McGill’s ‘Big 3’

Thanks to years studying the spine, Dr McGill has identified three specific exercises that work together to effectively rehabilitate the back and build core stability. Known throughout the industry as ‘the Big 3’, these are some of the first exercises reached for by people and professionals alike when trying to overcome lower back pain.

In this tutorial, however, I want to explain why I think there’s more to it than that.

What do I know?

I’m not trying to be controversial, or to negate the work Dr McGill has done. I use it with people with lower back pain all the time, so I have a good understanding and appreciation of it. But we do have to understand the context in which we’re doing the exercises and make sure we don’t build them up to be something that they’re not.

I’ve read all four of Dr McGill’s books, I’ve completed his level one foundation course, his level two course on assessing lower back pain and his level 4 performance course. And I’ve interviewed him ...

Have you ever thought about how hard your spine has to work? It allows you to stand and bend. It enables you to walk and move around. In fact, it’s integral to almost every movement you do. And if you suffer with any degree of pain in your spine, you’ll know it can be really quite debilitating, impacting on large parts of everyday life.

Unfortunately, as we age, our spine starts to degenerate and weaken, leading to ‘wear and tear’ of its various parts. In today’s tutorial I want to talk about one such issue that can crop up, the bulging or herniated disc, as well as exercises I advise (and don’t advise!) you to do to aid recovery.

What are spinal discs?

Your spine is made up of 33 vertebrae which are split into five different categories, or types, depending on where they sit and how they behave. The lowest nine, around the tailbone or sacrum, are fused together, however the remainder, from the lumbar region upwards are separated by spinal discs. These discs have a hard, fibrous wall...

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...