Studies have shown that patients with low back pain often have weakness in their core muscles. In particular, certain important deep involuntary muscles like the fine rotators of the spine called the lumbar multifidus can become deactivated and out of sync or coordination with other core muscles like the transverse abdominus and gluteus maximus during normal movement patterns. This loss of lumbar spine support increases stress and load on the spine, which can lead to injury and/or poor treatment responses.
Core stabilization exercises are intended to help reactivate normal muscle function, which increases spinal stability, promotes neuromotor control in the lumbopelvic region, and induces inter-segmental stiffness to prevent shear forces that lead to injury and/or poor recovery and chronic low back pain.
Examples of core stabilization exercises include the plank, the side plank, the bird dog, and the bridge, as well as movements that incorporate a stability ball. Based on your particular case, your doctor of chiropractic can provide recommendations on which exercises to focus on.
So, just how good are core stabilization exercises in the management of chronic low back pain? A 2021 systematic review found that core stabilization exercises benefit patients with both short-term and long-term low back pain more than other exercise approaches like general strength and stretch training, treadmill walking, and use of various training devices. Additionally, core stabilization exercises work even better to reduce pain and disability and improve the strength and function of the core muscles when combined with other treatment approaches like spinal manipulation, mobilization, and myofascial release technique—forms of treatment that are performed by doctors of chiropractic.
Thousands of Doctors of Chiropractic across the United States and Canada have taken “The ChiroTrust Pledge”:“To the best of my ability, I agree to
provide my patients convenient, affordable,
and mainstream Chiropractic care.
I will not use unnecessary long-term
treatment plans and/or therapies.”
To locate a Doctor of Chiropractic who has taken The ChiroTrust Pledge, google “The ChiroTrust Pledge” and the name of a town in quotes.
(example: “ChiroTrust Pledge” “Olympia, WA”)