lower back pain

[physioo]

Had this patient..can u help

33 yr old...runner..c/o LBP muscular L5 level from 3 months...tender on palpation
-On assessment...pain on flexion, mobil spin process..full rom, no pain...no neuro signes...
-Grade 4 lumb extensors...grade 5 abd...otherwise 5 throughout...
-ALso has flat feet..using no orthotics currently

Rx
Advised on flexion to prevent etc..lifting etc
hamstring stretches, knee to chest, rotational stretches in supine lying with knees bent
Strengthening lumbar extensors in prone with 10 sec hold at end of rom.
To continue wearing orthotics for flat feet on running etc.
Heat application 2 times per day..15 mins

What do u think on this treatment, anything else I should test, and anything u would add in Rx.

Thanks guys...much appreciated.

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[doctoralbia]

hi....iwas recenly diagnosed with spina bifida...i. have very severe backache n m havin problems in my knee joint while walking...i want to know wat specifically i should n should not do...while excersizing as m a bit overweight...can i go for walking or jogging or swimming

[specialisedsofttissue]

I think the fact that he still gets pain in his lower back after a prolonged standing is still cause for concern, this is not normal for most people. fatigue could be an issue with him so as sdkashif said endurance and also core work might work well with this chap. get some TA activation and pelvic stability into the mix as well as mobilising through the region. doing fascial work though a hypertonic psoas can often give great results when treating chronic LBP. Squish, stork, active extension whilst prone and trendelenberg should give you a general idia of his hip stability and any restrictions or imbalances within the lumbopelvic region. put him back in the oven, this guys not done yet!!!