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  • skjr
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    Post count: 1

    Hi Dr. I am a former patient of yours at Vail clinic~ 2015/16, I was living in Santa Fe then (you helped me avoid surgery)

    ~ 1.5 years ago started having pain in my left psoas after alot of running and xc skiing; PT helped a little and eventually I was running again, but having chronic pain in my low back. Seeing a PT again and his eval. indicates too much lordosis and when running the back muscles fire first and the hips don’t do their job, so back pain from overworked muscles.

    Makes sense and I can see it. Backpacked 100 miles over a week with pretty heavy pack and no pain, started again when finished. downhill skiing did not initiate pain either, nor does mountain biking.

    General living and running (I have not run in months) do make it hurt. Performing PT to address curve, retrain muscles etc. but I don’t seem to be getting anywhere. Just thought I’d ask for your thoughts

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    Left psoas pain I interpret as anterior hip pain. This could be your hip joint as well as a nerve referral pain. Obviously, lower back pain is located in a different spot and is normally generated by the lumbar spine. Hyperlordosis doesn’t occur overnight so your earlier X-rays would be helpful to determine your current lordosis which I suspect is within normal limits.

    It sounds like flexion (bending forward) relieves your pain. Backpacking causes spine flexion to compensate for a heavy load posterior to your spine. Mountain biking and skiing are also flexion activities. You might have a facet disorder> See:
    https://neckandback.com/conditions/lumbar-degenerative-facet-disease/

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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