleviate stress on the spine and reduce the risk of further injury. Avoiding activities that exacerbate pain or discomfort is also important to prevent worsening of symptoms.

Activating the multifidus muscle is a crucial step in managing spondylolisthesis. By focusing on core muscle activation and stability, you can help support the spine and reduce symptoms associated with this condition. Remember to consult with a healthcare professional or physical therapist for a comprehensive treatment plan tailored to your specific needs.