Dr Ozello's Sports Medicine Report: Low Back Pain: Weight Lifting

***Disclaimer: Viewing this video does not take the place of seeing a medical professional or working with a fitness professional. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute.

Weight Lifting utilizes heavy weights to engage the muscles.
Using excessive weights and performing improper techniques puts the back in a compromising position that may lead to injury.

LBP is one of the most common complaints among weight lifters.
Adolescents and young adults are particularly vulnerable due to growth spurts, increased physical activity and increased engagement in sports.
LBP can pose prominent hardships by limiting movement, reducing strength and eliciting painful sensations.
LBP can pose a risk on psychological wellbeing due to its chronicity and debilitating nature.

Flawed Technique can often put a great deal of stress on the low back muscles.
Two most common injuries leading to LBP in weightlifting are muscle strains and intervertebral disc bulge or herniation.
A muscle strain usually presents with non-radiating LBP. A disc bulge or herniation causes LBP that may manifest with radiation to the legs.

Deadlifts and Squats were reported to cause LBP more than other exercises.

Improper execution may compromise proper body posture and lead to body tilt and back flexion.
As the body tilts forward the effects of the loads lifted increase dramatically.
When the body is tilted forward 20 degrees, the compression forces on the fourth lumbar intervertebral disc increase by 50%.
This renders the lumbar region highly prone to injury.

Lumbar Muscle Strains are typically the result of abnormal tension placed upon a muscles and/or tendon.
Most lumbar muscle strains respond well to conservative treatment.
Exercise has become the cornerstone of treating and preventing back pain.

Larger Multi-Segmental Muscles compensate by co-activation when there is multifidi dysfunction.
Motor control errors or lack of abdominals and multifidus acting before larger global muscles increase compressive forces across spinal segments and results in pain.
Motor control exercises involve retraining multifidus and transverse abdominis to become active before larger global multi-segment muscles become active.

Reduce volume of lifting routine.
Warm up and cool down.
Perform demanding part of routine early in training session to avoid technical errors due to fatigue and exhaustion.
Modifications in training regimens and usage of a protective lifting belt.
Cross Training.

Deep Core Strengthening Exercises: Abdominal Drawing-In Maneuver, Abdominal Hallowing (AKA Stomach Vacuums), Abdominal Bracing and Fitball Lumbar Spine Extensions.

Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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