Lumbar Rotation – Flexion Syndrome

Lumbar Rotation – Flexion Syndrome

Medical Diagnoses:

  • Herniated disk
  • Degenerative Disk Disease
  • Osteoarthritis
  • Instability

Description:

Low back pain with or without leg pain into one leg.  Pain is usually worse while sitting, bending or twisting.  Pain is also usually worse in the morning (disk) and better with moving or a hot shower.

Diagnostic Tests:

  • Pain with forward bending and decreased pain with corrected forward bending.
  • Asymmetrical motion with lateral bending with pain.
  • Increased / early pelvic rotation during bent knee fall out and prone knee flexion.
  • Asymmetry and pain with posterior quadruped rocking.
  • Increased pain in sitting or slumping while sitting.

Treatment:

  • Improve hip and hamstring mobility if indicated.
  • Improve control of forward bending through gluteal activation and strengthening.
  • Dissociate hip from lumbar flexion.
  • Resist rotation with abdominals.

Tx

Correct forward bending

correct lateral flexion

correct hip abduction, BKFO

correct prone knee flexion

correct qped rocking

correct seated posture and knee extension

supine lower abs

prone er / ir

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