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| Body | STIFF HIPS & LOW BACK PAIN<br /> <br /> What’s the first thing that comes to mind when a client presents with low back pain… muscle spasm, nerve irritation, osteoarthritis, or maybe a disc problem? In my experience, therapists rarely link the femoroacetabular joint to back disorders, even though several studies have found a strong correlation between movement-restricted hips and lumbar spine pathology. <br /> <br /> When assessing hip mobility issues, there are three things to consider. First, are the bones moving properly within the joint space, or is there an osteoarthritic bone-on-bone end-feel at end range of motion? Second, is a fibrotic femoroacetabular joint preventing rectus femoris and iliopsoas from reaching full hip extension during the swing phase of gait? Third, does the end-feel of the stretch indicate a fibrotic hip capsule or just tight/short hip flexors?<br /> <br /> So, how do we determine if a client has a hip extension restriction? Here’s a quick and helpful hip mobility test. Ask your client to half-kneel with their right knee on the ground and left leg in front so there’s a 90-degree angle at the hip and knee. Place a bar (or broom stick) along the client’s spine. It should touch between their shoulder blades and the top of their gluteals. Now, ask them to slowly push their pelvis forward so they flatten their low back, allowing it to contact the stick. If the client feels a stretch in the front of their right hip, they have a flexibility or mobility issue in or around that hip. Switch positions and repeat the test on the left hip.<br /> <br /> To assess the left anterior hip capsule from the prone position, begin by flexing the client’s knee to 90 degrees and grasping the leg. Place your left palm just below the ischial tuberosity on the proximal femur. As you step to your left foot, your right arm will slowly bring the hip into extension while... Click here to read more and view a psoas-rectus femoris mobilization technique: <a href="https://l.facebook.com/l.php?u=https%3A%2F%2Fmailchi.mp%2Ffreedomfrompain%2Fstiff-hips-and-low-back-pain-160789&h=AT0iIwtR9olSXWZ7FvahnbnFfKNinSjEcu6Y5UrKbMKPL-nEp12IiZDBu8MDD1zMGZ9YgMyJyXcsDRF0BqTCwvZd2ySCpYEWv61_Hd4d9SWyYHNRvCMK0lj7AVkDlN-CB4jFV3IbQe7ssIR_ciIwgcmhw4V4dfaxbPA" rel="nofollow noreferrer" target="_blank" data-lynx-mode="async">https://mailchi.mp/freedomfrompain/stiff-hips-and-low-back-pain-160789</a> |
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