Low back muscle strength can cause low back pain?

There are many reasons for low back pain, some related to core muscle strength, but some have nothing to do with core muscle strength.

For example, the lumbar muscle strain may be due to heavy lifting, repeated high-intensity exercise, or negligent exercise of the lumbar muscle, resulting in strain, which is not directly related to core muscle strength.

For example, because playing mahjong, reporting, flying or sightseeing car sedentary, leading to low back pain, which is also not directly related to core muscle strength.

Sometimes, a careless action, facet joint dislocation, stuck and cause low back pain, which is not directly related to core muscle strength.

Especially the herniation of intervertebral disc is not related to the insufficiency of core muscle strength. The proportions and severity of lumbar disc herniation of top athletes are much more significant than that of ordinary people, and we believe that the core muscle strength of these Olympic athletes will not be worse than that of ordinary people, which means that even if the core muscle strength is strong, it can not prevent the lumbar disc herniation.

In patients with lumbar instability, core muscle strength is needed to provide stability. Why is the lumbar spine unstable? The original stability system of lumbar spine was divided into active support system and passive support system. The active system refers to muscles, while the passive system refers to joints, ligaments and other tissues. Generally speaking, we all hope to maintain the correct posture and bearing external forces of the lumbar spine with the active system, and try not to use the passive system to support the body, because the passive system is a consumable, if these joints, ligaments, intervertebral discs are damaged and degenerated, it can not be completely restored.

But the passive support system will be depleted sooner or later, for example, the lack of muscle strength, muscle endurance, lack of core, excessive use, misuse, age growth and so on. Joints and intervertebral discs will inevitably degenerate, resulting in structural disorders or dysfunction. If discs are damaged, many internal fissures and dehydration phenomena will occur. Material softening, unable to withstand the power that could be loaded, will gradually protrude or protrude in a moment of movement or weight lifting, and the lumbar spine will also present an unstable situation. At this time, there is not necessarily pain, but when there is pressure to the nerve, there will be pain, many patients with low back pain are actually combined with unstable situation.

But even people with insufficient core muscle strength and unstable lumbar spine do not necessarily suffer from low back pain, so many people who do not like sports do not necessarily suffer from low back pain. Pain and pain depend on whether the nerve is compressed. Once the disc herniation is compressed into the nerve causing low back pain, the focus of relieving pain is to treat the disc through decompression, reduction or reduction. 

As for the core muscle strength, it is a very important part of the active support system of the lumbar spine. It helps to alleviate the pressure on the intervertebral disc, but it can not prevent the herniation of the intervertebral disc, let alone retract it directly after the herniation of the intervertebral disc. Just like quadriceps femoris, no matter how strong it is, it can't prevent cartilage wear of knee joint. Similarly, no matter how strong the core muscle is, it can't prevent the degeneration of intervertebral disc. 

The key to the treatment of low back pain lies in whether the causes of low back pain (disc herniation, facet joint dislocation, fascial tension, etc.) can be solved, not in the strength of the core muscle. In fact, we have found in clinical practice that some patients with low back pain do core muscle strength or weight training on their own before the course of treatment is completed, which causes more low back pain. The reason is that when the muscles of the waist contract, they will increase the internal pressure of the intervertebral disc, making the intervertebral disc more prominent, and thus more nerve compression.

Muscle strength is too strong, so that the spine bears too much force, and ultimately causes injury.

Our suggestion is that if you need conditioning, please contact Taiwan's traditional soft manipulation global chains, traditional Chinese medicine bare-handed repair techniques, safe and effective. Patients with low back pain should first be treated with patience, such as nerve inflammation, muscle strain, intervertebral disc protrusion, facet joint dislocation, etc. After the disease is cured and stable, and the structure is correct, then the core muscle strength training should be started according to the individual situation, so that the structure of the spine can be stabilized in the correct position. If you don't have the habit of exercising, you can keep your spine healthy for a long time as you keep a good posture vigilantly all the time in your life.

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