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Why Do I Always Have Back Pain

Restore Proper Muscle Balance And Strength Around The Hip

Why do I always have stiff sore muscles ?

I cannot emphasize this enough the hip hinge is the single most important factor in performing an efficient and injury-free deadlift. Master the hip hinge first and base your deadlift training around it.

The hip hinge is a fundamental movement that you must master, not just for the deadlift but for a host of other movements.

A proper hip hinge will focus tension where it belongs, and prevent injury when training the posterior chain.

Check out this technique, to learn how to build a solid and clean hip hinge pattern:

Simply stated the hip hinge is moving your hips from flexion to extension while limiting other joint movements. If you want to deadlift safely mastering the hinge is mandatory.

There are generally 3 issues that prevent a good foundation for movement when you are trying to perform a hip hinge, tight posterior hip capsule, tight hamstrings , and a weak, inactive psoas muscle.

It is important that you prepare your body before you do a deadlift, so as a warm up establish your foundation for movement by doing the following:

Myths About The Causes Of Morning Back Pain

There are some popular ideas about what causes back pain that are probably wrong :

  • Bad mattresses are generally over-rated as a factor in back pain.
  • Psychological factors are also often given too much weight. The mind is relevant to a lot of chronic pain, but morning back pain is particularly unlikely to be psychosomatic.
  • Intervertebral disc swelling is a popular specific scapegoat, but its highly speculative and quite likely wrong.
  • All of these causes are discussed below, along with many treatment options and suggestions. Click the green headings above to jump down to a section.

    Can Back Pain Be Prevented

    Recurring back pain resulting from improper body mechanics may be prevented by avoiding movements that jolt or strain the back, maintaining correct posture, and lifting objects properly. Many work-related injuries are caused or aggravated by stressors such as heavy lifting, contact stress , vibration, repetitive motion, and awkward posture.Recommendations for keeping ones back healthy

    Also Check: How To Strengthen Lower Back And Core

    Conditions That May Cause Back Problems

    Back pain or problems may not be related to an injury.

    • Conditions that weaken the spine, such as ankylosing spondylitis, osteoarthritis, osteoporosis, spinal stenosis, or Paget’s disease, can cause back pain. These conditions are most common in older adults. In rare cases, tumours or infections can develop in or around the spine.
    • Some medical conditions can cause pain to spread to the back from other parts of the body . Many health problems that can cause back pain have nothing to do with the bones, joints, muscles, or ligaments of the back.
    • Spinal deformities such as scoliosis, kyphosis , and spondylolisthesis can cause back pain.
    • Chronic pain syndrome caused by a previous injury or degenerative disease with aging can cause back pain.

    Restore Proper Hip Centration

    Why Does My Back Hurt? Understanding Obesity, Back Pain ...

    Getting your hip to sit back in the pocket. If you try and perform a hip hinge and you feel a lot of tightness in your buttock, this may be preventing you from keeping your hip properly centered and as a result you compensate by rounding your spine.

    Here’s an exercise that will help you release the posterior capsule and small hip rotators:

    • Get into a 4 point stance with a resistance band around your thigh pulling inferiorly.
    • Internally rotate the hip then sit back and perform 5 small circles in each direction to scour the joint and mobilize the joint capsule.

    Read Also: What Is The Best Treatment For Back Pain

    What Structures Make Up The Back

    The lower backwhere most back pain occursincludes the five vertebrae in the lumbar region, which supports much of the weight of the upper body. The spaces between the vertebrae are maintained by round, rubbery pads called intervertebral discs that act like shock absorbers throughout the spinal column to cushion the bones as the body moves. Bands of tissue known as ligaments hold the vertebrae in place, and tendons attach the muscles to the spinal column. Thirty-one pairs of nerves are rooted to the spinal cord and they control body movements and transmit signals from the body to the brain.

    Other regions of vertebrate are cervical , thoracic , and sacral and coccygeal segments.

    Check Your Ego At The Door

    Dont let your ego write checks your body cant cash. While it can be tempting to go for a personal best every time you approach the bar, its neither smart nor sustainable.

    The human body has inherent limits, and we train to expand our capabilities beyond them, but your body can only respond to training according to your innate recuperative abilities.

    Continually stressing your body with maximum efforts is just like revving your car engine to the redline every time you drive eventually, something is going to blow.

    Balls to the wall is not a productive way to approach every workout.

    Your lower back pain could be the result of too much, too often.

    There are other ways to get an effective workout without always trying for a heavier one-rep max. Instead of focusing on weight, how about dedicating a deadlifting session to perfecting your form using lighter weights?

    Consistent practice will keep your technique spot on preventing back damaging mistakes when you do go all out.

