In today’s FAQ video, we answer the question “Why do I have lower back pain when I run?” Watch the video below to learn what’s behind your pain. Leave any questions you may have in the comments section below.

If you are dealing with lower back pain and would like to know how we can help, call or text us at (512) 693-8849.

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Why do I have lower back pain when I run?



What a cool experience! I wasn’t really sure what to expect and honestly was a little bit nervous that someone was going to want to change how I have been running for years. Immediately I felt comfortable with my therapist, he was friendly and listened to what I had to say about my running history and goals. His initial data gathering was very thorough and what I really liked was that he was very focused on what I wanted for my running goals. His approach of fixing issues before they begin by fixing form just makes sense. All levels of runners could benefit from this service. I really enjoyed the very detailed video analysis of my form. He pointed out a lot things that were happening during my stride that I had never really noticed or thought about before such as how to push off with my first and second toe, and also about how hamstring engagement can affect form. Overall I was really happy to see that I didn’t really need to change anything, and based on a history free of running injuries, this confirmed that. But, an ounce of prevention is worth a pound of cure, and I fully believe that this could improve the longevity and enjoyment of running for all types of runners. Once my wife has her baby and picks up her mileage again she will be coming in for an analysis!


Video Transcription

[Please excuse grammatical errors due to the conversational nature of the video]:

Why does my lower back hurt when I run?

It depends. The patients that I typically see with low back pain are runners. Usually they’re women who have really arched backs when they run. Their pelvises are so far forward, and they’re very upward. They’re taught that they need to have a really upright posture.

They do it like almost excessively, right? Because that’s the way they think they’re supposed to—to present yourself with a nice upright posture. So they run like that, and they typically have really tight hip flexors, and their low backs are very tight while sitting.

They are always asking me questions like, “Why am I sitting? What are you doing?” Well, you’re supposed to arch your back. When you put your hand at their backs, patients would say “Hey, stop being creepy. I came here for my big toe.”

It’s all connected.

But I see that a lot. Usually my female patients who have just really significant low back problems complain a lot. When they hold that position, they take a lot of force. And when they run, it’s kind of a jarring kind of look. It’s not a smooth, easy fluid motion. That’s what I see a lot of in our clinic.

A running analysis can help identify such problems.

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