Brief Medical History Overview
Age: 19, Male, Presenting Problem Since: Since March 2018, Symptom Behaviour: Slowly better/constant, Symptoms Worse (24hr Behaviour): Worse in morning and night, Aggravating Factors:: Stretching my right hamstring, hip hinge, Easing Factors:: Lying flat on back with my legs bent and raised on something, Investigations: Have had multiple X-Rays and an MRI scan of the lower back area. X-Rays revealed mild scoliosis, which I was told was nothing too abnormal. MRI scan revealed narrowing of spinal canal in the lumbar spine., No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues
Spinal Stenosis
Hello, here is my situation and what I’d like to know:
I am a 19 year old male. I’ve played competitive basketball (nationally and internationally) since the age of 11 before quitting entirely in March 2018. My reason for quitting was an injury after falling and hitting the court with my back. After the fall, I felt the bruising pain of the immediate impact but had a feeling that things would be worse in the morning. Sure enough, the next day I had pretty intense pain in my lower back that radiated down the outer side of my right leg (my left leg is completely fine). This pain has fluctuated so much that sometimes everyday movements are very painful, but on other days I feel completely fine. Generally, the pain has slowly diminished since March 2018, although it is still there today.
Throughout my years of playing, I never paid much attention to stretching or mobility work (and am now paying the consequences for it) so my overall flexibility is very bad already. I cannot sit with my legs stretched out straight in front of me. I cannot hinge at my hips without curving my back. The right side of my lower back appears to bulge out. My hips are also very bad - my right side is hiked up and appears more scrunched if I lunge or try to bring my knee to my chest. I have minimal hip internal rotation in my left leg and cannot bring my right knee to my chest without the knee turning outward (although external rotation for both sides is fine)
I recently had an MRI on my lower back which revealed mild spinal stenosis in my lumbar spine. I was told that it was genetic and that it was just the way my spine was. I’ve accepted this and am planning to work on my overall flexibility and mobility to alleviate my pain. But regarding this, I had a few questions that I’d be very grateful if someone could answer for me:
Do I need to work on my hips before my back, or should I do both at the same time?
What muscles do I need to strengthen my hips/back?
What exercises should I do to strengthen these muscles?
Thank you in advance
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