    Try going light. Bring your deadlift poundage down until you can perform 10-12 repetitions. Use lighter weight/higher reps to focus on conditioning the muscles of the posterior chain to longer periods of effort. Youll increase the metabolic load and reap the benefits of improved conditioning.

    It bears mentioning that injury is a good indicator that you should rest.

    There are other ways to stimulate greater gains without using maximal weights one of these is cluster training.

    Read Also: What Is Lower Back Pain Caused From

    What Research Is Being Done

    The mission of the National Institute of Neurological Disorders and Stroke is to seek fundamental knowledge of the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. NINDS is a component of the National Institutes of Health , the leading supporter of biomedical research in the world.

    As a primary supporter of research on pain and pain mechanisms, NINDS is a member of the NIH Pain Consortium, which was established to promote collaboration among the many NIH Institutes and Centers with research programs and activities addressing pain. On an even broader scale, NIH participates in the Interagency Pain Research Coordinating Committee, a federal advisory committee that coordinates research across other U.S. Department of Health and Human Services agencies as well as the Departments of Defense and Veterans Affairs.

    Lower Back Pain: What Could It Be

    Why does my back hurt if I have an active job?

    Do you have lower back pain? You are not alone. Anyone can experience lower back pain at any time, even if you dont have a prior injury or any of the risk factors. It is not always serious and can often get better on its own. But in some cases pain is your bodys way of telling you that something isnt right.

    Learn more about lower back pain and what causes it from rehabilitation physician Akhil Chhatre, M.D., who specializes in back pain in the Johns Hopkins Department of Physical Medicine and Rehabilitation.

    Also Check: What Causes A Tight Lower Back

    Put Out That Cigarette

    We all know smoking is a serious health risk, and smokers are also more likely to experience back pain than nonsmokers. One reason for this is that nicotine restricts blood flow to the disks in the spine. This can cause them to dry out, crack, or rupture. Smoking also reduces the amount of oxygen in the blood, which causes a reduction in nourishment to the muscles and tendons in the back. An unhealthy, weak back is more vulnerable to accidental strains and pulls that cause back pain.

    What Causes Nocturnal Pain

    Just as with normal back pain, the cause of nighttime back pain isn’t always clear. Among other things, back pain can be caused by any of the following:

    • Problems with the way the spine moves or other mechanical problems, the most common of which is disc degeneration. Discs are tissue between the vertebrae that function as a type of shock absorber the discs can break down with age.
    • Injuries such as sprains or fractures or more severe injuries such as a fall or an auto accident.
    • Diseases and conditions, such as scoliosis, a curvature of the spine, or spinal stenosis, a narrowing of the spinal column. Kidney stones, pregnancy, endometriosis, certain cancers, and various forms of arthritis can all lead to back pain.

    A large number of the participants in the British study suffered disc degeneration.

    Sometimes the cause of back pain might not be determined.

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    Possible Conditions Causing Severe Back Pain

    Dr. Drymalski also details several conditions that can cause intense back pain, many of which center on the bones or discs. But you also might be wondering, How do I know if my back pain is kidney-related? Problems with what other organs can cause lower back pain?

    He shares a wide-ranging list of potential conditions that can bring about extreme back pain:

    Although that list of possible conditions may seem daunting, the important thing to do is to focus on your symptoms and how youre feeling. Also, be sure to consider any symptoms that youre experiencing beyond back pain.

    Pay attention to severe back pain and other symptoms that appear with it.

    Pay attention to the other symptoms in addition to your back pain, especially your bowel/bladder function and leg function, Dr. Drymalski says.

    He adds that if you demonstrate any of the above red flag symptoms, if your pain persists and does not appear to be related to movement, or if you have a history of cancer, recent IV drug use, or a vascular disease, you may be at increased risk for serious back conditions.

    Causes Of Chronic Lower Back Pain

    Causes of Lower Back Pain and Hip Pain

    Pain is considered chronic once it lasts for more than three months and exceeds the bodys natural healing process. Chronic pain in the low back often involves a disc problem, a joint problem, and/or an irritated nerve root. Common causes include:

    Lumbar herniated disc. The jelly-like center of a lumbar disc can break through the tough outer layer and irritate a nearby nerve root. The herniated portion of the disc is full of proteins that cause inflammation when they reach a nerve root, and inflammation, as well as nerve compression, cause nerve root pain. The disc wall is also richly supplied by nerve fibers, and a tear through the wall can cause severe pain.

    Degenerative disc disease. At birth, intervertebral discs are full of water and at their healthiest. As people age over time, discs lose hydration and wear down. As the disc loses hydration, it cannot resist forces as well, and transfers force to the disc wall that may develop tears and cause pain or weakening that can lead to a herniation. The disc can also collapse and contribute to stenosis.

