Right lower back- and right gluteus pain, spasm & irritation

by Mariska
(South Africa)

Struggling almost 2 years with this. Was a hurler most of my life (leading right leg. Went to fisio, chiro & docter. Outcome of evaluation: left leg is longer (but not after chiro corrected it), left anterior hip tilt, tight right quadratus lumborum, psoas major & rectus abdominus. Weak right internal-, external obligues & multifidi. Docter says it is stiff neck- and upper back muscles that throws biomechanic chain. wore an inner sole for a small while.

Nothing really seems to help. Not even sure what exercises to follow anymore. Always in spasm - especially after exercising and picking up heavy things.

Do you have any advice?

Thanks alot, Mariska.

Hello Mariska,
Can you describe to me what provokes the pain. Bending forwards, backwards, sideways? Where in the lower back?

Quite often a Maigne's syndrome may be missed, the Superior Cluneal nerve supplying the buttock area. Any pain where the lumbar and thoracic spine meet?

There are two kinds of short leg. An anatomical short leg, one leg is simply shorter than the other. Ask someone with a keen eye to stand behind you and place their forefingers on the iliac crests. Is one obviously higher than the other. The solution is an insert the shoe, though how much, and whether the whole shoe, or just the heel can be problematic.

The other is caused by a pelvic subluxation, and temporary. Correcting the subluxation corrects the apparent short leg.

My best suggestion: go to our Lower back exercises page, and do them faithfully EVERY morning before getting out of bed. They take less than two minutes.

Good luck, leg me know how you get on.

Mm, one last thought. Lie on your back, and pull your left knee to the chest, then to the opposite shoulder. Then the naught leg. Is there a difference?

Dr B

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Dec 13, 2012
This worked!
by: Mariska

Hi, thanks for the advice & questions.
Though I did a few exercises I decided I need help from another fisio..she applied Fascia Release technique on me. It worked!
The knew method I'm talking about is called Lynosport or Lynotherapy(go google it).
It's all about the strong/stiff & loose/weakened fascia lines in ones body.

In my case the anterior & posterior line was stiff. Thr moment when we released it my back&glutea felt better. I assume its because of the pelvis going into a posterior tilt instead of the anterior tilt it was in. I now do certain stabilisation for my adductors & left quad, and stretches that's held only 2 sec, 5 times for the R glutea,R psoas major& R quad. Will roll on foam roller/tennis ball when I feel irritation/spasm again.

It's not completely gone-but much better!:)

That's very encouraging, Mariska. One of our rules: fifty percent less pain is the dangerous time. The reason, the pain goes away much faster than it heals. So be careful for at least six weeks.

Not that you have to sit in the wheel chair, but none of that heavy lifting, hear!?

Do your exercises faithfully.

Keep at it now, and go on to complete healing.

Good luck.

Dr B

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