Strength in Conditioning For Friday, July 24, 2015
Low back pain can be caused by a variety of different factors. This can make it hard to pinpoint the root of the problem, as there are different approaches for assessment and treatment of low back pain. Disc herniation, degeneration, and inflammation may or may not cause pain – making it hard to accurately diagnosis the problem. A simple approach for investigating low back pain is to look at movement of the lumbar spine.
A useful framework for identifying and treating the source of low back pain is characterizing low back pain as flexion or extension related.
Extension-based back pain is aggravated by standing for prolonged periods and characterized by an overextended lumbar spine. Flexion-based back pain is aggravated by prolonged sitting and characterized by excessive flexion in the lumbar spine.
This article will examine the flexion-intolerant low back. Typically athletes are prone to being more overextended while office workers are prone to be flexion-intolerant and rounded through the lumbar spine. In both patterns it is important to mobilize the hips and thoracic spine so that the back is stable during movement.
What is Flexion-Intolerance?
Flexion Intolerant low back pain is characterized by symptomatic pain with movement, and possible referral pain into the buttock and/or down one side of the leg (sciatica). Pain is worsened with sustained or repeated flexion.
Clues for Flexion Intolerance
- Pain upon waking in the early morning
- History of sudden onset of pain during lifting or bending
- History of sciatica, buttock, or leg pain
- Discomfort/pain getting out of a car/chair from sitting
- Discomfort during tasks that require bending (tying shoes)
- More pain in sitting than standing
- Prolonged sitting during the day
- Posture consisting of a flat back/posterior pelvic tilt
- Relief with extension based exercises/pain with end-range flexion
Check back here tomorrow to discover four exercises you can do as treatment to find relief from Flexion Intolerance!
- Kevin Kula, “The Flexibility Coach” – Creator of FlexibilityRx™ – www.FlexibilityRx.com
3 Each: Deadlift + Hang Clean + Front Squat + Press + Push Press
5 Hang Squat Cleans + 5 Push Ups + 5 Bar Over Burpees
4 Hang Squat Cleans + 4 Push Ups + 4 Bar Over Burpees
3 Hang Squat Cleans + 3 Push Ups + 3 Bar Over Burpees
2 Hang Squat Cleans + 2 Push Ups + 2 Bar Over Burpees
1 Hang Squat Cleans + 1 Push Ups + 1 Bar Over Burpees
Run Small Lap + 25 Bicep Curls