When patients present with hip limitations such as restricted flexion and internal rotation, practitioners should consider that 80% of hip issues can be effectively treated through repeated lumbar loading rather than focusing solely on the hip joint; the lumbar spine is a frequent source of referred hip pain and mechanical restriction, and using lumbar sideglides in standing can reset the system and improve hip range of motion.
Deep Dive
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Deep Dive
💡 Is it the Hip or the Spine?Added:
All right, so typically and we needed to measure your anterior tilt and side bending, too.
So, I'm looking for for men feel here, for men feel here.
All right, this is what we're looking for.
>> [laughter] >> Okay, yeah, there's a lot less flexion.
And IR is also I mean IR is limited on this side, but flexion is really limited. And flexion and IR is the limitation for the pattern that you'll notice on any unilateral complaint.
But remember, 80% of hips, just like 80% of shoulders, can be successfully treated with repeated lumbar loading.
Can I look at your anterior tilt and side bending?
All right, so uh can you face me? Can you face the camera? So, anterior tilt, arms down by your sides, go to the left.
Okay, and then the other side.
Oh, yeah, you can go further on that.
You can go further on the right. Yeah, okay, perfect.
All right, so can you do something that would reproduce your pain?
Before we Before I uh like a asterisks sign or comparable sign.
>> Well, usually I have have trouble extending it like like this is really hard.
>> Hard or painful or >> Like hard, like I'm having to push myself down.
>> Okay, okay.
>> So, whereas like this side is easy.
>> Okay, yeah, cuz you All right.
>> Yeah.
>> All right, perfect. That's a good asterisks sign. We use this as a fulcrum, okay?
I'm going to put my foot here and my knee here to kind of block her knee in case it buckles. And I'm going to use my shoulder here on her elbow as a fulcrum.
I'm going to inter- interclasp my hands on the other side of her hips. So, the first thing I'm going to do, because she uh to bear weight on the left, is to I'm going to drive my weight forward. Is that okay? Let me know if any of this hurts, okay?
So, it's about like a 30% pull of the pelvis toward me.
And then 70% more >> No extra charge for that. You okay?
I only did like five repetitions.
But I'll do anywhere between five and 10 to start. Go for a walk. Go for a walk.
We didn't look at her walk before, but Okay, try that um split squat again.
How's it?
Of course. All right, lie on your back.
>> [laughter] >> See?
So much better.
See, whoa, we're so much better.
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