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| Lower
Back Pain (Lumbar
Pain) |
Medical Etiology: (information for health
professionals)
Definition:
Muscular tightness in the lumbo-sacral region, causing pain.
Symptoms:
The
patient will complain of a dull ache and stiffness in the lumbar
region. Standing for long periods or sitting in the same position
may worsen the pain.
Biomechanical
etiology:
Bilateral excess subtalar joint pronation
internally rotates the tibial and femoral shafts which can lead to
anterior tilt of the pelvis and a forward shift of the body�s centre
of gravity, resulting in increased lordotic curvature and
compensatory muscular tightness of the lumbo-sacral region. The
upper body (Thoracic Region) commonly develops a secondary kyphotic
curvature. Unilateral excess subtalar joint pronation lowers the
vertical distance of the foot to the ground, therefore creating a
functional short leg, causing hip
mal-alignment.
Treatment:
By reducing excess
pronation orthotics control internal rotation of the tibial and
femoral shafts, thereby limiting anterior pelvic tilt and secondary
muscular tightness of the lumbo-sacral region.
Additional
treatment: Improve body posture: stand & walk up straight. For
people in office jobs: sit with back straight and head up. Spinal
adjustment and soft tissue therapy by a qualified
Practitioner.
Exercises:
� Strengthening of the
abdominal muscles - �safe� sit-ups
(lift head and shoulders off
the ground whilst keeping the
neck straight and eyes focused on
ceiling)
� Press-ups: like push-ups, however the legs and pelvis
stay
flat on the ground
� Hamstring & lumbo-sacral
stretches
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