Lower back pain| thigh abduction
May 11, 2007 4:36 pmMay 11, 2007
Patients with lower back pain often secondary to irritation of the L5 and S1 nerve roots will have difficulty not only due to the pain but due to weakness of the hip abductor muscles.
The most powerful hip abductor is the gluteus medius. It is supplied by the superior gluteal nerve (L4, L5 and S1). The L5 nerve root has the strongest representation in this muscle. The other hip abductors are the other muscles are tensor fascia latae and gluteus minimus which are also supplied by the superior gluteal nerve.
Hip abduction can be tested with the patient supine with the thighs spread apart. The examiner then pushes the thigh inward to the midline. The hip abductors can also be tested with the patient lying on his side with the tested side uppermost. The patient then lifts the thigh up against gravity.
The most functional way of testing for hip abduction is to have the patient stand on one limb. If he is standing on his right leg and if he has weakness in his right hip abductor muscles his opposite hip will drop. This testing is called the Trendelenburg testing. To prevent the left hip from dropping in the case of a right hip abductor weakness, the patient may lean over to the right. This is also an indicator of weakness of the hip abductors on the right side..
© 2007 copyright all rights reserved www.stopmusclepain.com Low back pain| thigh abduction
Photograph showing the hip abductor muscles (below)
2 Responses to “Lower back pain| thigh abduction”
I need Risk of factor for hip muscle strain(etiolegy
Ahmad:
The risk factors involve using the same muscle groups repetitively with unusual stress placed when muscles are forced to work in unusual positions while the muscle is tight, tense and fatigued. This will occur because of aging of the spine causing chronic nerve root irritation resulting in chronic muscle tightness. Therefore, when you run, job, squat, kneel, stoop, step repetitively and do not give the muscles a chance to relax you will injure the hip muscles or in fact, any muscle, causing pain. Muscles cannot work effectively when they are shortened and tight and are predisposed to injuries.. Using heating in chronic cases and massage will help. Stretching beyond the point of pain is not advised to prevent further injuries.
Please do visit the main site of www.stopmusclepain.com by pressing the left home button. You will be able to learn how nerve related muscle pain occurs. eToims is the only treatment that can stimulate the deep neuromuscular junctions to relax tight, tense and problematic muscles individually.
Jennifer Chu, M.D.
Care to comment?