Lower Cross Syndrome: Causes, Symptoms And Treatment

In this video Dr. Casey Crisp explains the basics of Lower Cross Syndrome. He discusses the causes of injury and describes specific exercises you can do to strengthen weaker muscles and relieve pressure on tight/overworked muscles — minimizing pain associated with the condition and helping prevent further injury. By targeting pain directly at the source and working to strengthen weak muscles, Airrosti eliminates the pain in an average of just three visits. Learn more about Airrosti’s unique approach here.


Lower cross syndrome (LCS) is a muscular imbalance that results in postural changes which can lead to lower back pain over time. LCS is often caused by an overly sedentary lifestyle and/or poor posture. Prolonged sitting or injury can lead to development of shortened hip flexor muscles, and that leads to tightened lower back muscles.  The tightened hip flexors eventually lead to weakened abdominal/core muscles, along with weakened gluteal/butt muscles.

Postural effects of this condition are seen by an increased forward tilt of the pelvis that coincides with an excessive lower-back arch. However, this uneven pull of muscles has effects beyond the lumbo-pelvic-hip region. When this happens, your back muscles and hamstrings have to work harder which can lead to low back and hamstring injuries


LCS should not be left untreated. It is a chronic condition that can lead to significant problems throughout the body. If these muscle differences are left untreated, the surrounding joints and muscles may progressively undergo changes. Strength, flexibility and range of motion subsequently decrease, which contributes to degenerative changes and pain in the lower back.

Treatment from a musculoskeletal specialist or Airrosti Certified Provider is key to addressing the specific problems in the body. Muscular adhesions and trigger points will develop, and must be removed. Manual treatment should be followed by specific strengthening and stretching exercises to prevent future injury, and to further restore strength and function.

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