Lumbar Rotation – Extension Syndrome

Lumbar Rotation – Extension

Medical Diagnoses (does not exclude other categories)

  • Facet Syndrome
  • Spinal Stenosis
  • Spondylolisthesis
  • Spinal Instability
  • Degenerative Disk Disease
  • Osteoarthritis of the Lumbar Spine
  • Herniated Intervertebral Disc

Description:

Low back pain that may or may not refer into the leg that occurs with lumbar extension and rotation (backward bending and twisting).  Usually this pain is on one side more than the other or different on each side.

Diagnosis:

  • Pain relief when the back is flattened against a wall in standing.
  • Pain when standing straight up after bending over.
  • Pain when bending to the side.
  • Increased pelvis rotation during a heel slide or bent knee fall out.
  • Anterior tilt and pelvic rotation during prone knee flexion or hip extension.
  • Pelvic rotation during prone hip rotation.
  • Pain and pelvic rotation with rocking forward and backward in quadruped.
  • Pelvic rotation when raising an arm in quadruped.
  • Pelvic rotation while extending a knee in sitting.

Treatment:

  • Change seated posture so back and feet are supported.
  • Improve the mobility of the hip flexor, hip abductor, or latissimus dorsi muscles while simultaneously improving the stability of the abdominal muscles.
  • Identify daily activities that stress the lumbar spine into extension and rotation and try to problem solve those activities so they are painfree through movement training.
  • Improve hip extensor vs. back extensor activity during extension motions.

 

 

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