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Low Back Pain — McKenzie Method

The McKenzie Method (MDT) is an evidence-based, individualised treatment approach for chronic low back pain that uses directional preference exercises.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Low Back Pain — McKenzie Method?

The McKenzie Method (Mechanical Diagnosis and Therapy, MDT) was developed by physiotherapist Robin McKenzie in 1981 as a system for chronic low back, neck and limb pain.

The principle of directional preference is investigated by repeated movement test: the direction (extension, flexion, lateral) where the patient's pain centralises (away from the limb) is identified.

Most patients have extension preference; standing, prone position and lumbar lordosis exercises are used. Effective in derangement syndrome (disc origin) according to the McKenzie classification.

Symptoms

Chronic low back pain (>3 months)
Sciatica (pain radiating to the leg)
Pain increases on prolonged sitting
Pain that is worse in the morning, eases with movement
Numbness and tingling sensation in the leg
Difficulty bending forward
Pain centralisation (with directional movement test)

Risk Factors

Sedentary lifestyle
Sitting work and bad posture
Heavy lifting and repetitive movement
Obesity (BMI >30)
Smoking (impairs disc nutrition)
Family history (genetic predisposition)
Previous low back injury

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Apply to the emergency department immediately for sudden severe low back pain with leg weakness or urinary incontinence (cauda equina)
  • Investigation needed for low back pain with fever, weight loss and night sweats
  • Investigation needed for pain that does not respond to 6-week conservative treatment
  • Cancer history with new-onset low back pain requires screening

Treatment Methods

01
MDT assessment and directional preference identification by certified physiotherapist
02
Repeated extension exercises (prone press-up, standing extension)
03
Mid-pause prone lying (pain centralisation)
04
Self-management instruction and 5–10 repetitions per hour
05
Posture correction (lumbar lordosis maintenance)
06
Progressive return to function and pain monitoring

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.