A 55 yo female presents with LBP. She has been an active ru…
A 55 yo female presents with LBP. She has been an active runner since college. Occasionally, she has participated in aerobic classes. Her hx is unremarkable. She has 3 grown children and had no c/o back pain related to her pregnancies. Current sx: intermittent periods of pain extending from mid-lumbar spine, through the R buttock and posterior thigh. The pain begins 15 min into her running and progresses to an 8/10 by 25-30 min. She also c/o increased stiffness after sitting > 1 hour, standing > 15 min, as well as when waking in the morning and getting out of bed. She is a middle school teacher and track coach for a girl’s HS team. Key Findings: Lordotic posture Movement testing: Forward bending of the spine increased tension in low back Repeated backward bending and prone press-ups increase buttock pain Side bending is decreased 25% with some discomfort with overpressure into R side bending Ms Length: tight low back, B hip flexors and TFL Ms Performance: lower abdominals 4/5 What is your initial hypothesis and how would you r/i or r/o your hypothesis?