Physiotherapy for Lower Back and Pelvis
The lumbar spine (low back) consists of the largest 5 vertebrae (L1-5) of the spine. Adjacent vertebrae are separated by cartilaginous discs. On the top and bottom of the vertebral arch are the lumbar facet joints. These joints provide most of the movement (mainly forward and backward) of the lumbar spine. The lumbar spine is responsible for a large amount of movement and supports a large proportion of body weight.
Physiotherapy can play a significant role in all of the conditions listed above. A thorough assessment is imperative and physiotherapists have an excellent, evidence-based knowledge of how to assess and treat lumbar spine problems from severe to mild cases. Depending on assessment, treatment may involve: soft tissue massage, joint mobilisations, dry needling, taping, postural/ manual handling education, technique correction, stretches and specific core and functional strengthening.
Hip and Groin
The hip is a ball and socket joint formed between the pelvis and the femur. Strong ligaments connect the ball to the socket, stabilising the hip and forming the joint capsule. The hip is surrounded by large muscles that provide support for the joint and enable movement. Fluid-filled sacs, known as bursae, provide cushioning and reduce friction between muscle, tendons and bones. Major nerves, such as the sciatic and femoral nerve, also run through the hip and can be a source of pain and dysfunction.
Hip pain may be caused by local structures within or around the hip or referred from other sources. Specific strengthening exercises, gait education, correction of poor biomechanics, activity modification and lifestyle advice all play a big part in reducing symptoms and improving function for patients .