When a patient presents with low back pain we also need to understand the relationship that the lumbar spine has with the other joints in the body, particularly the hip. The hip is unique in that is it designed to be a mobile joint but also depends on muscles to provide stability and movement. The faulty hip movement will require the spine to move more than normal in an effort to compensate. Excessive stress on the spinal joints can result in low back pain, but the problem at the hip may the underlying cause.
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Discussing sleep position with patients is an important component of care. The way someone sleeps is rarely the cause of someone’s problem, but it can be one of the many factors that don’t allow their body to recover like it should. If the goal is to provide fast, long lasting relief than all factors need to be considered and sleep position can be a big one. Here is a general rule:
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When dealing with any type of knee problem we need to understand the relationship that the knee has with the other joints in the body, particularly the hip and the foot. It can be said that the knee is caught between the foot and the hip, and as such the foot, knee, and hip make up what is known as a kinetic chain. In fact, many of the muscles that act at the knee also cross either the hip or ankle joint. As a result of this relationship, with any knee problem both the foot and hip must always be closely examined as an abnormality in either area will greatly influence problems at the knee.
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The hip consists of a “ball-and-socket” joint that is formed between the Femoral Head and the Acetabulum, a part of the Pelvic Bone. As a result of its shape the hip joint is capable of a wide range of motion in all directions – forward and backwards, side-to-side, and rotation inwards and outwards. In addition to this large range of motion it is important to understand that because the hip joint joins the leg to the trunk there is a tremendous amount of force that must pass through this region with daily activities. Due to the high amount of force, combined with the large range of motion, the hip must rely on a complex system of muscles to control and protect the area.
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