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one of the things that cause most calendars blowback include twisting or bending or violent maneuvers that would exert a force on the muscles you can have a sudden contraction and you can injure either the rotators of the lumbar spine the oblique muscles you can injure the forward flexors and lumbar spine the abdominal muscles or the hip flexor muscles or you can also injure the lumbar extensors as well - including your gluteal muscles often this could be due to the fact that the patient may be deconditioned or the muscles aren't properly trained usually the symptoms of muscular injuries include localized low back pain usually we do not see a large radiating component to the legs we don't usually see numbness or tingling or weakness but usually it could be a either stiffness or aching pain sometimes honestly the worst type of pain that we see coming into our office is due to just a muscle spasm but it could be a very sharp knife flank pain as well - usually we see that the patients ran

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