By Kevin Towers DPT, OCS, RSI Preferred Rehab Provider
I get asked this question a lot. Back pain that is brought on by stepping off a curb or walking down stairs may be an early sign of compression stress to the joints and/or disc(s) in your lumbar spine (lower back). If neglected, this condition can contribute to inflammation and tissue damage, potentially leading to eventual compression of the nerves that control sensation and muscle function of the lower extremities.
The biomechanical environment inside the body is strongly influenced by the available mobility and muscle stability in and around the lower back, pelvis, and hips. Even a several millimeter drop of the front waistline (often referred to as “Anterior Pelvic tilt”) can increase these harmful compressive forces. These postural observations correlate closely to “culprit” findings, such as mobility restrictions to the hip muscles’ drawing the anterior beltline toward the floor (anterior tilt), and/or a reduction in the strength and control of the deep lumbo-pelvic core muscles, which would otherwise help draw the anterior beltline up toward your chin (neutral spine).
The collaborative care of your physiatrist and physical therapist can help identify structurally-vulnerable tissues and biomechanical dysfunctions, while also helping to develop a conservative treatment plan catered specifically to your body. This combined approach aims to improve tissue healing and prevent further damage by more closely monitoring the patient’s progress end-to-end, from initial diagnosis to recovery.
Our objective as clinicians is to resolve patients’ symptoms and restore optimal function. And the truth is, we can’t do this alone. Team medicine means working together and communicating effectively with the single focus of treating patients’ conditions so they can get back to doing what they love.
Kevin Towers DPT, OCS is a licensed physical therapist in the state of New York, and a Board Certified Orthopedic Specialist. His attention to detail, compassion, and insistence on providing the highest quality of care distinguish Kevin from others in his field. Kevin’s extensive study of human anatomy, biomechanics, and human movement has made him a dedicated and highly qualified clinician, offering one-on-one appointments to his Manhattan patient-base. To learn more about Kevin and the services he offers, please visit his website.