Based on experience of treating over 800 clients, I have noticed that the vast majority of people with lower back pain have the presentations shown above. There is usually a noticeable tilt to the hips (photo 1) and when they lie on the treatment table there is a very noticeable difference in apparent leg length (photo 2). This causes an ache right across the lower back and sometimes it causes sciatic like pain too. This pain is due to repetitive eccentric contraction of the back muscles which causes stress in the soft tissue in the area. Some people try to correct this with orthotics and while this may give some initial relief, the cause of the problem is simply held in place.
I use a gentle treatment to release the major muscles round the hip and glutes before correcting the hip tilt. This quick procedure resets the body’s ‘geometry’ and reduces the pain in the majority of clients. A small number occasionally need addition treatment.
A sharper pain on one side is something else and I’ll write about that later.