{"id":638,"date":"2014-03-04T11:45:07","date_gmt":"2014-03-04T17:45:07","guid":{"rendered":"http:\/\/www.physicalexcellence.org\/blog\/?p=638"},"modified":"2014-03-04T11:45:07","modified_gmt":"2014-03-04T17:45:07","slug":"cause-of-low-back-pain","status":"publish","type":"post","link":"https:\/\/www.physicalexcellence.org\/blog\/cause-of-low-back-pain\/","title":{"rendered":"Cause of Low Back Pain"},"content":{"rendered":"<p><a href=\"http:\/\/www.physicalexcellence.org\/blog\/wp-content\/uploads\/2014\/03\/lower-back-hurts.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-639\" alt=\"lower-back-hurts\" src=\"http:\/\/www.physicalexcellence.org\/blog\/wp-content\/uploads\/2014\/03\/lower-back-hurts-300x300.jpg\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.physicalexcellence.org\/blog\/wp-content\/uploads\/2014\/03\/lower-back-hurts-300x300.jpg 300w, https:\/\/www.physicalexcellence.org\/blog\/wp-content\/uploads\/2014\/03\/lower-back-hurts-150x150.jpg 150w, https:\/\/www.physicalexcellence.org\/blog\/wp-content\/uploads\/2014\/03\/lower-back-hurts.jpg 450w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Most low back pain originates in the soft tissues.It makes sense to begin with the least risky, least invasive treatment available, then escalate if necessary.\u00a0And that treatment is medical massage therapy. If it isn&#8217;t effective, the other treatments are still available.\u00a0But if it is effective, a lot of time and pain and risk and money have been saved.\u00a0Low back pain caused by soft-tissue problems is likely to originate in one (or more) of three different\u00a0locations:<\/p>\n<p>1) Quadratus lumborum and its neighbors. Quadratus lumborum is the muscle between the bottom rib\u00a0and the top of the pelvis; it is a key muscle in coordinating upper and lower body movements. It is a deep\u00a0muscle, and is situated underneath (deep to) the lumbar paraspinal muscles. If there are problems in\u00a0quadratus lumborum, there are also likely to be problems in those thick muscles near the surface on\u00a0either side of the spine. In addition, muscle problems are invariably accompanied by connective tissue\u00a0problems. This area, unprotected as it is by any skeletal structures, is thick with connective tissue: the\u00a0thoracolumbar fascia, the gluteal aponeurosis, and other tough connective tissue cover and surround\u00a0these muscles.<\/p>\n<p>2) The buttock muscles. These include the three gluteal muscles (gluteus maximus, medius and\u00a0minimus), and the deep lateral rotators of the hip, especially piriformis.<\/p>\n<p>3) Iliopsoas. This is the primary hip flexor (its chief assistant being rectus femoris), running down through\u00a0the abdominal cavity and the groin to the lesser trochanter. But its origins, meaning in this case its anchor\u00a0points, are the inner surface of the ilium (iliacus muscle) and the transverse processes of the lumbar\u00a0vertebrae &#8212; which means that every lifting of the leg pulls on the pelvis and the lumbar spine.<\/p>\n<p>Certainly other muscles can and do get into the low back pain act, but these three muscle groups, all\u00a0very heavily involved in the day-to-day demands we make on our bodies, are the chief sources. Careful\u00a0examination by a skilled and knowledgeable clinical massage therapist can find the trouble spots, and\u00a0appropriate treatment can yield relief that many people had despaired of finding.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most low back pain originates in the soft tissues.It makes sense to begin with the least risky, least invasive treatment available, then escalate if necessary.\u00a0And that treatment is medical massage therapy. If it isn&#8217;t effective, the other treatments are still available.\u00a0But if it is effective, a lot of time and pain and risk and money [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58],"tags":[],"class_list":["post-638","post","type-post","status-publish","format-standard","hentry","category-corrective-exercise"],"_links":{"self":[{"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/posts\/638","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/comments?post=638"}],"version-history":[{"count":2,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/posts\/638\/revisions"}],"predecessor-version":[{"id":641,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/posts\/638\/revisions\/641"}],"wp:attachment":[{"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/media?parent=638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/categories?post=638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.physicalexcellence.org\/blog\/wp-json\/wp\/v2\/tags?post=638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}