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Fixing your lower back pain: Module 2

41Welcome back to module two in my series designed to teach you with the knowledge of why you may be experiencing ongoing or chronic lower back pain! I know how frustrating it can be going from practitioner to practitioner and not getting answers. Everyone has a different opinion and many of them don’t even make sense!

In the previous module  we covered the 3 biggest causes of lower back pain. They are:

  1. Restricted mobility
  2. Muscle weakness
  3. Spinal degeneration

Now we’re going to jump into the WHY. Why does restricted mobility, muscle weakness and spinal degeneration occur? There has to be some underlying mechanism that leads to the break down of the system. And there most certainly is. Now remember that human beings are extremely complex and there are many other reasons that lower back pain happens. But in this article I am covering the 3 biggest and most common reasons that we develop poor mobility, weakness and degeneration and why that leads to ongoing lower back pain.


  1. Adhesion

Adhesion is like scar tissue that builds up in the tissues. It only occurs in tissues that are unhappy. For example, if a muscle is stretched, contracted or crushed for too long, or too often the result can be adhesion production. Adhesion acts like glue, it reduces flexibility and causes weakness. This is outrageously common because of the lifestyes that most of us live. Whether we are sitting too much, bending and lifting incorrectly or squatting too low at the gym. There are a million reasons that you may be overworking the tissues in your lower back and hips and producing adhesions.


  1. Nerve entrapments

Lower back pain specialists

Testing and measuring the biomechanics of the lower back and hips is essential to finding out what is causing ongoing lower back pain.

Entrapment of the nerves is a lot more common than most people think. Luckily in recent years it has become more widely accepted that nerve entrapments are happening and are important. In the lower back and hips the sciatic nerve can become entrapped around the back side of the hip, deep to the gluteal muscles. It’s often referred to as “deep gluteal syndrome” and this is just one example of a nerve entrapment that causes ongoing back pain. When a nerve is entrapped, it means that it is unable to slide easily through the tissues. This forces the brain into protection mode and leads to chronic muscle tension, pain, weakness and poor mobility.


  1. Poor biomechanics

This is the absolute base level of what is underlying almost all cases of lower back pain. The whole reason that any structure or tissue in the lower back will become damaged and painful is because it isn’t able to do what it was designed to do. Your function is everything when it comes to the health of your lower back. Not just the joints, not just the muscles or nerves, but everything in the lower back and hips needs to be functioning well to overcome ongoing lower back pain. Biomechanics can be assessed by an expert in musculoskeletal medicine, but at it’s most basic level, it’s a measure of your lower back and hip mobility.


There we have it! The three most common causes that may be underlying your lower back pain. And if they haven’t been addressed there is a better than good chance that it’s why you are still in pain and discomfort.

Stay tuned for module 3, where I’m going to shine a light on some of the treatments that you should avoid so you can stop wasting your money, time and effort on ineffective treatments.

Thanks for reading and as always if you have any questions feel free to contact me at

–       Dr Michael Vibert

–       Integrative Diagnosis Clinician

–       Clinic Director and Chiropractor at Soft Tissue Solutions


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