Low Back Pain

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10 Ratings


This 22 minute video shows some approaches I use for clients with low back pain. What I show draws on the work of:

James Waslaski

Erik Dalton

Vladimir Janda

Deane Juhan - Resistance Release work from the work of Dr. Milton Trager


There are many different causes of low back pain. If the low back pain is severe, if there is paralysis, or if there is impaired bowel or bladder function then it is important to refer the client to a qualified physician.

For clients with low back pain I often start with doing Pelvic Stabilization, to help assess what muscles are tight and what restrictions there are in range of motion.

A very common pattern I see with clients that sit a lot is that they will tend to have tight hip flexors (Psoas & Iliacus) and weak inhibited hip extensors (Gluteus Maximus). Stretching the Psoas and strengthening the Gluteus Maximus usually helps their back pain.

I also see clients with one side of the pelvis hiked up. Stretching the Quadratus lumborum on the high side may help to bring balance to the pelvis and ease the low back pain.

Leg length imbalance can also be a factor in low back pain. In many cases the pelvic stabilization protocol will also balance the leg lengths, but if it doesn't, I will do leg length balancing techniques to balance the pelvis and ease the stress on the low back.

Releasing tight muscles is only half of the equation, as it is also important to strenghten the weak inhibited muscles. Resistance Release work is excellent for this, as it helps your client make the neurological connections for the movement patterns that need to be strengthened.


Member Comments:

  • David D commented Friday 28th of April 2017 at 9:15:51AM

    Thank you Dr Mally for these great techniques. However, could you please clarify whether the concentric and eccentric resistance of the internal and external rotation of the leg, is part of the treatment for lower back pain. Or were you just demonstrating what these terms mean?

  • James M replied Tuesday 9th of May 2017 at 9:50:43PM

    The resistance offered to internal and external rotation of the femur is part of a treatment for muscle strain. Muscle strains may be assessed when you are doing pelvic stabilization. Treating muscle strains is an important part of treating low back pain.

  • commented Wednesday 16th of December 2015 at 2:42:45PM

    Thank you for sharing your years of experience and knowledge in massage therapy and bodyworks that offers a lot of benefits for health practioners and people suffering with pain. You are a gift to the wellness industry.

  • commented Monday 5th of January 2015 at 9:06:12AM

    Great addition to your library Dr Mally! More videos like this with the clients real case studies would be much appreciated:) Thank you!