Hypermobility and Low Back Pain

How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? 

Carefully and specifically! 

When someone who is hypermobile complains of continued and persistent back pain, your first thought is, " Is this an overactive system? An underactive system? Or both?". 

This re-release of an episode from 2018 highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement and her dominant impairment. 

Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't. 

Doing the right thing at the right time is clinical expertise.

 

A glance at this episode:

• [5:55] Hypermobility Syndrome and the pelvic floor

• [12:11] How extensors are overworking

• [19:44] Taping shoulder sub-flexors

• [24:42] Recruitment of the diaphragm in back pain

• [28:34] Do a posterior pelvic tilt on all fours

• [32:33] On your hands and knees and spinning

• [36:35] Not a stretch problem but a coordination problem

• [39:55] Flexion base stabilization and progression

• [44:38] Resistance bands on the bike

 

Related links:

• Tough To Treat Website

• Erica’s Course: Decoding the Complex Patient

• Susan’s Pelvic Health Education Subscription

• Access the Transcript