WHAT IS IT? LUMBAR INSTABILITY
Hypermobility is essentially too much movement at a joint (s). This excess movement can then create instability in the lumbar spine resulting in low back pain.
Signs and symptoms
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Low back pain may be general or specific to one level
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Poor lumbopelvic control
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Feeling of weakness or instability
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Poor response to normal mobilising or manipulative treatment
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​WHAT CAUSES IT?
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General hypermobility affecting the whole body
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Poor core stability
HOW TO SELF MANAGE
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Modify aggravating activities so that they are carried out with control.
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If globally hypermobile all over then choose activities which address improving stability such as Pilates.
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For more specific management, assessment by your physiotherapist will be required.
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PROGNOSIS
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Long term self management with progressive stabilising exercises is necessary to improve stability and reduce segmental low back pain.
HOW PHYSIO HELPS?
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Assess for global Hypermobility
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Palpate the spine to determine if an individual segment is affected versus general
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Hypermobility
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Provide specific strengthening exercises to increase lumbar stability
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Mobilise areas of hypomobility if present, so that one mobile segment is not connected to a stiff one
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