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Lower back pain not going away despite treatment...
For the last two months I've been doing as Sports Medicine Doctor says, stretch you quads and hamstrings and do Supermans", the pain is still there.
Specifically in the lower left hand side in one spot. I stopped working out inorder to focus on rehab, also I'm a shoe manager and stand/walk for 8 hrs a day(no Al Bundy jokes), I would have hoped that daily walking would have helped since I'm still "active" at work. Any suggestions would be appreciated or if you need more info let me know. Thank You.
You guessed it, more info please. Where (exactly) is the pain? What makes it better? Worse? When did it begin? And so on...
Join Date: Apr 2007
Posts: 2
1. Pain Began around 2-23-2007
2. The last thing I did was a bench pressing session (with an over arched back). Pain came two days later
3. It is located to the left between the L4 and L3 of the lumbar spine (my guess is the Longissimus thoracis muscle)
4. The pain begins dull and by the end of the day is aching.
5. The pain is constant until the end of the day (if I work)
6. Standing and walking for longer than an hour starts the pain.
7. Not being on my feet makes it feel better.
8. No radiation of pain to other parts of the body
9. Use to be able to stand and walk all day, running is out of the question.
10. My main concern is that I won't be able to stand for 8hrs, and workout because of the pain. (I'm shoe manger and have to be walking, standing, and climbing stairs on an average work day).
11. Have you ever injured that part of your body before? If so, how? I have injured my shoulder in the past (9 years ago, disclocated left shoulder). Also injured the vastus medialis muscle in September 2006, by either squatting or leg pressing (swelling was sudden with pain the next day) and have not worked my legs since then.
12. The pain is not getting worse but not getting better either.
I went to go see an ART practioner and today with some therapy, he suggesting that it might be the facet joint with the pain radiating to the left, I will see him again Saturday to see if his treatment help reduce pain by atleast 30% before we try something else.
Do you have a hyperlordic curve in your lumbar spine? In other words, does your low-back have a pretty big (or significant) arch in it and you stand sort-of slouched and your abdomen sticks out a bit?
Do you have a hyperlordic curve in your lumbar spine? In other words, does your low-back have a pretty big (or significant) arch in it and you stand sort-of slouched and your abdomen sticks out a bit?
I have not been diagnosed with a hyperiordic curve, but the doctor did say that I have strained muscle in my lower back (around L-2 and L-3) and that it is lifetime for me. He did some ART work and and electrical stimulation (and felt no difference w/e-stim) along with teaching me a few supine lower back streches to do daily to control the pain and tightness. My personal assumption is to strenghthen the posterior chain, core and ab muscles, but that's just me.
I have not been diagnosed with a hyperiordic curve, but the doctor did say that I have strained muscle in my lower back (around L-2 and L-3) and that it is lifetime for me. He did some ART work and and electrical stimulation (and felt no difference w/e-stim) along with teaching me a few supine lower back streches to do daily to control the pain and tightness. My personal assumption is to strenghthen the posterior chain, core and ab muscles, but that's just me.
I'm no ART specialist, but I've personally never heard of a muscle strain that is there for life. I could be wrong though.
You keep mentioning muscular things; is anybody saying anything about the spine itself? Because if your problems are all muscular, you can fix it much easier than a spinal problem.
This also jumped out at me: "injured the vastus medialis muscle in September 2006... and have not worked my legs since then." Hell, if your doctor thinks it's about stretching your hams and quads, and that the facet joint is causing it... maybe ask Bill or someone how NOT training your legs may have effected all of this - or if that VM injury lead to the hip problem.
Best of luck, and I'm curious to hear what the pros say.
