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Function and Structure of the Back




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In the case of torn muscles or ligaments, it is uncommon for soft tissue to be actually torn: it is more often simply compressed. If passive movement of the joints is impaired by even a tiny misalignment of a joint, the soft tissues and ligaments will go into spasm, which occurs in the majority of cases. The patient might then feel that he has torn a ligament, even if this is not actually the case.



If a disc is bulging or herniated (a disc is considered prolapsed when the outer rim starts to break down), it will be necessary to mobilize the joints above and below the disc with GIGER MD® medical device to enable the nucleus pulposus (which is contained within the disc as a support) to return to its proper place. GIGER MD® Therapy involves a painless and very successful procedure. Mobilization with the GIGER MD® medical device has to be conducted over a number of sessions because the nucleus pulposus cannot be forced back into the disc immediately - it has to be coaxed back gradually and smoothly with the GIGER MD® medical device. With GIGER MD® Therapy, it will take a much more shorter time to heal than with conventional treatments. If not treated with the GIGER MD® medical device, the outer disc can become scarred which makes the disc weaker. After the age of 60, the discs lose about 20% of their water content and their ability to recover from a hernia decreases, but surgery for this condition may be unnecessary and is always extremely dangerous at any age, because eventually the neighboring joints are subjected to constant irregular pressure, which can cause pain and stress fractures. These joints are normally strong precisely because surrounding ligaments and tissue, which include the spinal discs, support them and should be left intact to serve their purpose as best they can.



This condition creates fissures and cracks in the rim of a disc which can lead to herniation (when the nucleus pulposus is exposed or displaced through a crack or tear in the disc‘s rim), and the results of the disease also creates a chain reaction of alterations in the bio-mechanical structure of the spinal column.


The biomechanical derangement in the spinal column and the normal function of the lumbar spine are restored successfully by mobilizing the joints with the GIGER MD® medical device to free them from constrictions and by rectifying any actual or impending herniations. Any fissures or cracks in the discs will then heal up in a few months, but they must be made to heal in their proper place, which is why treatment with the GIGER MD® medical device is essential. Following treatment, the patient is required to undertake regular and specific exercises to strengthen appropriate muscles. This can be carried out with the GIGER MD® medical device in the best possible way.



The sciatic nerve is in close proximity to adjacent discs (1.2-1.5 mm), which is why so-called discongenic pain can arise. This pain, however, is caused by the tethering or rubbing of the nerve sleeve, and not by the discs themselves, while compression of the nerve doesn‘t actually cause any pain! Partial severance or total severance would result in palsy or paralysis. As a result of mechanical friction affecting any of the nerve roots, the condition can become inflammatory which is extremely painful. If not treated with GIGER MD® medical device this may lead to scarification in the area around the inflamed sleeve which in time would result in devascularization (reduced blood supply to the veins). The body reduces the supply of blood to certain veins, if parts of the body are scarred and no longer require it as much as when the tissue was healthy. This process, which occurs as a result of the condition and also as a consequence of surgery, often produces referred pain along the affected nerves.

As a general guide relating to sciatic pain, it could be said that the hip and groin are supplied by nerves from the L1 level, the thigh by L1 and L2, the knee by L3, the hamstring by L4, and the calf, ankle and foot by L5 and S1 (affected in 85% of cases).

The treatment of sciatica is easily carried out by decompressing the sciatic nerve with the GIGER MD® medical device at the affected joint level in order to remove the source of friction against the nerve. Results can already be felt after only one session when neuro-muscular and skeletal functions are restored. Doing the GIGER MD® Therapy the patient feels completely confident. He can relax the lower spine and exercise without pain. The user himself determines the angular adjustment by the placement of his feet and he controls the angular velocity of his exercises.



Cardiovascular stenosis often co-exists with spinal stenosis and is particularly common in older patients. Usually the patient can walk up to 100 meters without difficulty, but then problems such as severe cramps in the calf can appear. When spinal stenosis is caused by heredity or developmental factors, the shape of the canal can be triangular or the neural arcs in the vertebrae can fail to develop properly (as in spondylolisthesis). A collapsed disc may give rise to stenosis and if it is an anterior herniation (generally caused by a physical trauma) then this would be one of the rare cases requiring surgical treatment.

