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Elimination of Intermittent Chronic Low Back Pain in a Recreational Golfer Following Improvement of Hip Range of Motion Impairments

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Elimination of Intermittent Chronic Low Back Pain in a Recreational Golfer Following Improvement of Hip Range of Motion Impairments

The Chiro.Org Blog


SOURCE:   J Bodywork and Movement Ther 2013; 17 (4): 448-52

Peter M. Lejkowski, Erik Poulsen

Faculty of Undergraduate Education,
Canadian Memorial Chiropractic College,
Toronto, ON, Canada


BACKGROUND:   The biomechanical relationship between the hip and low back is well described and impairment of hip range of motion is thought to affect lumbar spine function, possibly leading to increased loading and subsequent symptoms. However therapy for low back pain (LBP) patients is commonly directed solely to the low back area overlooking possible hip impairment.

CASE DESCRIPTION:   A 56-year-old male recreational golfer presented with a chronic golf-related low back complaint. Previous conservative therapy targeting the spine did not result in complete symptom relief. A working diagnosis of L4-S1 facet joint irritation and lower lumbar segmental instability secondary to bilateral hip ROM impairment was established. A trial of therapy strictly addressing the hip ROM impairments was initiated and following 2 treatment sessions, a complete resolution of symptoms was achieved and maintained at a 2-month follow-up.

DISCUSSION:   This case demonstrated a complete and rapid relief of un-resolving low back pain with a management strategy focused on hip ROM impairments. Clinicians should remember to look beyond the local area of complaint and appreciate the interdependent nature of the musculoskeletal system.

About the Author:

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been and remains my favorite hobby.

One Comment

  1. Derek December 1, 2013 at 1:32 pm

    This is why I’m a big fan of the SFMA. I can use it to spot things like this (reduced ROM) pretty quickly, and more importantly, use it to reassess and check progress.

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