    See Lumbar Degenerative Disc Disease

    Facet joint dysfunction. There are two facet joints behind each disc at each motion segment in the lumbar spine. These joints have cartilage between the bones and are surrounded by a capsular ligament, which is richly innervated by nerves. These joints can be painful by themselves, or in conjunction with disc pain.

    See Lumbar Spinal Stenosis

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    Mattress And Pillow Changes And Upgrades

    Mattresses are touted as both cause and cure of morning back pain. As a cause, they allegedly constitute a significant source of postural stress basically, the idea is that you have poor sleeping posture because of a mattress. This is all a more specific version of the topic of posture, but it is the most significant and popular version.

    I have no doubt that there are mattress that are bad enough to cause trouble. What I doubt is that there are mattresses that basically seem fine, and yet still cause this serious chronic symptom. In other words, if the problem is the mattress, its probably obvious that the mattress is uncomfortable and if the mattress isnt obviously uncomfortable, its probably not causing significant morning back pain. I doubt theres a large ambiguous sweet spot between those, where large numbers of people are being plagued enough for it to be a problem, but not enough that its obvious why.

    The world is stuffed with claims about better mattresses and pillows, and you can even find the extreme opinion that we should get rid of them entirely and sleep on the ground, naturally paleo sleeping!25 But even the tamest of these claims are wishful thinking.

    What Causes Back Pain In The Lower Back

    When asked what causes back pain in the lower back? we will often start questioning what the clients typical day of activity looks like. This helps us ascertain the reason for the build-up of pain and helps to understand the clients individual causes of discomfort.

    Similar to upper back pain, a very common reason for lower back pain is lack of movement, which leads to a build-up of tightness and irritation throughout the lower back muscles, joints and ligaments. In addition, awkward posture and positioning, which is overloading the back structures, i.e. in sitting, exercise, heavy lifting and manual labour, can cause irritation and discomfort in the area. Therefore, it is important to ensure that you consult a Physiotherapist when you first start to develop back ache symptoms to address the underlying issue.

    Recommended Reading: How To Get Rid Of Lower Back Pain Naturally

    Why Is Lower Back Pain Such A Common Problem

    The bottom part of your back typically has just five vertebrae fewer than your neck and mid-back. And these vertebrae do a lot of heavy lifting! Your lower back is where your spine connects to your pelvis, bearing the weight of your upper body. This area experiences a lot of movement and stress, which may lead to wear, tear and injuries.

    What Is Nighttime Back Pain

    Explain Pain – Why do I have lower back pain – Greenville Chiropractor

    The majority of people with back pain are able to adjust how they sleep to get relief from the pain they experience during the day. But with nighttime back pain — also called nocturnal back pain — the hurting doesn’t stop when a person lies down, no matter what adjustments they make. For some, the pain actually gets worse. And for others, the pain doesn’t even start until they lie down.

    A person can actually go through a day virtually pain-free. But then at night, they might find it nearly impossible to get a full night’s sleep.

    Read Also: How To Help Lower Back Pain During Pregnancy

    Low Back Pain Fact Sheet

    If you have had lower back pain, you are not alone. Back pain is one of most common reasons people see a doctor or miss days at work. Even school-age children can have back pain.

    Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.

    There are two types of back pain:

    • Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
    • Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.

    Take It Slow When Getting Up

    Taking it slow when you get out of bed can be beneficial. You may want to use your arms to sit up slowly before moving your legs off the side of the bed. Once you plant your feet on the ground, shoulder-width apart, you can stand up slowly, using your leg strength instead of your back to help you up.

    After carefully standing, you can further relieve tension by reaching your arms up above your head and stretching slowly from side to side.

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    End Lower Back Pain From Deadlifting Now

    There are 3 main reasons that you could have pain after deadlifting

    • You dont have a foundation for movement therefore you cannot perform a proper hip hinge
    • You are not technically performing the deadlift correctly
    • You can perform a hip hinge, but are lifting too much weight

    Figure A This is the performance pyramid. We need to have a good foundation for movement, which means that your body is properly aligned, the tissues are balanced and you are using the correct muscle activation pattern.

    Dr. Erin Boynton MD, FRCSChief Medical Officer,Precision Movement


    You will not be able to do a proper hip hinge if you have a compensatory movement pattern affecting your hips, spine and core.

    Compensatory movement patterns develop when we have imbalances affecting the muscles, for example, sitting often leads to tight hip flexors or psoas muscle which leads to the glutes shutting off.

    Dr. Erin Boynton MD, FRCSChief Medical Officer,Precision Movement

    As a result, the small muscles in your buttock and hamstrings must compensate for the inactive glutes, and what you can do.

    We refer to this as not having a foundation for movement. Imagine if you do not have a solid foundation for your house, and then you start building more storeys, what is going to happen? Eventually something has to give.

    Trying to perform a deadlift without a good foundation will cause your back to round and the muscles in your back to overwork, this spells trouble, so here is the fix.


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