Both to consider.
Although there are many etiologies of low back pain and diversities within those origins, these are some common culprits of back pain:
Also, trigger points are common sources, and trigger injections may control muscle spasms. The spasmodic movements are caused by chronic postures, which lead to stretch trauma in the weaker muscle groups. Therapies targeting these specific groups alone may actually be harmful by overworking the muscles.
Micro-traumas have a combined effect that leads to completely eliminate the pain.
Increased or decreased curvature of the lumbar region can result in pain. Obesity, muscle hypertrophy and other issues may make diagnosis more difficult. Lordosis or outward curvature may be caused by the following:
Posterior pelvic tilt may reduce lordosis. Since hip flexor shortening contributes greatly to pain, physicians should perform a strength test.
This flexion is a common daily activity while bending or standing. When bending, lumbar flexion should comprise 50 percent of the motion, and hip flexion should take over about halfway through the motion. When it does not, this leads to pain and possible muscle tearing. Extension tests that show a degree range above 30 indicate incorrect lumbar flexion and possible hip extension issues.
With an anterior curve increase, this motion varies greatly in range. In most cases, damage is due to stenosis.
Lower spine rotation should be about 13 degrees when the applicable segments contribute correctly. Also, rotational restriction is completed by the thoracic spine. If symmetry is lacking between the lengths and strengths of the abdominal muscles, mobility is limited. As a result, there is a difference in muscle mass. The outcome is a postural change that leads to pain. Strengthening the weakened muscles is an important corrective component.
Most mobility in this area is in the lower thoracic spine. Lateral flexion rotates in the direction of the curve convexity. Since segmental and lateral movements work together, impairment of one will affect the other. Limited side bending capabilities and pain are the results.
Since there are so many muscle groups and regions affecting low back pain, it is important together. Treating the pain with back strengthening alone will not suffice. There must also be abdominal strengthening and opposing hip flexor lengthening.