I've seen an elite enduro (off-road) motorbike rider for massage only a couple of times now. In my initial assessment, he mentioned that his lower back feels 'weak' since around 6/12 ago.

When bending to touch his toes he is very wary and uses his hands to assist him when straightening up. An Wikipedia reference-linkMRI scan revealed nothing abnormal. The movement in his spine is generally good throughout during all ranges of movement with no noticeable abnormalities in the lumbar region. Strength must be pretty good given what he does for a living though due to the nature of the complaint I haven't properly assessed spine extension. He rides at an international level and is extremely fit and well built.

Only obvious postural abnormalities are probably related to the position held when riding and are rounded shoulders and inferior edges of both scapula being excessively externally rotated.

He has only seen me for massage so far but next time I would like to address his lumbar spine issues. Any thoughts?

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