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      • Internal Rotation Lag Sign
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Back Pain: It's All about the Hips! 

2/4/2016

3 Comments

 
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Now that I caught you with the title...we know nothing in Physical Therapy is 'all about' one thing. The beauty and difficulty of the human body is our unique differences. There is not one thing that is the same for all of us. However, when dealing with back pain, we know the importance of proper strength and mobility of the hips is essential.

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​Throughout my lumbar evaluation, I look at the function of the hips in several planes. From the functional movements of gait analysis and squatting to AROM and strength testing, I try to gain an understanding how people use their hips. If a patient is lacking range of motion, their mobility will likely arise from the lumbar spine. Contrarily if the hips are lacking strength, the low back will attempt to compensate for the weakness. For example, when someone performs a squat, if they are lacking hip strength, they will likely use their low back to ascend from the squatted position. This excessive lumbar hyperextension demonstrates an inability to stabilize the trunk.

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The hips are inherently stable and facilitate the overall health of the lumbar spine. When rehabbing the lumbar spine, we must focus on hip mobility, strength, and retraining functional movements. In my therapy sessions, I start retraining the gluteals with basic table exercises such as bridges and clamshells. When pain decreases, I advance to quadruped exercises, standing hip extensions with TrA activation, and dynamic single leg balance activities. Regarding function, I start retraining the hip hinge technique as well as squat and lunge patterns. We must check the hips on every lumbar evaluation! 

​-Jim

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Like this post... Check out TSPT Insider Access Page & OPTIM COMT and Fellowship Program. 


3 Comments
Benchmark Physio link
5/23/2023 07:07:12 pm

Nice and helpful guide that everyone can follow for their back pain concerns. Thanks for it.

Reply
Austin Urlocker link
8/15/2023 11:26:05 pm

I appreciate you shedding light on the importance of hip strength. I came across a helpful resource that outlines exercises for managing back pain, and I thought it might be beneficial to share: https://www.royalspinesurgery.com/blog/how-to-do-back-exercises-for-back-pain/. Thank you for your valuable insights!

Reply
juvederm wholesale link
5/17/2024 06:13:34 am

Back pain can be a persistent and debilitating issue for many, often with its roots in unexpected places. Surprisingly, one major culprit could be your hips. The intricate interplay between hip mobility and spinal alignment can significantly impact back health. Poor hip flexibility or strength imbalance can strain the lower back, leading to discomfort or even injury. Addressing hip function through targeted exercises, stretches, or therapies like yoga can alleviate this burden. Furthermore, considering holistic approaches to wellness, such as maintaining a healthy weight or seeking professional guidance, can provide lasting relief.

Reply



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  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test