Hip or Lower Back Pain? better start paying more attention to your feet.

From one time or another, I think we have all felt some form of hip or lower back pain. If you haven’t you’re lucky….or just lying!

If you have, then trust me the way to sort this out is to aim away from the site of pain and thrust yourself into figuring out what is really going on and where the dysfunction/imbalance that is causing this pain, is originating from. To understand and fix this bio-mechanical malfunction we are going to have to address the way we sit, stand, the way we move in daily life and also realise that so many of our bio-mechanical dysfunctions are not created whilst we’re training.

And that is the key. Everyone thinks that pain, discomfort or spasm occurs while you are training/exercising, but in actuality it’s in your everyday life that your bio-mechanics get thrown off. Ultimately, this compromises your muscular structure and can potentially affect the rest of your life.

Muscles are designed to create and maintain structural integrity in the body.

We have to rely on the structural integrity of the muscles to keep us pain free and allow bio-mechanics to be proper throughout life. Strength, tone, flexibility and hydration are all vital in keeping the muscles healthy.

If you think about it, in order to have structural integrity you must have a solid foundation. I see that foundation as a fully functioning foot with great range of motion; a foot that can support the weight of the upper body no matter what happens. A malfunctioning bio-mechanical chain reaction that begins with the foot can take dysfunction from the lower leg all the way up to the lower back.

The body’s foundation (the foot) is compromised when the soleus muscle in the back of the leg under the calf gets tight and forces you to lose dorsiflection or range of motion in the foot. This happens because the muscles in the lower leg connect in the bottom of the foot, thereby controlling the foot (like a puppet).

When you lose dorsiflection in the foot, the counter muscle on the front of the shin, the anterior tibialis, becomes tight and overworked which forces the knee to go forward. The body’s natural reaction is to adjust for the shift in weight. This creates an unstable platform for the knee and puts added stress on the knee joint. All joints have muscles and tendons that support the functionality of the joint. When the knee joint is compromised, the muscles in the inner, mid, and outer thigh are forced to work harder to maintain the structural integrity of the leg.

When the knees go forward, the butt shifts back. This is when the muscles in the thigh area, the quadriceps, now take a lot of the impact and become overworked. The quads are the biggest muscle group and take the absorption of each step when you run or walk. As the quads become tight they pull up on the patella and because they originate in the pelvic region, the quads will also pull down on the pelvis, forcing an even more dramatic pelvic tilt.

As the pelvis tilts, you may try to lift the upper body to counterbalance the weight. When you try to straighten your upper body and not lean forward, you end up arching your back, therefore, compressing the L4-5 area. The more compression there is on the L4-5 area, the more you compromise the neurological feed to the lower extremities.

Furthermore, when the quads lose their strength and flexibility and become tight and overworked they pull on the pelvis. The opposing muscles/tendons, the IT bands and hamstrings, then lengthen beyond their capacity subsequently creating their own unique aches and pains. Therefore instead of just stretching and massaging the IT bands and hamstrings, you must take the pelvic tilt out of the equation. This will produce better long term results.

Also during this bio-mechanical chain of events, a muscle called the psoas is engaged. The psoas connects in the groin and at T12 in the middle of the back. It unites the front to the back.

When the psoas is strong and flexible, it facilitates good posture and prevents compression on the lower back. On the contrary, when the psoas is challenged it can contribute to the upper body leaning in-front of the pelvis which worsens the compression on the L4-5 area. It also has the capability of compressing the diaphragm consequently compromising your ability to breathe.

Next, the piriformis is a muscle set deep within the glut region. A tight piriformis is a by-product of the pelvic tilt, but more importantly the piriformis can be challenged by the way that you sit.

When you sit, the knees will splay out to the side. As the knees rotate outward, the piriformis will bind up and go into spasm.

As soon as you stand up and walk, the knees come out straight in front of the body, and the piriformis muscle elongates therefore causing pain in the general glute area.

The sciatic nerve runs directly through the piriformis muscle. When the piriformis goes into spasm or tightens it can impinge the sciatic nerve.

If the piriformis and glute region is not managed regularly with massage, a build up of scar tissue and adhesions surrounding the sciatic nerve can compromise the neurological feed to the lower extremities.

Overall, the body’s posture and ability to function properly is influenced by the bio-mechanics and muscular structure. Here you can see the results of bad bio-mechanics and poor weight distribution.

Addressing the lower back independently, you can massage and strengthen the acute area in the back, but fundamentally, you must tackle the bio-mechanical chain to eliminate the root cause of this problem. Basically, you have to redefine the way your foot hits the ground and then eliminate the pelvic tilt.

In conclusion, it is important to remember that every bone has a muscle that surrounds it and every joint has a muscle and a tendon that supports it. If you do not strengthen and create elasticity (with massage) in the muscle, general aches and pains will result. By generating elasticity within the muscle, you are building a sound platform for structural integrity and positive biomechanics.

How to fix this issue, with some daily trigger point therapy and a hockey, cricket or tennis ball.

Well stayed tuned for the how to fix the issues. I will upload a video o my blog very soon.