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DEC 17, 2025

Lifting with Back Pain

Disclaimer: We are not doctors. This advice is for general mechanical back pain, not acute trauma. Consult a professional.

"I tweaked my back. I guess I can't squat anymore." This attitude kills more gains than anything else.

The old advice was "Bed Rest." The new science says "Motion is Lotion."

The Mechanic's Problem: Hinging vs. Rounding

90% of lifting back pain comes from one error: Moving from the Spine instead of the Hips.

MovementWhat HappensThe Verdict
Hip Hinge (Good)The spine stays neutral (stiff). The ball-and-socket joint of the hip rotates.Safe. Powerful. Glutes and Hamstrings do the work.
Lumbar Flexion (Bad)The spine bends forward like a fishing rod.Dangerous under load. Discs are pressurized unevenly. Erector muscles strain.

The Fix: Learn to "push your butt back" to a wall behind you. If your spine moves, you failed.

The McGill Big 3

Dr. Stuart McGill, the world's leading spine biomechanist, prescribes three exercises to stiffen the core without hurting the back. Do these every day.

  1. The Modified Curl-Up:
    • Lie on your back, one leg bent, one straight. Hands under lower back.
    • Lift only your head and shoulders an inch off the ground. Hold for 10s.
  2. The Side Plank:
    • Knees or feet. Keep spine neutral. Hold for 10s.
  3. The Bird-Dog:
    • Hands and knees. Extend opposite arm and leg.
    • Crucial: Do not let your back arch or sag. Imagine a glass of water on your lower back.

How to Train Around Pain

If your back hurts, don't quit the gym. Regress and Pivot.

  • Can't Squat? -> Do Split Squats (Bulgarian Split Squats). It keeps the spine upright and uses half the load on the back.
  • Can't Deadlift? -> Do Chest-Supported Rows or 45-degree Back Extensions.
  • Can't Overhead Press? -> Do Seated Dumbbell Press (with back support) or Incline Press.

Injuries are not stop signs; they are detour signs.

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FREQUENTLY_ASKED_QUESTIONS
Temporarily, yes. But throwing the movement away forever is usually a mistake. You need to regress the movement (e.g., Block Pulls or RDLs) to re-learn the pattern without pain.