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Pain Guide/Lower Back

Lower Back

Lower Back Center

Central lower back pain is extremely common and typically involves the lumbar erector spinae, multifidus, and the lumbar facet joints. It often results from prolonged sitting, heavy lifting, or weak core muscles.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice. Consult a qualified healthcare provider for proper diagnosis and treatment of any pain or medical condition.

Common Causes

1

Lumbar muscle strain from lifting or bending

2

Disc bulge or herniation

3

Facet joint dysfunction

4

Weak core and gluteal muscles

5

Prolonged sitting with poor lumbar support

Muscles in This Area

6

Lower Back

iliocostalis lumborum

Iliocostalis lumborum is the lumbar erector spinae muscle along the back, from iliac crest to lower ribs, maintaining upright posture and spinal extension. Critical for deadlifts, squats, and anti-rotation core work.

Lumbar strainErector spinae myofascial painThoracolumbar fascia syndrome

Lower Back

Set of interspinales lumborum

Small muscles between lumbar spinous processes that extend and stabilize the lower back. Key for spinal integrity during squats and deadlifts. Fitness pros target them for back health.

Lumbar facet joint syndromeInterspinous ligament strain

Lower Back

lumbar rotator

Lumbar rotators (multifidus and rotatores lumborum) are deep spinal muscles that rotate and stabilize individual lumbar vertebrae. They prevent twisting injuries during rotational lifts like Russian twists. Essential for core stability in CrossFit and golf swings.

Lumbar facet syndromeMultifidus dysfunction

Abdomen

psoas major

The psoas major is a deep hip flexor from spine to thigh, lifting knees in running/squats. Core to posture and power; tightness causes low back pain.

Psoas syndromeIliopsoas tendinopathy

Abdomen

external oblique

External obliques form the outer 'V' of your abs on each side, rotating and side-bending the torso while compressing the abdomen. They're powerhouse muscles for rotational power in sports like golf, boxing, and throws. Train them for a defined waist and core stability.

External oblique strainSports hernia (athletic pubalgia)Abdominal wall hematoma

Hip

gluteus maximus

Largest hip muscle, gluteus maximus extends and externally rotates thigh for powerful hip thrust in squats, deadlifts, running. King of posterior chain.

Gluteal tendinopathyPiriformis syndrome

Stretches That May Help

Child's pose
Seated forward bend
Side bend stretch
Cat-cow stretch
Lumbar flexion stretch
Supine spinal twist
Thread the needle
Seated rotation hold
Lunge hip flexor stretch
Psoas release pose
Warrior lunge
Seated twist
Windmill stretch
Pigeon pose
Seated figure four
Standing hip flexor stretch

Recommended Exercises

12

When to See a Doctor

Seek immediate medical attention if lower back pain is accompanied by numbness or tingling in the legs, loss of bladder or bowel control, progressive leg weakness, or pain following a significant injury.

Self-Care Tips

1

Maintain gentle movement - avoid complete bed rest

2

Perform pelvic tilts and cat-cow stretches for lumbar mobility

3

Strengthen the core with planks and dead bugs

4

Use lumbar support when sitting for extended periods

Related Lower Back Pain

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Activities & Sports

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Pinpoint·Interactive 3D Anatomy & Exercise Guide