What is Lower Cross Syndrome:

The lower crossed syndrome is the result of muscle strength imbalances which the muscles shortened or lengthened in relation to each other.

In lower crossed syndrome,  there is tightness of hip flexors and lumbar extensors. Along with this there is weakness of the deep abdominal muscles and of the gluteus maximus and gluteus medius. This imbalance results in an anterior tilt of the pelvis, increased flexion of the hips, and a hyperlordosis in the lumbar spine.



Clinical Presentation 


  • Joint dysfunction:
    • Ligamentous strain and increased pressure on L4, L5, S1
    • Sacroiliac joint
    • Hip joint
  • Joint pain
    • Lower back
    • Hip
    • Knee
  • Postural changes
    • Anterior pelvic tilt
    • Increased lumbar lordosis
    • Lateral lumbar shift
    • External rotation of hip
    • Knee hyperextension
  • Back and hip pain: Because of the muscle’s tightness causes the pain and discomfort



What Doctor / Physician will do?


  • Manual therapy
  • Electrotherapy
  • Stretching exercise
  • Strengthening exercise
  • Postural correction



Prepared by:

Loo Zhen Heng

Your Physio Butterworth

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