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Iliofemoral Joint Dysfunction

Have you hit a wall with resolving back pain? Try looking at the hip. The hip is an often over looked cause of chronic back pain. Let’s see how. Dysfunction of the Iliofemoral Joint usually results from muscle imbalances in the tensor fascia latae, gluteus medius/minimus, hip external rotators (piriformis, quadratus femoris, gemellus, and obturator, or even the rectus femoris. Tightness or inhibition in any of these muscles can alter the entire kinetic chain. Superior glide of the femoral head in the acetabulum can result in decreased dynamic caudal glide of the femoral head during frontal plane hip abduction. This can result in capsular dysfunction and inhibition of the glutues medius. This results in referred trigger point pain to the lower back and also over use of the lumbsacral junction. Oh what a tangled web from just muscle tightness.  So if progress in adjusting the lower back hits a road block. Look to the hip. Do some trigger point work and release the hip via manipulation. Sit back and watch the results. Now that’s the best part. Watching people get better.                                              Dr. Perry Nickelston     www.painlasercenter.com        drperry@painlasercenter.com        973-800-6570 

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