Lower Crossed Syndrome

Lower crossed syndrome typically begins when a muscle or muscle group is overused in a particular direction. When this occurs, the muscle becomes shorter and tighter. Meanwhile, the muscles opposing this action tends to become longer and weaker.

About Lower Crossed Syndrome

Lower Crossed Syndrome (LCS) is a predictable pattern of alternating tightness and weakness involving core & pelvic musculature as the body attempts to reach homeostasis. As a result, this condition frequently contributes to low back pain. In addition, other conditions of the lower body are associated with LCS: 

Gluteal tendinopathy

Iliotibial band syndrome

Patellofemoral pain syndrome

Plantar fasciitis.

LCS typically begins when a muscle or muscle group is overused in a particular direction. When this occurs, the muscle becomes shorter and tighter, primarily the iliopsoas or “hip flexor.” The muscles that oppose this action are subject to prolonged stretch and tend to become longer and weaker. 

Those who sit for long periods of time, such as office workers, are at a greater risk of developing LCS. Sitting for long periods causes the hip flexors to become short. Therefore, forcing your gluteal muscles to relax and become weak. 

Muscle balance is required for normal movement. Any muscle imbalances can lead to poor movement patterns- both locally and globally. Consequently, individuals with longstanding postural dysfunction may create joint degeneration.

Traditional diagnoses focus on a “tissue” source for the patient’s symptoms. However, LCS is a “functional” diagnosis. Thus, it requires identifying the underlying factors contributing to structural or tissue problems.

The most common finding of LCS we see in our St. George chiropractic clinic is gluteal muscle weakness. Most of these patients have insufficient hip stability during movement. In addition, gluteal weakness causes hyperactivity in the hamstrings and piriformis. As a result, we often see tenderness or trigger points in these muscles along with weak abdominals. 

Along with muscle tightness, low back pain is often seen with LCS. With normal function, your gluteal muscle works as the primary muscle to extend the hip. When these muscles are weak or lack normal function, your low back and hamstrings must overwork to compensate for gluteal strength loss. 

Signs & Symptoms

Tight Hip Flexors: The muscles at the front of the hips (e.g., iliopsoas, rectus femoris) become tight and shortened.

Weak Gluteal Muscles: The muscles of the buttocks (e.g., gluteus maximus, gluteus medius) weaken and lack strength.

Tight Lower Back Muscles: The muscles in the lower back (e.g., erector spinae) become tight and overactive.

Weak Abdominal Muscles: The muscles of the core, particularly the deep abdominal muscles become weak and lack stability.

Hip and Lower Back Pain: Chronic pain and discomfort may be experienced in the hips and lower back region.

Imbalanced Gait: The walking pattern may be affected, with a swaying or uneven motion.

Restricted Hip Range of Motion: Reduced flexibility and limited movement in the hips can be observed.

Your Visit With us

At Crux Sport & Spine, your journey to pain relief and improved well-being begins with our comprehensive approach. We prioritize your health by conducting a thorough movement-based assessment during each visit, enabling us to identify any crucial factors contributing to your pain. Combining targeted muscle release techniques with chiropractic adjustments, we work to release tension in your muscles, facilitating improved movement and an overall sense of well-being.

But our care doesn’t end there. After your adjustment, we take you to our dedicated rehab area, where we empower you with the tools to extend the benefits of your session beyond our clinic. Through personalized stretches and exercises tailored to your specific needs and goals, we equip you with the knowledge and techniques to continue your progress at home.

Experience the exceptional chiropractic care and expertise at Crux Sport & Spine. Take the first step towards a pain-free and healthier life by visiting us today!

Crux Sport & Spine


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