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Another great stretch for the low back and hip regions is the twist stretch.  A bit different than your typical piriformis stretches, the twist stretch hits the piriformis, glutes and lumbar spine erector spinae (or paraspinals).  Because of this, the twist stretch is great for relieving low back pain, hip pain, piriformis syndrome, and can even help in some cases of sciatica.

Watch the video below to learn the best technique for doing the twist stretch.  The key that you must remember when doing this low back stretch is to keep your lower back straight, so sitting up straight before twisting is imperative.  If you fail to do this important step, you do risk the potential for injury.  I find this point so important because I observe many people at the gym doing a twist stretch with rounded backs.  Listen, if you want to come see me as a herniated disk patient, then twist with a rounded back.  But if you would rather fix your low back pain, then twist with a straight back–simple as that.  Have fun twisting.

Low back pain, hip pain, butt pain, sciatica–these are all conditions that can occur as a result of a tight piriformis muscle.  But it doesn’t stop there.  Gait abnormalities, hip bursitis and knee pain can also result as secondary disorders related to a tight piriformis muscle.

Stretching a tight piriformis is imperative to prevent these conditions from plaguing you.  And if you’ve already got some of these problems, after you see your friendly neighborhood sports chiropractor, you’ll probably need to stretch your piriformis to bring length to the muscle and help open your hips sufficiently.

In the video, I demonstrate three excellent stretches (really two, with one version having two variants).  Start with the first one–lying on your back–if you are very tight OR you could even do that same stretch while sitting in a chair (although I don’t demonstrate that version in the video).  You can try the other two variants if you have a little more flexibility.

Play with all three to see where you currently are, and then work at that level for two to three weeks.  Once you’ve mastered your current level, you can move on to the next.  Have fun and happy stretching.

Low back pain, hip pain and knee pain can all originate from a weak pelvic girdle.  When the muscles of the butt and pelvis get weak, the low back loses support–add in a weak abdominal core and you’ve got a recipe for disaster.

In my West Hollywood chiropractic office, I always evaluate the pelvis and buttocks muscles, which are also known as the gluteals.  The gluteus maximus is the main muscle of walking, as it is the primary hip extensor–a movement necessary to bring the leg back during walking (gait) cycle.  The gluteus medius is the muscle that holds the pelvis upright as we stand.  When the glutes get weak–or perhaps lazy is a better word–they need to be isolated and strengthened. 

No muscle can be totally isolated because muscles work together–synergistically–as a group.  However, there are two exercises that are outstanding for isolating the gluteal muscles as much as possible.  The first is called gluteal bridges, and if you watch the video below, you can see a great version that will not only strengthen the gluteus maximus muscles, but will also help correct any muscular imbalances that are in place, whereby one side becomes stronger or weaker than the other.  The second exercise is called hip abductions and we’ll save that for another post.

You should have your work cut out for you with the gluteal bridges I demonstrate in the video, so watch and practice.  If you are not sore the next day, then you aren’t doing them right.  But don’t worry, you’ll be sore…

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