Low back pain, particularly while legs are stretched out and folding over or back bending

by Kiko Salazar
(Augusta, GA. USA)

LAT Lumbar

LAT Lumbar

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Hey! My name is Kiko and I am an x-ray tech at a chiropractic practice. I have a fusion of my transverse processes of my L5 to S1, and I was looking for another set of eyes on it. I practice yoga and I notice that any forward folds and back-bends cause a lot of pain. I also have extremely tight hamstrings, which I'm sure contribute to the pain. I was just wondering if you guys could look over these and give me some detailed analysis.
Thank you so much!





Hello Kiko,
Mm, you're asking a lot, and I'm liking to be stepping on toes!

Certainly you have a transitional segment at the the lumbosacral junction. S1 has a large spatulated transverse process on the left which appears to articulate with the sacrum - you can see the sclerosis. I don't see any fusion to the SI. The facets are difficult to visualise. Rudimentary ribs at L1 as is common with a lumbarisation of S1.

Also a very small pincer deformity in the left hip; any groin pain or stiffness?

I'd also be looking for abnormal motion palpation findings at L2 and L3.

Sometimes I find with these transition segments they just don't respond to the normal adjustments; other techniques have to be sought; traction, drops, activator, exercise, massage, acupuncture.

I would also recommend some gentle mobilising exercises done on your bed every morning before arising. Just a couple minutes worth, but done every day.

If flexion and extension cause pain, then I'd avoid them for the moment; pain is your friend and it's trying to tell you something. Listening?

Try different things until you find what works for you. Inversion traction? But trying to work through the pain with your yoga I think will just cause you more problems.

I hope this contributes.

Dr Barrie Lewis


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