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Video + Article · Low back pain

Why your low back feels like dragging a dead body

Plain-English on glute weakness, hip extension loss, and the chronic low-back pain that won't quite go away.

By Dr. WilliamsApril 16, 20264 min read

Modern desks turn glutes off. Glutes are the engine that drives hip extension. Hip extension is what your body is supposed to use to walk, stand up, and pick things off the floor. When the engine is off, the lumbar spine fakes it — and after enough years of faking it, the lumbar spine sends a complaint.

Why this looks like a back problem when it isn't

The pain is in the back, so people work the back: foam roll the back, stretch the back, ice the back. None of it lasts because the back isn't the cause. Restoring hip extension and re-teaching the glutes to fire is what changes the picture, often within two to four weeks.

Two drills we send patients home with

  • Glute bridge with a 3-second hold at the top, 2 sets of 12, daily
  • Half-kneeling hip flexor stretch with a posterior pelvic tilt, 30 seconds each side, twice a day

Both drills sound simple. They are simple. They also work — but only if you do them daily for at least three weeks while we restore segmental motion in the clinic. The combination is what changes things.

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