My back has not been "right" since about September of last year and I've been trying to work around the problem. It all seemed to happed around the same weekend that I worked hard in the yard on Saturday and played Senior Olympic basketball on Sunday. No injuries that I know of so the timing might be coincidental. After that, I did a lot of swimming to keep active and slowly worked my way back into the weight room. I'm pretty sure that my problem was in the L5 area - lower right side for me - and I saw a chiro several times which gave some temporary relief. I was never in bad pain but my some momentary twinges mostly and a general feeling of being unstable. When I finally got back to doing some squats and deadlifts again, my back started feeling a lot better! I do a lot more stretching but I've had back tightness problems for a long time which seems consistent with the shortening of muscles associated with too much sitting.
I'm pretty much convinced that my problem has more to do with what I'm doing right this moment (dammit!)... crappy posture, sitting in a chair typing on a keyboard! Maybe this has been a good thing because I am a LOT more aware of my posture these days, while seated especially. Coincidentally, I just picked up a copy of Stuart McGill's Ultimate Back Fitness and Performance from our library and I'm pretty interested to see what he says!
Coincidentally, I just picked up a copy of Stuart McGill's Ultimate Back Fitness and Performance from our library and I'm pretty interested to see what he says!
Pedro,
Few questions...Did the chiro perform any manipulations?...what levels and what was the effect?.....What muscle groups did you have ART'ed?...In particular, I'm curious about the state of your QL, psoas, lumbar paraspinals and lats. How's your pelvic alignment?
Pedro,
Few questions...Did the chiro perform any manipulations?...what levels and what was the effect?.....What muscle groups did you have ART'ed?...In particular, I'm curious about the state of your QL, psoas, lumbar paraspinals and lats. How's your pelvic alignment?
He did perform a couple of manipulations and today I didn't feel better, actually the pain has gone from an "annoying" pain to a "twingy/crampy" pain in that area (bet it doesn't help that I have to walk/stand for 8 hrs/day).
I think he ART'ed the lower back muscle groups by having me prone and using the lower part of the bench and doing a lever/see-saw motion, while pressing on my L-1 thru L-5's, and then moved the bench left-to-right to stretch those tight muscles, and as far as the state of my psoas, lumbar paraspinals,lats and pelvic alignmnet goes...I have no idea.
Is it something the doctor should have diagnosed by now?
I genuinely think the doc is really trying to help and not trying to string me along, since from day one his goal was to see me no more than 4 times and atleast significanlty reduce or eliminate the pain. If nothing is helping we'll get x-rays.
It's all very depressing, I have not set foot in the gym for 8 weeks now, and don't even get me started on how I've let go of my nutrition
Pedro,
I'm sure your chiro is doing the best he can to promote healing in your back. Other things that pop into my mind, based on the location of your pain (although in no way is a hallmark sign) is the condition of your glute med and piriformis.
BTW, what was the nature of your "VMO injury" and how did you hurt it?....I don't think I've ever run across a true "VMO injury". I have seen it shut down in cases of poor lumbopelvic and/or pelvic-femoral alignment.
Pedro,
I'm sure your chiro is doing the best he can to promote healing in your back. Other things that pop into my mind, based on the location of your pain (although in no way is a hallmark sign) is the condition of your glute med and piriformis.
BTW, what was the nature of your "VMO injury" and how did you hurt it?....I don't think I've ever run across a true "VMO injury". I have seen it shut down in cases of poor lumbopelvic and/or pelvic-femoral alignment.
I hurt it by doing squats or leg pressing one day. It swelled up but I didn't feel any pain right away, ( I thought it was just a good pump) it hurt a couple of days later. The doc will check it out closer as soon as we figure what happened to my lower back. But I think you are right, it has something to do with the med glute and pirioformis since it's the area that I'm told to stretch daily.
Also can you elaborate a little as to how the VMO "shuts down"?
Thank You.
Also can you elaborate a little as to how the VMO "shuts down"?
Thank You.
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This is a very brief explanation, but in cases where the femur is oriented in internal rotation, the vastus lateralis and rectus fem will be the dominant muscle groups, inhibiting the VMO due to its position. You typically see this in an anteriorly rotated innominate.
Best of luck in your recovery.
Lower back pain not going away despite treatment...
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