These findings of altered movement and glide support the concept that altered mechanics of the sacroiliac joint are correlated with the presence of pain.
The authors concluded that low back pain may cause activation of the low back musculature elsewhere along the Superficial Back Line Myofascial Continuity.
So if we say that the cause of most low back pain is not understood, it should mean that we do not know what mechanism is causing the low back pain most of the time. But that is not true. We can often palpate tight myofascial tissue or a dysfunctional joint that is causing back pain.
The connection between the hamstrings and the sacroiliac joint is through what is known as the superficial back line myofascial meridian/anatomy train. If the hamstrings are tight, their tension pulling force will be exerted through the sacrotuberous ligament and onto the sacrum.
The coccygeus and levator ani are technically muscles of the pelvic floor, however, they are also muscles whose contraction forces cross the sacroiliac joint and therefore often tighten when a sacroiliac joint condition exists. The coccygeus attaches from the sacrum and coccyx to the ischial spine of the pelvic bone.
Even when the original reason for the sacroiliac stabilization is valid, often the human body overdoes it and tightens the musculature excessively and/or keeps it tight long after it needs to be, so the musculature becomes stuck in a chronic pattern of hypertonicity.
In histological studies, the lumbodorsal fascia has been found to be densely innervated with nociceptive afferent pain fibers.
For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise and manual therapies (such as massage).
The following is a brief overview that links the low back condition with its corresponding assessment procedure and its corresponding treatment.
Our brain produces sensations according to the credible believable evidence that is present, not just from the sensory information from that body part.
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