Tight Low Back & Inner Knee Pain: Real Case Insights for Active People
Release Date: 10/13/2025
Restoring Human Movement
Welcome to the Restoring Human Movement podcast! Today, we're tackling a common source of discomfort: outer hip pain, specifically focusing on trochanteric bursitis. While textbooks define bursitis as side-of-the-hip pain with swelling or puffiness, what if you have pain but no swelling? We'll dive into what that means and why your symptoms might be confused with other conditions like gluteal tendinopathy or IT band issues. Bursitis is an irritation and inflammation of the bursa – a fluid-filled sac – which often means swelling. But even without visible swelling, the tips we're sharing...
info_outlineRestoring Human Movement
Welcome to the Restoring Human Movement podcast! Today, your co-host Sebastian is diving deep into hip impingement, a condition often misunderstood but crucial for athletes and active individuals to grasp. If you've been dealing with persistent hip or groin pain, this episode is for you. We'll break down exactly what hip impingement is: a pinching sensation in the hip, typically caused by two main bony types—pincer type (an overgrowth on the pelvis/acetabulum) or cam type (an abnormal shape of the femoral head). We'll also discuss mixed types. While there is indeed a bony component that...
info_outlineRestoring Human Movement
Welcome back to the Restoring Human Movement podcast! If you're an active individual – a runner, a hiker, a sports enthusiast – you know how frustrating hip pain can be. It's often more than just a general ache; the specific location of your hip pain can offer vital clues about its underlying cause. In this episode, your co-host Sebastian dives deep into hip pain locations and how they relate to common conditions that sideline athletes. We'll explore: Groin pain: Could it be a sports hernia or hip flexor overuse? Front-of-hip pain: Is hip impingement (FAI) the culprit? Outer hip pain:...
info_outlineRestoring Human Movement
Welcome to the Restoring Human Movement podcast! If you're an active individual – a runner, a hiker, or anyone who loves playing sports – you're in the right place. Today, your co-host Sebastian is diving into a topic we'll soon be featuring on our YouTube channel: understanding knee pain based on where it hurts. We'll explore how the specific location of your knee pain can offer vital clues about the probable diagnosis. For instance, pain around your kneecap might point to runner's knee (patellofemoral pain syndrome), while discomfort on the outside could indicate IT band syndrome. We'll...
info_outlineRestoring Human Movement
Welcome back! In this episode, we're diving deep into the world of sports hernia, giving you a vital 2025 recap of what we're seeing and learning. This isn't just an update; we're also tackling the top 5 burning questions that many of our listeners have about this notoriously frustrating injury. If you're an athlete, or just someone experiencing persistent groin pain or lower abdominal discomfort, this episode is for you. We'll cut through the confusion, share the latest insights, and provide clear answers to help you better understand, manage, and recover from a sports hernia. Don't miss...
info_outlineRestoring Human Movement
Join your handy-dandy running injury expert, Dr. Mandy, as she gets personal about an injury she's been navigating for over a year: Hoffa's fat pad impingement. With a background in NCAA cross country and track, coaching, and now specializing in trail and ultra running, Dr. Mandy knows a thing or two about runner's aches and pains. This isn't your typical ACL tear or patellar issue – there was no specific 'aha!' moment of injury, no popping or bruising. Instead, this outside lower knee pain came on gradually, possibly aggravated by a steep, technical descent during a run and exacerbated by a...
info_outlineRestoring Human Movement
Welcome back to the movement movement! Your host, Dr. Mandy – a runner herself and a specialist in treating ultra, trail, and all distance runners – shares insights from years of experience. Today, she delves into two compelling case studies with a common thread: both runners presented with hip and groin pain, but also had secondary Achilles tendinitis. The first runner, 'Mia,' a fast track specialist (1500m/5k) in her 20s, experienced Achilles pain that switched sides, especially during speed work and when wearing spikes. The second, a non-elite but Boston-qualifying marathoner in his...
info_outlineRestoring Human Movement
Hey active folks, especially runners dealing with stubborn hip or groin pain! Today, your co-host Sebastian is diving into the topic of hip impingement. This is something often overlooked, and unfortunately, misinformation can prevent you from finding relief. Sebastian will cover the basics of hip impingement. While there is a bony aspect to hip impingement that won't change, Sebastian emphasizes that this doesn't mean you're stuck. Tune in to learn about the mechanical factors at play and why rehabilitation and exercise can make a significant difference. If you've been struggling with hip or...
info_outlineRestoring Human Movement
Are you an active individual plagued by lower back pain that's aggravated by sitting? You're not alone. In this episode, we dive into why sitting, even with good posture, can significantly worsen various types of lower back pain. Whether you're dealing with discogenic pain from a disc injury, a pinched nerve, arthritis, or degenerative disc disease, that seated position often just feels terrible. We'll explore the mechanics behind why sitting can be so problematic for your lower back and touch on the underlying issues that make it so uncomfortable. If you're tired of the constant battle with...
info_outlineRestoring Human Movement
Continuing the story of our 50-year-old patient with knee pain who dreams of running with friends, we delve into a common concern: fear of movement. He was advised by his surgeon to never squat below parallel, a piece of advice Sebastian believes might be hindering his recovery. In this episode, we discuss the assessment findings that actually indicated it was okay for him to squat to a greater depth. Learn how a thorough evaluation can sometimes contradict general advice and open up new possibilities for rehabilitation. If you've been given cautionary instructions about movement after knee...
info_outlineIn this episode of the Restoring Human Movement podcast, cohost Dr Dawne Costintino DC, Primary Spine Practitioner, shares a real patient case involving two common complaints: a tight lower back and pain along the inner knee. This combo shows up in runners, lifters, and active people more than you'd expect—and it’s not always about the site of pain. Dawne dives into movement patterns, compensation habits, and overlooked contributing factors that can trigger or prolong this type of discomfort.
If you're someone who moves often, but suddenly feels limited by nagging pain or stiffness, this episode unpacks the "why" behind these symptoms and offers early insights into how to get moving confidently again. Great for runners, weekend warriors, and anyone chasing better performance without the pain.
Looking to get in touch with our office?
We hold licenses in many states and can help via telehleath
714-502-4243 https://www.p2sportscare.com/
Free Youtube Video on Patellofemoral Pain Syndrome: https://youtu.be/hRf5RLBTA2A
Our Online Knee Program: https://www.p2sportscare.com/products/