All right, stop giggling. So you opened up my blog today and got a backside in your face. BUTT, this is serious stuff. OK, no more jokes, I promise. This is what Shirley Sahrmann describes as the "Muslim prayer position". We see the hips have translated to the left, and (is a little less obvious in the pic) rotated to the right.
The athlete suffers from chronic L lower lumbar back pain; and bilateral anterior hip impingement. We're looking at bilateral posterior iliofemoral joint capsule tightness. He got through football ok, but running indoors on a hard dusty floor is unbearable. Fortunately, his P.E. period is kind of slow so I'll have plenty of 1 on 1 manual therapy time.
In the past, these type of dysfunctions were seen in more sedentary peeps 40+. They have entered the high school A.T. realm. Why do you think? Are we getting better at diagnosis? Too much sports specialization? Are computers & video games creating too much sitting time?
3 comments:
Joe,
Couldn't help noticing the placement of his feet, left more inverted and the right not so much. Any issues in the feet/ankles? Right ankle sprain maybe?
Feet began in neutral- the pelvis L translation causes inversion & slide toward the head. Good test for posterior hip capsule tightness. A real trouble maker for the low back. More common than you think.
Thanks Joe,
Wasn't sure if it was a chicken or the egg situation.
Have a great weekend!!
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