low back pain

How to Deadlift with Low Back Pain

Deadlifts are a top shelf exercise. Arguably the most “functional” lift performed on a regular basis due to the similarities in bending and lifting for everyday tasks like picking up your kids, moving boxes or furniture; it has a place in every person’s exercise program. 

Returning to a pain-free deadlift from the floor is a HUGE milestone for athletes returning from injury.

But what should you do when you’re not pain-free or don’t feel confident pulling from the floor? Instead of avoiding the deadlift all together we should scale it to where it’s challenging but non-aggravating. This strategy allows you to still train the pattern and the muscles while building the strength to return to pain-free deadlifting.

Below is a list of progressions and variations I use to modify the deadlift for pain-free performance until athletes are ready and able to pull from the floor.

Hip Thrusts. A great way to load your posterior chain while challenging your ability to control movement at the spine. 

Kettlebell Deadlifts. Reducing possible fear and anxiety associated with barbell deadlifts while increasing freedom of movement at the knees, the kettle bell is an underutilized deadlift modification. 

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Rack Pulls or Elevated Deadlifts. BRING THE GROUND UP. Reducing the range of motion of the deadlift is one of my go to modification. Rarely do I have to eliminate deadlifts from a program. With proper cues to achieve spinal stiffness and appropriate bar bath an athlete can often times deadlift in a modified range without pain. If you don’t have access to lifter arms, simply place 45# plates under the barbell. This modification can be applied to any deadlift variation you choose.

Sumo Deadlift. With a wider stance and a more upright trunk position, this variation blends the demands of a deadlift with a squat. This reduces the amount of demand on the lower back and increases the load on the quads.

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The deadlift is an important foundational movement. King at strength development for the posterior chain and lower back, but importantly it demands strength and resilience for bending and lifting tasks performed in our everyday lives. Lower back pain can limit your tolerance to conventional deadlifting, but these provided modifications should allow you to train the fundamental movement pattern: the hinge, while you restore pain-free movement to your deadlift.

Ready to restore your deadlift and resolve low back pain? Set up a phone consultation or schedule your initial evaluation with us to get started ASAP.

Top Rehab Exercises to Strengthen Your Lower Back

If you’ve been alive for the past 30 years, you’ve heard that the solution to low back pain is core strengthening. I even spent an entire semester in PT school learning about core strengthening. But when I started practicing I realized a huge hole in low back rehab. The lower back muscles need strengthening after injury just like everywhere else in the body. It would be insane to have a rotator cuff injury and not do rotator cuff strengthening…yet direct lower back strength is often lacking in rehab programs.

The deadlift gets a bad rep when it comes to low back injury, however it is king when it comes to lower back strengthening. But sometimes the body needs a break from deadlifting. Whether you’re experiencing low back pain or looking for exercises to use to improve your lower back strength, below are my current favorite exercises to strengthen the lower back directly and build resilience to heavier and repetitive loading

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Chinese Plank. With no movement occurring at the spine or hips this is a great entry level isometric exercise to increase endurance and promote functional stiffness of the lower back. Add a weight across your pelvis for an added challenge.

Reverse Hyper Holds. A progression to supporting more of your bodyweight. No need to extend the lower back when performing because we want to work on minimizing movement at the spine and create stiffness to prevent pain. 

GHD holds. Make sure you’re squeezing your gluten and keeping your torso parallel to the floor. Work up to at least 2 minute holds.

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Bent Over Rows. Progressing your movement into the midrange hinge pattern where position of the spine is often lost by athletes to reinforce spinal stiffness and endurance for high volume deadlifting. You can vary whether you use kettle bells, dumbbells, a barbell, or even band resistance.  

Banded Goodmorning. Reintroducing the full motion with band resistance will help to reinforce appropriate movement quality for a better bar path when returning to the barbell. 

Having a strong core is an important part of low back pain management.

Having a strong back is an important part of low back pain management.

Struggling with low back pain?

Send us an email: abigailbird@warriorrxtucson.com to get started on your low back rehab.

Lower Back Strength for the Deadlift

Deadlifts are one of the best exercises for lower back pain rehabilitation.

Deadlifts are one of the most blamed exercises for causing lower back pain.

How can this be?

While the mobility demands of the deadlift are minimal, the lower back strength demands are high.

The deadlift is based around a hip hinge pattern meaning the knees are relatively straight as you push the hips back with a flat back resulting in an inclined torso position. Well, as you hinge forward the load on the lower back increases. When performed with proper technique the deadlift enhances spinal stiffness and strength making it more resilient.

Here are 2 baseline tests to assess your lower back strength and mobility for the deadlift.

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Biering-Sorenson Test. Set your GHD such that the front of your hips/pelvis are resting on the pads. Arms across the chest and hold yourself horizontal for as long as possible. 

Good Lower Back Strength: > 2 minutes

Active Straight Leg Raise. Lie on your back with your back flat to the floor and legs straight out in front of you. Keeping the knee straight lift one leg while keeping the other flat.

Good Hamstring mobility: > 80 degrees from the floor.

Didn’t pass these tests? This doesn’t mean you shouldn’t be deadlifting, but it may cue you in to some areas for improvement to optimize your set up and pulling performance, while minimizing your injury risk.

Pain with these tests? Pain with deadlifts? Want to optimize your deadlifting efficiency? Contact us to get started!