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With over 85% of people suffering low back pain at some stage in their life, the management of the pain and the causes of dysfunction should be quickly implemented. Low back pain often has a complex cause with instability, poor core strength, compromised pelvic stability and muscular imbalances creating pain, disability and a variety of symptoms. Treatment of the cause and the symptoms, as well as a preventative approach is what Sydney Sports Chiropractor provides to resolve low back pain.
Lumbar facet synovitis (Facet joint sprain)
Facet Joint sprain occurs when the connective tissue or cartilage surrounding the joint becomes damage or tears when a excessive force is placed on the facet joint.The most common cause is overuse injury and it usually seen in patients who perform excessive amounts of bending, lifting and twisting movements.
Lumbar internal disc disruption (Disc protrusion, bulge or herniation)
Commonly called a 'slipped disc', this is a 'catch-all' term for a range of spinal problems that relate to the 'discs' of soft tissue which separate the vertebrae in the spinal column. In medical terms you may be suffering from either a disc bulge (protrusion) or a ruptured disc (disc extrusion or sequestrum). Combinations of pain in the lower back, buttock, groin or leg can arise either from irritation in the disc itself, or when the disc causes irritation of the adjacent nerves.
Instability is defined as aberrant (erratic) motion during movement, for example an uncoordinated muscle contraction. Stability of joints in the lumbar spine is maintained by a combination of the structural (passive) system, muscular (active) system, and the neural control system.The interplay between these systems is thought to be necessary for neuromuscular control of spinal segments and disruption might lead to a lack of segmental control, leading to undue stress on the tissues in the body.
Quadratus lumborum syndrome
Quadratus lumborum is a muscle located in the low back and is connected to the ribs, spine and pelvis. When it contracts too much or too frequently, it causes hip elevation, and pain in the back, hips, and buttocks. Because the quadratus lumborum is part of the muscles which are responsible for movement of the spinal column, an injury to this muscle can result in restricted mobility and pain with a variety of movements.
Lumbar erector spinae tightness
The lower back is inherently unstable when in pain. No matter what the original cause of the lower back pain, the deep core gets inhibited; the more superficial muscles (erector spinae) become tight and can produce pain and stiffness.
Lumbar related sciatica
When a ruptured disc causes irritation of the adjacent nerves, the pain can spread below the knee, calf and into the foot (termed Sciatica). It can also arise when you have lateral recess stenosis or osteophytic growths compressing nerves. This may cause numbness, sharp shooting pain or pins and needles in the leg and may be associated with weakness such as "foot drop" (difficulty lifting the toes and foot up) or weakness when pushing off with the foot.
Stenosis means narrowing and central stenosis refers to the narrowing of the central canal of the spinal column. The symptoms of lumbar stenosis are insidious and may come and go, symptoms include leg pain (sciatica), leg pain with walking (claudication) and neurological symptoms such as tingling, weakness or numbness that radiates from the low back into the buttocks and legs.
Non-specific mechanical (low back pain)
It is often difficult to be certain regarding the cause of someones low back pain and as such can be referred to as non-specific low back pain. Normally structures such as intervertebral discs, facet joints, muscles and ligaments will contribute to pain, stiffness, discomfort and sometimes radicular leg pain when neural structures become compromised.
Hip extension weakness
Activation of the hip extensors is critical to control of the head, arms, and trunk, without normal hip extensor strength it is thought that changes can occur in walking speed, stride length and cadence. Of all the muscles to weaken the hamstrings required greatest compensation from other muscle groups. The loss of hip extension strength will cause recruitment of a synergistic muscle, the erector spinae to initiate hip extension, and a altered motor pattern will ensue. This can cause excess loads on the lumbar spine and cause increased stress on the facet joints.
Sacroiliac capsulitis Sacroiliac joint sprain
There are many different terms for sacroiliac joint problems, including SI capsulitis, SI joint dysfunction, SI joint syndrome, SI joint sprain, and SI joint inflammation. The most common symptom of SI joint dysfunction is pain, usually at the back of the hips to the left or right at the bottom of the low back. The pain is typically worse with standing and walking and improved when lying down, with pain and discomfort often referring into the groin and hip. Joint stiffness, restriction and limitation of movement are common complaints from sufferers of this injury.