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Imaging and Low Back Pain

March 30, 2016

You have back pain. You go to the MD. They take an X-ray, even an MRI. They find you have disk degeneration, a mild disc bulge, maybe some facet degeneration. Is this something that is going to cause pain for the rest of your life?

Take a look at the graph. What it shows is that once you reach your 40’s you will likely have some level of normal age related change in your lumbar spine. The good news is most of these abnormalities will NOT cause pain. Don’t be too quick to believe that a disk bulge at L3 is causing your low back pain. Or disk degeneration from L2-L5 is going to stop you from participating in your favorite activities. Your symptoms need to match the imaging for it to be meaningful. If, for example we look at the L3 disk bulge. Significant symptoms related to that would include radiculitis (symptoms along the L3 nerve distribution), burning, sharp pain, weakness and even muscle wasting are indications. If radiculitis is not present then you don’t need to be as worried about that bulge. In many cases of low back pain the cause is mechanical. You cleaned out the garage over the weekend. Monday morning your back is stiff. Tuesday you wake up and are too stiff to stand up straight. These symptoms are likely a result of something you did cleaning out your garage, not disk degeneration, a disc bulge or facet degeneration.

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Others about Rebound

As an exercise physiologist and strength and conditioning specialist, who has worked with literally dozens of physical therapists over the past 30 years...Djimmer Bosman has been a great resource and an asset to the my company's products, my company's training programs and to my own professional growth and personal spine health!

Billy Gilsan, MS, CSCS

Djimmer is fully aware that one's sense of well being is not just tied to the particular physical impairment that is being addressed in therapy. Therefore, he takes a genuine interest in the whole person and tailors care for optimal recovery.

Maryann Shephard

From my first appointment to my last, I was treated with care and respect by all of the staff members at the clinic. The therapists were both helpful and knowledgeable as they worked patiently with me throughout my recovery and treatment. The demeanor of all the staff made my time at the clinic pleasant and enjoyable, even when I was working hard on my exercises.

Eduardo Fiallos

Djimmer, I just wanted to let you know that you've done your best work on one of my many sports injuries to date with this last round of strengthening exercises for my shoulder! As you may recall, I have been fighting this snowboarding injury for 4 years and my shoulder had been getting progressively worse, not better, from both a pain and strength standpoint.

Bob Gamble

In my opinion, Djimmer Bosman and his staff at Rebound Therapy and wellness Clinic are leaders in the area of injury rehabilitation. Djimmer has been treating our athletes for over a decade. His approach is cutting edge, using the latest scientific data to assist athletes in regaining full function after an injury.

Jim Miret, Head Coach Front Range Volleyball Club

I was absolutely determined to emerge from my injury stronger than before and Christiaan understood this 100%. He challenged me to work harder and I accepted. Going to PT not only became an integral part of my life, but something that I ended up looking forward to. I was back on skis and stronger than ever. The ultimate achievement for me was when I actually got to go skiing with Christiaan and show him how his commitment to my recovery (and of course mine) had paid off. I look forward to skiing with him again this ski season!!!!!

Dana Banovitz

Rebound Therapy and Wellness Clinic is the physical therapy office that I have trusted for more than five years. Rebound is always able to get me into the office quickly. And, Djimmer and Christiaan work hard to get me back out on the roads training and racing again. I trust them to work with my clients and teams as well. They help determine the causes of sports injuries and provide ways to heal and strengthen the body to prevent future injuries. And, they're a fun group of caring people!

Mary Carey USA Triathlon Certified Coach Level 1, In Transition Coaching Services, LLC

"I tore my ACL and did not know what rehab was going to be like. I remember the first time I went to PT and my dad had to carry me in, and now I am running. Christiaan and Djimmer have been great and I really enjoy going to PT. They make physical therapy fun because they make me laugh. On my birthday, they sang happy birthday to me in Dutch, they also came up with a funny nickname for me after a soccer jerseys I wore. We all like to talk about sports and that is pretty cool. I have gotten a lot better quickly thanks to their help. I will continue to come see them after I am fully recovered."

Brayden, Age 10

"Djimmer and Christiaan have been my physical therapy heroes since moving to Denver 8 years ago and participating in a plethora of full-contact sports. They’ve managed to help me heal through a variety of injuries and a knee surgery, all while keeping my spirits up during recovery. They do a fantastic job helping me maintain my lifestyle and keep me charging ahead at full speed. My experience with Rebound Therapy and Wellness Clinic was so positive, I was inspired to pursue a career in physical therapy. I can never thank them enough for all they’ve done to help me."

Meg O'Connor

"Thank you again Djimmer for giving me back my shoulder and the fun ride getting there...you and Christiaan put joy in my Tuesday and Thursday sessions and I improved my geography knowledge!

