Categories: low back pain

Are you sure your hip flexors are tight? If so, why and who cares?

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Published on: March 31, 2020

Update: I am not the first to write about this area.  I found a great post by Todd Hargrove tackling the same topic and saying much the same (he does it more succintly and I address a few other areas as well).  His post is here:

The Tight Hip Flexor Bogeyman

We too often tell patients that their pain, dysfunction or poor performance on any movement is due to the great bogeyman of hip function - TIGHT HIP FLEXORS.  It is quite a go-to explanation for all things bad.  Where this idea started I don’t know but it is certainly propagated by the Lower Crossed Syndrome Theory.  This theory contends that dysfunction occurs when your pelvis is tilted forward as a result of tight hip flexors, weak glutes, tight low back muscles and weak abs.  At its heart, this theory assumes the body works like a puppet where we can tension and loosen our strings (aka muscles) and watch our pelvis dance into some assumed nasty or happy position. (more…)

The SI joint - a cause of low back pain

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Published on: March 5, 2020

Audience: Patients

Purpose: Info sheet for patients to learn why the SI joint can be a pain in the butt.

The sacroiliac joint (SI joint) occurs where the bottom of your spine meets your hip bones.  You have two of them and they must bear all of the stress that goes from your upper body through your lower body and vice versa.

SI joint pain can be felt in the lower part of your back, into your buttock, down your thigh and even into the shin.  People will often feel their leg give out and will feel a catch when walking.  It is often confused with Sciatica. This pain can occur from simple picking up a pencil.  Last pain in the area of the SI joint can even come from inches above the joint in the area called the T-L junction. (more…)

Side Bridge Variation Exercise Sheet - training inside and out.

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Published on: January 20, 2021


Purpose: Exercise Sheet handout
Attached is a handout for four variations on the sidebridge.  If you do not know what you are doing please speak with a professional before incorporating these into  your strength and conditioning program.

HERE IS THE FULL SHEET IN PDF: side bridge variations sheet (more…)

Stu McGill’s Big Three Exercises for Spine Stability

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Published on: January 13, 2021

Bird Dog

Audience: Patients, Trainers & health professionals

Utility: Exercise sheet handout for basic spine “stability” training

What exercises: Bird dog, side bridge, curl up

Stability is in quotes because you can certainly debate whether these exercises actually increase “stability”.  Or more accurately make the stable system more Robust.  What these simple but great exercises definitely do is work the entire trunk and hip musculature without imposing a large compressive or shear load on the spine.  The initial research justification for those exercises (almost 16  years ago but they have only been catching on for the past 5 or so) is that they train the spine musculature but do so in a manner that does not increase the injury risk.  Many exercises can train the spine musculature (e.g. double leg raises, back hyperextensions) but do so in a manner that might increase your risk of injury.  These exercises avoid this which is ideal in a low back injured population.  Athletes are a separate kettle of fish. (more…)

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