The narrowing of a vertebra is usually carried out when the mobility of individual vertebral bodies is limited by a so-called blocking of the vertebra. The underlying blockages are a clinical picture of manual medicine, for which only a few studies and research results are available. By restraining with a treating physician having an additional designation in the field of manual medicine and chiropractic, typical disorders that occur in the context of obstruction can be remedied. Since there are different studies with contradictory recommendations for the implementation of the restriction and the measure is not connected without possible risks, so far there is no general recommendation, which includes the restriction of vertebral bodies in certain diseases.

Carrying out the intervention

The narrowing of a vertebral body is also called deblocking. Straightening can occur both spontaneously during everyday movements and can be achieved by means of certain measures.

The measure, however, should only be performed by a specially trained physician, who previously could rule out other illnesses with similar symptoms. There are a number of different measures that can provoke the narrowing of a vertebral body. It can be distinguished between exercises, which either the doctor at the patient or the patient performs under guidance itself.
After dislocating the vertebra and releasing the blockade, an immediate improvement of the symptoms usually occurs.

It should be noted, however, that dislocation of vertebral bodies is not uncontroversial. There are contradictory study results that contrast the effectiveness of the measure with the risks. Some studies have shown that manually restoring the vertebral bodies does not have significantly better efficacy against the administration of analgesic drugs.

Manual restriction is also critical because certain contraindications exist.
These may be overlooked, which can lead to serious complications, which usually do not occur in a drug and physical therapy.

Which doctor should you visit?

There are different ways to set a blocked vertebra.
In many cases, the blockade spontaneously dissolves during everyday movements.

If this is not the case, manual bracing may be indicated. Manual restraint should be performed by a physician having the additional designation of manual medicine or chiropractic.

Often orthopedists wear this additional name.
Non-orthopedists with the additional name are often specialists in general medicine.
Physiotherapists can also obtain the additional designation and are therefore also qualified to perform the manual Einreken a vertebral body.

Restrain vertebrae yourself

There are some exercises and application techniques that make it possible to retreat. It is important to perform the exercise only to the extent described and not want to force a result with careless force. You should stop exercising as soon as you feel pain.

The danger here is to accidentally inflict injuries. In cases of acute tension due to incorrect posture, an improvement of the pain can be achieved by reducing the vertebral body to the correct position.

In chronic pain, restraining will not help. If it is a chronic back pain or an injury, an orthopedist or accident surgeon must be consulted. Surely it is also recommended to visit a doctor for frequent pain and clarify an independent Einrenken in advance. Stretching exercises are basically a supportive factor when it comes to bad posture and the associated need to back up the back. Not too frequent straightening is thoughtless if done carefully. However, it should not become a habit.

Therapy after Dorn

The Dorn Method describes a holistic approach to therapy based on manual application, ie working with the hands and leaning on traditional Chinese medicine.

To set your back to thorn is best placed in front of a shelf where you can rest. Then you look at the vertebral body, which causes pain and while you exert pressure on the side of it with your thumb, you swing the leg of the same side forward and backward until you feel relief of the pain by restraint.

Therapy with the Blackroll

A black roll is a foam roll that can be used to resist stretching through the floor or a wall. The roller massages the muscles, causing them to loosen up and prevent injuries due to incorrect movements.

Place the roll on the floor and place it between the shoulders. The feet are placed hip width, knees bent and raised the lower back. The feet as a power source is now rolled the roll along the back from top to bottom, with the lower back the weight should always be shifted to the right or left.


The potential risks of reducing one or more vertebrae are highly controversial.

It is, however, important that detailed diagnostics should always be carried out before the measure is implemented, in order to minimize risk: By excluding serious illnesses, a large part of the risks can be prevented.

Especially in tumors of the spine and in herniated discs, a Einrenken should be avoided, as it can lead to serious consequences.

New studies have also shown that, in rare cases, cervical vertebrae narrowing causes damage to the arteries (aortic dissection) and, in the worst case, can lead to stroke.
It can also lead to nerve damage. If the impulse is too strong and the procedure is incorrect, the occurrence of bone fractures is also possible.

Especially patients with a known osteoporosis should therefore not be fixed.

Can one restrict oneself with a herniated disc?

In a herniated disc is in any case, that one denies applications on the back with the attending physician.

Basically, it is not advisable to have any manual therapy done at the site of the herniated disc itself or in the acute period by the physiotherapist or chiropractor. The danger is too great to cause further injuries or to aggravate the damage. Therefore, it should be refrained from retracting in the event of a herniated disc. Complaints should be discussed with an orthopedist.

Swirling in pregnancy

During pregnancy, the muscles and skeletons of the pregnant woman are frequently strained and, as a result, they often tend to lead to a blockage of the vertebral body.

Since the blockade is often accompanied by severe pain and reduced mobility, affected women also often seek doctors for treatment.

The manual narrowing of pregnant women in vertebral block is usually just as possible as in non-pregnant women.
However, comprehensive diagnostics should be performed to rule out serious conditions that may also be associated with similar symptoms, thus minimizing the risks of therapy.
An individual consultation and the implementation of the therapy should always be carried out by the attending physician with the appropriate additional name (see above).

Cause of a vertebral blockage

The cause underlying a blockage of the vertebral bodies has not been fully explored so far. For a long time it was assumed that there is a mechanical blockage of certain joints of the spine and leads to the typical symptoms.

