Hip Mobility
If you ever have difficulty resolving a chronic lower back issue don’t forget to check for proper hip mobility issues. There is usually a lack of motion in unilateral and sometimes bilateral hips. Lack of motion cause inhibition to the gluteus medius and minimus with referred trigger point pain. Test for capsular mobility with Faber Test and compression you may see a lot of external rotation in the supine position. I find AIS (Active Isolated Stretching to be a great active way to loosen the hip with mobilization. Have patient foam roll or teenis ball at home to increase movement and break up scar tissue. You just might find that lower back come around when the Kinetic Chain improves.
Dr. Perry Nickelston

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