Margie

Who ever heard of WANTING to go to Physical Therapy? Djimmer Bosman is a highly accomplished physical therapist able to assess and understand your physical issue, develop a strategy and plan for rehabilitating it, and make you smile and laugh while you do it. He has helped my husband and me recover from injuries to diverse body parts, including ankle, hip, back, elbow and shoulder, while providing us with tools and strategies to prevent issues in the future. Djimmer is an odd combination of gentle and tough, pushing you to get better, while ensuring you don’t overreach your level of recovery. I never moan about “having” to go to my sessions with him – I look forward to them. Rebound’s other staff members, Christiaan Enthoven and Jean Smith, are also top notch. I highly recommend Rebound Therapy for PT on any physical injury or limitation.

Beth Arnold

As an exercise physiologist and strength and conditioning specialist, who has worked with literally dozens of physical therapists over the past 30 years...Djimmer Bosman has been a great resource and an asset to the my company's products, my company's training programs and to my own professional growth and personal spine health!

Billy Gilsan, MS, CSCS

Djimmer is fully aware that one's sense of well being is not just tied to the particular physical impairment that is being addressed in therapy. Therefore, he takes a genuine interest in the whole person and tailors care for optimal recovery.

Maryann Shephard

From my first appointment to my last, I was treated with care and respect by all of the staff members at the clinic. The therapists were both helpful and knowledgeable as they worked patiently with me throughout my recovery and treatment. The demeanor of all the staff made my time at the clinic pleasant and enjoyable, even when I was working hard on my exercises.

Eduardo Fiallos

Djimmer, I just wanted to let you know that you've done your best work on one of my many sports injuries to date with this last round of strengthening exercises for my shoulder! As you may recall, I have been fighting this snowboarding injury for 4 years and my shoulder had been getting progressively worse, not better, from both a pain and strength standpoint.

Bob Gamble

In my opinion, Djimmer Bosman and his staff at Rebound Therapy and wellness Clinic are leaders in the area of injury rehabilitation. Djimmer has been treating our athletes for over a decade. His approach is cutting edge, using the latest scientific data to assist athletes in regaining full function after an injury.

Jim Miret, Head Coach Front Range Volleyball Club

I was absolutely determined to emerge from my injury stronger than before and Christiaan understood this 100%. He challenged me to work harder and I accepted. Going to PT not only became an integral part of my life, but something that I ended up looking forward to. I was back on skis and stronger than ever. The ultimate achievement for me was when I actually got to go skiing with Christiaan and show him how his commitment to my recovery (and of course mine) had paid off. I look forward to skiing with him again this ski season!!!!!

Dana Banovitz

Rebound Therapy and Wellness Clinic is the physical therapy office that I have trusted for more than five years. Rebound is always able to get me into the office quickly. And, Djimmer and Christiaan work hard to get me back out on the roads training and racing again. I trust them to work with my clients and teams as well. They help determine the causes of sports injuries and provide ways to heal and strengthen the body to prevent future injuries. And, they're a fun group of caring people!

Mary Carey USA Triathlon Certified Coach Level 1, In Transition Coaching Services, LLC

"I tore my ACL and did not know what rehab was going to be like. I remember the first time I went to PT and my dad had to carry me in, and now I am running. Christiaan and Djimmer have been great and I really enjoy going to PT. They make physical therapy fun because they make me laugh. On my birthday, they sang happy birthday to me in Dutch, they also came up with a funny nickname for me after a soccer jerseys I wore. We all like to talk about sports and that is pretty cool. I have gotten a lot better quickly thanks to their help. I will continue to come see them after I am fully recovered."

Brayden, Age 10

"Djimmer and Christiaan have been my physical therapy heroes since moving to Denver 8 years ago and participating in a plethora of full-contact sports. They’ve managed to help me heal through a variety of injuries and a knee surgery, all while keeping my spirits up during recovery. They do a fantastic job helping me maintain my lifestyle and keep me charging ahead at full speed. My experience with Rebound Therapy and Wellness Clinic was so positive, I was inspired to pursue a career in physical therapy. I can never thank them enough for all they’ve done to help me."

Meg O'Connor

"Thank you again Djimmer for giving me back my shoulder and the fun ride getting there...you and Christiaan put joy in my Tuesday and Thursday sessions and I improved my geography knowledge!

Margie

Who ever heard of WANTING to go to Physical Therapy? Djimmer Bosman is a highly accomplished physical therapist able to assess and understand your physical issue, develop a strategy and plan for rehabilitating it, and make you smile and laugh while you do it. He has helped my husband and me recover from injuries to diverse body parts, including ankle, hip, back, elbow and shoulder, while providing us with tools and strategies to prevent issues in the future. Djimmer is an odd combination of gentle and tough, pushing you to get better, while ensuring you don’t overreach your level of recovery. I never moan about “having” to go to my sessions with him – I look forward to them. Rebound’s other staff members, Christiaan Enthoven and Jean Smith, are also top notch. I highly recommend Rebound Therapy for PT on any physical injury or limitation.

Beth Arnold