However, data from recent studies have shown that the activation of certain nerve fibers, which are responsible for pain transmission, is likely to lead to the clinical picture.
The pain fibers are activated by certain causes and lead in the process to tension of the musculature which is localized on the back near the pain happening.

The causes for the activation of pain fibers are manifold. Especially chronic incorrect loading are known to contribute to the formation of blockages.

In most cases, however, no cause for the development of the disease can be found.

Symptoms of a vertebral blockage

Typical symptoms that occur when one or more vertebral bodies become blocked and that are an indication for vertebral stenosis are movement-related back pain.

It should be noted that in vertebral blockage the joint movement of the spine is never completely restricted.
Thus, the area of ​​the spine can still be moved in at least one direction, although there is a blockage. Another conspicuous feature is muscle tension in the area of ​​the blockage. In many cases, blockages are asymptomatic and resolve spontaneously through movements of the back in everyday life.

In the case of symptomatic progression, it is especially important to rule out certain diseases which fundamentally require other therapeutic procedures. Especially symptoms of a herniated disc or the so-called sciatica speak against the existence of a blockade of individual vertebral bodies.

Pain on the back

Characteristic of a vertebral blockage are pulling pain on the back, which occur depending on movement.

For example, the pain usually occurs when the spine moves in a certain direction, while movements in other directions are often easily possible.

Since pain can also occur in the context of many other diseases, a comprehensive diagnosis by the attending physician should take place.
Especially with severe pain, it is important to rule out serious diseases and then continue with the appropriate therapy.

Pain on the scapula

Often blockages occur in the upper back area between the shoulder blades.

The scapula itself, on the other hand, is rarely responsible for the pain of the blockade.
Since it comes as a rule in the context of vertebral body blockade to muscle tension, but symptoms may occur that affect the scapula.

In case of tense musculature, which develops in the context of the blockade, movements of the scapula can be painful.

The reason for this is often a blockage of one or more vertebral bodies in the thoracic spine.

Pain in the neck

It helps to massage the neck muscles to release muscular tension and to prepare for dislocation. An improvement of the pain by stretching in all degrees of movement of the neck can already help.

This means bending your head forwards and backwards, turning right and left, and tilting right and left. For example, you can place your right palm on the right cheek - the palm of your hand should be under the lower jaw. Then the head is moved to the left by pressing on the right palm until the joints of the spine hear the typical crackling.

The left hand should also be moved on the other side. Alternatively, the hand can be clenched into a fist and triggered with the fist pressure against the lower jaw. Another option is to position your right elbow on the table and to hold your chin with your right palm. The left arm grasps the head and the left hand behind the right ear. In this posture, the head is then rotated clockwise.

Pain in the thoracic spine / in the middle back

Long standing or working in front of the screen often causes pain in the thoracic spine and upper back. Before restraining, it is also advisable to perform some stretching of the back muscles in order to correct the posture and to stretch the ligaments of the back muscles.

In some cases, the problem can be solved by stretching yourself. An exercise is easiest to do on a chair, so it is recommended for work or school. With the butt you slide to the front chair edge, but the upper back touches the upper edge of the chair back.

With the palms on the forehead is now slowly exhaled, so head and shoulder sink behind the back of the chair until it comes to the Einreken. An alternative standing up requires that one clasps the hands behind the back on the spine with the backs of the hands pointing to oneself. Then you move your hands up a few inches along the spine and lean backwards with your upper back until you feel the straightening.

What are the consequences of Einreken?

If the self-restraint itself is carried out carefully, not beyond pain and not too frequently, then it is without hesitation.

However, becoming a habit and daily regimens may in the long term damage the ligaments of the back muscles and cause so-called hypermobility - a condition characterized by a particularly strong flexibility of the ligaments and joints and diminished stability in the affected muscles.

Should a very frequent need for restraint exist, the cause should be found out with an orthopedist and, for example, the posture should be improved by strengthening the spinal musculature.

Diagnosis of a vertebral blockage

Before a blockage is repaired by the narrowing of one or more vertebrae, the diagnosis of a blockage should first be secured by the attending physician. In this case, the history of the affected person is particularly important, since even the symptoms can provide a strong indication of the underlying disease. Subsequently, the physical examination of the affected and painful area is of enormous importance, since a blockage usually accompanies a tense musculature at the affected area. By feeling the tensed muscles and carrying out special movement tests, the diagnosis of a vertebral body block can usually be made.

Thorough history and physical examinations are essential, as certain diseases with similar symptoms should be excluded prior to treatment. This is especially important when symptoms of serious illnesses occur. In order to rule out certain contraindications for the manual narrowing of a vertebra, an X-ray examination should be performed before the procedure.


The narrowing of vertebrae can be a sensible therapy option in a so-called vertebral blockade. In order to solve a blockade, physicians and physiotherapists can be consulted with the additional name manual medicine / chiropractic. It is important to have an accurate diagnosis prior to the procedure in order to safely rule out contraindications to immobilization. Both the therapy of the blockade by the Einrenken, as well as the potential risks are very controversial. Thus, in addition to the Einrenken also the possibility of a drug or physical therapy. Since the possibility of the occurrence of serious risks can not be ruled out, especially in the case of cervical vertebrae, a precise analysis of the indication for therapy should be made by the attending physician.

  • ophthalmology 
  • gynecology and obstetrics 
  • laboratory values 
  • pediatrics 
  • doctor 
  • Prefer

    Preferences Categories

    Point Of View