St. Louis Sports Clinic: Holistic Approach to Lower Back Pain Using the Joint-by-Joint Method

November 11, 2024

Tony Katakis

Holistic Approach to Lower Back Pain Using the Joint-by-Joint Method

At St. Louis Sports Clinic, we understand that lower back pain is often part of a larger picture involving the entire body. Using the Joint-by-Joint Approach—a method developed by leaders in functional movement and rehabilitation—we assess and treat pain by addressing mobility and stability issues throughout the body. This method allows us to identify areas that may be indirectly contributing to lower back pain, ensuring a comprehensive, lasting solution. By addressing the relationships between joints and muscles, we help patients not only achieve pain relief but also improve overall movement patterns and resilience.

The Joint-by-Joint Approach: A Systemic View of Movement

The Joint-by-Joint Approach emphasizes that each joint in the body has specific tendencies for either mobility or stability. When one joint deviates from its intended function, other areas are forced to compensate, often leading to pain and dysfunction. Lower back pain, in particular, can frequently be traced to limitations in surrounding areas, like the hips or thoracic spine, which can alter movement patterns and increase stress on the lumbar spine.

For example:

  • Thoracic Spine: Ideally, this area should be mobile, allowing rotation and flexion needed for daily movements. When it becomes stiff, often from poor posture or sedentary habits, the lower back must take on additional movement, increasing its load and risk of injury.
  • Hips: The hips should be mobile to accommodate actions like walking, squatting, and lifting. When hip mobility is compromised, the lumbar spine may be forced to overcompensate, leading to strain and potential injury.

By improving mobility in the thoracic spine and hips, we help relieve pressure on the lumbar spine, allowing it to function as a stable support structure without unnecessary stress. This approach is at the heart of our treatment philosophy at St. Louis Sports Clinic, where we assess the whole body to pinpoint the true source of lower back pain.


Common Lower Back Pain Symptoms and How We Address Them

Lower back pain presents in various ways depending on the underlying causes and compensatory patterns in the body. Common symptoms include:

  • A persistent dull ache in the lower back, pelvis, or hips
  • Muscle tightness or spasms
  • Radiating pain (sciatica) down one leg
  • Pain that intensifies when sitting and improves with movement
  • Morning stiffness that lessens with daily activity

These symptoms are not just indicators of issues in the lumbar spine but often reveal dysfunctions in other parts of the body. Through a Joint-by-Joint Approach, we can identify these interrelated issues and provide targeted treatment that doesn’t merely mask symptoms but instead promotes holistic healing and functional improvement.


How Thoracic and Hip Mobility Impact Lower Back Health

Thoracic Spine Mobility

The thoracic spine is designed for rotational and flexion movements, playing a crucial role in dynamic activities such as twisting and reaching. When thoracic mobility is limited—often due to prolonged sitting or repetitive activities—your lower back, which is designed more for stability, is forced to compensate by increasing its movement. This compensation strains the lumbar spine, leading to overuse injuries and chronic pain.

Treatment Focus for Thoracic Mobility: At St. Louis Sports Clinic, we use soft tissue therapy, chiropractic adjustments, and mobility exercises to restore flexibility in the thoracic spine. By improving movement in this area, we help reduce excessive strain on the lumbar spine, allowing it to stabilize naturally.

Hip Mobility

The hips support a range of essential activities, from squatting and lifting to bending and twisting. When hip mobility is compromised, often from a sedentary lifestyle or repetitive sports motions, the lower back compensates by absorbing more movement, which can result in pain and dysfunction over time.

Treatment Focus for Hip Mobility: Our clinic incorporates specific techniques like stretching, soft tissue work, and advanced rehabilitation exercises to restore hip mobility. By creating a strong, flexible foundation in the hips, we alleviate the lumbar spine’s load, decreasing pain and reducing the risk of injury.


Lower Back Pain: Causes, Symptoms, and Comprehensive Treatment

Lower back pain often originates from common injuries like strains or sprains but can also result from chronic conditions involving structural or functional imbalances in the body. Our holistic approach addresses the specific causes and symptoms of lower back pain, with an emphasis on assessing neighboring joints and movement patterns.

Common Causes of Lower Back Pain

  1. Strains and Sprains: Lower back strains and sprains frequently occur due to improper lifting, sudden movements, or prolonged poor posture.
    • Treatment: Our clinic emphasizes reducing pain and inflammation, using soft tissue therapy, chiropractic care, and gentle rehabilitation exercises to promote healing.
  2. Chronic Conditions: Osteoarthritis and degenerative disk disease often lead to chronic lower back pain by affecting the structure and function of the spine.
    • Treatment: We utilize advanced rehab techniques, mobility exercises, and chiropractic adjustments to address chronic conditions and provide long-term pain relief.
  3. Specific Structural Causes:
    • Herniated Disk: A bulging disk in the lumbar spine can compress nearby nerves, causing pain and reduced mobility.
    • Facet Joint Damage: Degeneration in the facet joints can lead to inflammation and pain.
    • Spinal Stenosis: A narrowing spinal canal in the lumbar spine compresses nerve roots, resulting in lower back and leg pain.
    • Spondylolisthesis and Scoliosis: These structural issues disrupt alignment, leading to lower back pain and, potentially, nerve compression.

Through the Joint-by-Joint Approach, we not only treat these conditions but also work to identify any compensatory movement patterns that may be contributing to pain.


Our “Pain to Performance” Treatment Philosophy

The St. Louis Sports Clinic “Pain to Performance” philosophy aligns perfectly with the Joint-by-Joint Approach, guiding patients from initial pain relief to enhanced mobility and long-term stability.

Phase 1: Pain Relief

We begin by identifying and addressing the immediate source of pain. Chiropractic adjustments, soft tissue therapy, and pain management strategies help provide relief and control inflammation while beginning the foundation for recovery.

Phase 2: Mobility Restoration

Once acute pain subsides, we focus on restoring flexibility and movement in key areas like the thoracic spine and hips. By restoring mobility, we allow the lumbar spine to stabilize without compensating for limited motion in other regions.

Phase 3: Stability and Functional Strength

In the final phase, we emphasize building stability and motor control around the core and hip joints. By improving functional strength, we support proper posture and movement patterns, which prevent reinjury and enhance physical performance.


The Importance of Full-Body Function for Lower Back Health

Lower back pain is rarely an isolated problem; it’s often the result of movement dysfunctions that can be traced to various parts of the body. At St. Louis Sports Clinic, we address the interconnected nature of the body through the Joint-by-Joint Approach, identifying how restrictions in one area, like the hips or thoracic spine, impact the lumbar region.

We go beyond pain relief, offering a comprehensive treatment strategy that considers the entire body’s movement patterns. Our goal is to restore you to full functionality and build resilience against future injuries. Whether you’re an athlete aiming to perform better or someone simply seeking to live without pain, our integrated approach empowers you to move well and live well.


Start Your Journey to Full-Body Wellness Today

If lower back pain is limiting your ability to live an active, pain-free life, St. Louis Sports Clinic can help. Our team of specialists, equipped with a deep understanding of the Joint-by-Joint Approach, provides a holistic solution that goes beyond temporary relief. By improving mobility and stability throughout the body, we help you achieve lasting relief and optimal performance.

Contact St. Louis Sports Clinic today to schedule an appointment and begin your journey from pain to peak performance. Let us help you restore balance, eliminate pain, and enjoy life with a strong, resilient body.

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