Spinal stenosis caused by degeneration is usually limited to the L4/ L5 level and often affects women who are over 50 years old. The condition can easily affect the root canals of the spinal nerves and not just the column. Osteophytosis which results in a growth of the bony spurs of the spine usually on the posterior part of the vertebrae can also give rise to stenosis. In older patients, however, a natural stiffening of the vertebral column can paradoxically make the condition asymptomatic.

The general approach to treatment is to test the mobility of the joints at the affected levels and to ascertain whether the pain is localized or referred. Secondary symptoms such as numbness, temperature of the limbs, muscular weakness and other neurological deficits can guide the choice of the correct approach . The passive mobility of the affected joints can only be successfully restored with the GIGER MD® medical device for each of the six possible ranges of movement: flexion, extension, lateral flexion either side, and rotation.



There are five main causes of displacement: (1) Discplastic (2a) Stress fracture (2b) Acute fracture (3) Elongated intact pars interarticularis (4) Degenerative or trauma which can apply to different parts of the vertebrae (5) Pathological (tumor/ vascular disorders etc).

When the patient is lying on the GIGER MD® medical device with knees bent at 90 degrees, the indentation is no longer palpable because the spine is naturally decompressed by 25% in the lying position and the vertebrae are able to re-align of their own accord during the small displacements and rotations induced by the GIGER MD® Instruments.



This condition produces stress fractures in the pars interarticularis parts of the vertebrae and arises as a result of a deformity or trauma. The L5 and S1 joints are mostly affected and attendant lesions are usually found in 5% of the population. The ligamentum fluvum (supporting ligaments of the vertebrae) becomes thicker and soft tissues are produced in a larger quantity affecting the local vascularity and nerve supply. All the biomechanics of the segment become affected and bone density can alter resulting in stiffness and in the reduced mobility of the affected joints. It is mainly a developmental condition that often produces Spondylolisthesis. Extensions and lateral flexion cause an increase in the sheer stress on the pars interarticularis, but after the age of 20 the spine responds to the condition by forming its own means of stability.


It can safely be said that for the vast majority of spinal conditions surgery is neither necessary nor effective, as it almost always leads to long-term complications and suffering for the patient, out of all proportion to the original condition. The use of metal rods, screws and plates and the cutting away of parts of the spine, even the heating of discs to cause them to shrink represent a rather crude approach to the treatment of spinal problems and are no methods of treatment that we can ever recommend.


Nerve root impingement in general

A trapped or compressed nerve can arise from sudden movement or any minor injury, and while the condition is troublesome causing pain, numbness or tingling in the arm, hand or finger etc, the condition is easily treated by mobilization with the GIGER MD® medical device: gentle oscillatory movement applied at the correct spinal level by the GIGER MD® medical device usually immediately cures the problem completely by freeing pressure on the nerve. Painkillers and muscle relaxants will obviously never be able to free a trapped nerve.


Back and Back-Related Conditions / Pains such as:

-  Low back pain/ Lumbago
-  Neck pain
-  Whiplash injury
-  Sciatica (leg pain)
-  Migraine and headaches
-  Arthritis/ rheumatism
-  Slipped disc
-  Sports injuries
-  Shoulder and arm pain
-  ‚Pins and needles‘, numbness, dizziness
-  Joint pains (elbows, knees, wrists, ankles)


If you slump when sitting, you are overworking some muscles and under-using others. This muscular imbalance is evidenced by a collapsed or rigid posture. If you over-arch the back or bend at the waist rather than the hip joint, you are unconsciously compressing spinal vertebrae. Sitting for sustained periods is the most challenging activity for the human spine, and it is how many of us spend our days.


Neck muscles

GIGER MD® Therapy helps you perceive the cause of your back problem, and gets to the heart of it by relieving tension not only from the large motor muscles but also from the interior support muscles, in particular, by means of precisely controlled exercises.


You see, the GIGER MD® Instrument does not only train the muscles for proper spinal alignment but also improves lubrication of the joints to prevent pain. The nice thing about this treatment is that you already get relief from upper and lower back pain within just hours or days and not only months or years, if at all.


Last update: February 02, 2007


Back pain patient



Back pain patient

Back pain patient


Back pain patient





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