Lumbosacral (low back) Stress Injury

Symptoms of a low back stress injury will include:
Muscle Tightness of:
lumbar paraspinals, multifidus, quadratus lumborum
Weakness in:
abdominal muscles, spinal stabilizers

Restriction with:

-lumbar spine extension
(arching)
 
-SI joint anterior/posterior rotation
(tucking hips under then arching)
-lumbar spine rotation
(twisting)
 
Exercises:
Prone Press Ups Side to Side- supine

  • Lie prone with pillow under the stomach.  Place hands at shoulder level with elbows bent.
  • Extend elbows raising up onto hands, keeping the stomach on the pillow.
  • Allow hips to sag.  Feel stretch in the lower back.
  • Move hands forward to decrease stretch.  
  • Move hands to hips to increase stretch.
  • Lie on your back, hands behind head, elbows on floor, legs on ball at the knees.  
  • Exhale, lower legs to one side keeping elbows on the floor.  Inhale, return to start position, exhale and repeat to opposite side.
  • Tighten abdominals while exhaling.
Trunk Flexion Stretch Bridging

  • Hold table legs or post with hands.  
  • Position ball at lower trunk /hips so that knees do not touch the floor when arms and legs are relaxed.  
  • Pull body towards table bending the elbows.
  • Exhale, relax arms, trunk, and legs, lowering
    knees to floor.
  • Feel stretch in the lower back. Hold 5 seconds and repeat.
  • Arms 90 degrees from sides, palms up, ball under knees.  
  • Exhale, tighten abdominals and buttocks.  
  • Raise hips from floor.  Do not hyper-extend the low back.  
  • Lower hips without resting on the floor.  Repeat.
Cross Extensions Diagonal Curl Ups

  • Lay prone over ball, ball at hips, elbows and knees straight, heels back.  
  • Lift arm and opposite leg to ceiling, keeping thumb up and knee straight.  
  • Keep chin tucked and do not hyper-extend the low back.  
  • Return to start position and repeat.  
  • Hold ball with hand on the opposite thigh.  Place other arm behind head.  
  • Exhale, tighten abdominals, and slowly lift the shoulder blade off of the floor in a diagonal direction.  
  • Slowly return to start position keeping the abdominals tightened.  

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