Back extensions are popular with people looking to target and rehabilitate their lower back. But if you’re in that position or these have been suggested by your trainer, there are a few reasons you should think twice before giving them a place in your exercise regime. 

In this blog we’ll look at some of the anatomical reasons you should think about your approach to low back rehabilitation differently. We refer to the book, Low Back Disorder by internationally recognised low back specialist, Dr Stuart McGill, and we look at an alternative exercise that could work to help improve your low back pain.

First, some anatomy to help us understand the back muscles at play

When we’re talking about the lower back and lumbar region, we often talk about groups of muscles called extensors, flexors and iliopsoas. These attach to the spine via soft tissues or tendons. And if injured or weakened can cause pain in this tendinous lower back area. 

This time though, we’re going to focus on different m...

Do you get low back pain while you walk? It's an essential everyday task and it could be due to some simple posture faults that can be easily corrected. This isn't a magic pill that will correct your pain overnight, it's a slow and steady process that gets your body working correctly and reduces your lower back pain over time.

Some of the key learning points you'll cover in this blog

1. What is poor walking posture/technique?
2. The impact of poor walking on the spine
3. What is better walking posture/technique?
4. The impact of better walking on the spine

What is poor walking posture/technique?

During walking the compressive load on the lumbar spine is approximately 2.5 times your bodyweight, along with very modest shear forces. These forces can slowly wear down your body and eventually you'll experience pain. Over time this pain can come on earlier and earlier and you need to reverse this trend.

What is poor walking posture/technique?

• Slower pace, little to no arm swing and hunche
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Low back pain treatment can be simple is you know the cause of the pain. When I work with people with lower back pain I have to find the cause of problem first.

One of the common causes I find are trigger points in the hip. These aren’t necessarily where you feel the pain but it radiates there. As you relax the trigger point the pain reduces without any treatment to the lower back itself.

Your low back pain treatment may also need stretching and exercise to work with treating these trigger points.

1. Massage/ foam rolling to relax the trigger point
2. Stretching to bring greater length and flexibility to the muscle
3. Exercise to retrain your body to use muscles correctly as you move

These three steps get your hips and lower back working together. They help the right muscles work at the right time so they don’t fatigue and cause trigger points.