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THE PAIN AND MUSCLE CLINIC

PHYSICAL THERAPY 087-7542905

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Pain and movement

Posted on May 15, 2011 at 5:00 AM Comments comments (1993)
rectus femoriship flexor image3d gluteals imageThe most common injuries seem to be universal in the sense that  lumbar pelvic discomfort and the usual sacroiliac problems (SI Joint) seem to trait towards  our age, activity levels and our chosen hobbies and work practice. Modern research is suggesting that common patterns we use while walking could be somewhat  responsible for lower back pain, we are  like a lot of animals  2 legged, but people that get SI joint pain seem to walk using their hip flexors contracting first as the prime movers. While walking quickly, the pelvis is frequently in anterior tilt and/or there is a distinct forward lean of the trunk, and very often the person with the dysfunction is "pulling" their legs forward rather than "pushing" them.  Walking this way puts added pressure on the hip joint and its ligaments.  The only way to heal  is to take control of our actions and ask ourselves why this unwelcome problem arrived in the first place So stand up, and pretend that your pelvis is a bucket and you are pouring water out the front.  You should feel like you are sticking your butt out behind you, and you have a big arch( lordosis) in your low back. Now try walking while maintaining this pelvis position. Notice how you have no choice but to use the front of your hips to move your legs? Notice how effortfull this is? Its Not good biomechanics its  hard  on your SI joint ligaments, hip joints, low back, and it turns off your stabilizing synergistic muscles and your gluteus maximus, and way over uses the hip flexors and quads. Particularly the rectus femoris which originating from your anterior inferior illiac spine at the front of your pelvis is in the perfect position to tighten and pull you forward . If you have SI joint or hip pain or if this is how you tend to walk, it may be worth your while to try a different way where you pretend your pelvis is a full level bucket of water and try to walk without spilling any,  any body who has low back disc trouble or at least the common posterior displacement version will get instant relief from just standing more upright when walking and making sure the large powerful gluteal or buttock muscles contract first .These powerfull muscles our ancestors used  are diminishing in some walks of life and its no surprise that the athletes we admire all seem to use this simple biomechanic system today.
Anybody that has had hip problems with the hip inominate bones rotated forward or anteriorly in particular and had them treated, would have a better chance of keeping there level pelvis with a few simple changes, and in the first 7 days at least the corrective movements explained by your physical therapist are crucial to lasting pain free movement .