Lower Crossed Syndrome (LCS) is also referred to as distal or Pelvic Crossed Syndrome. In LCS, tightness of the thoracolumbar extensors on the dorsal side crosses with tightness of the iliopsoas and rectus femoris. Weakness of the deep abdominal muscles ventrally crosses with weakness of the gluteus maximus and medius! The most common complaints that patients present with is lower back pain. Lower back pain is quite often caused by poor posture, prolonged sitting and lack of core stability for the spine.
Lower back pain can be successfully treated and addressed by a myotherapist. Primarily, treatment for lower back pain normally involves a manual therapy approach to address the tightness in hip flexors and back extensor muscles. Additionally, as part of the treatment, cupping, dry needling and stretching may also be used to address this tightness. Specific postural changes seen in LCS include anterior pelvic tilt, increased lumbar lordosis, lateral lumbar shift, lateral leg rotation, and knee hyperextension. If the lordosis is deep and short, then imbalance is predominantly in the pelvic muscles; if the lordosis is shallow and extends into the thoracic area, then imbalance predominates in the trunk muscles (Janda 1987).
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