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Why Does My Lower Back Hurt After Push-Ups?

Published in Exercise and Pain 3 mins read

Your lower back might hurt after push-ups due to increased activation of lower back muscles in certain push-up variations, temporary compression of the spine's intervertebral joints, and potential form issues.

Understanding the Connection Between Push-Ups and Lower Back Pain

Push-ups, while primarily a chest, shoulder, and triceps exercise, also engage your core muscles to maintain a stable plank position. If your core is weak or if you're performing push-ups incorrectly, your lower back can overcompensate, leading to pain.

Potential Causes of Lower Back Pain After Push-Ups

Here's a breakdown of the reasons you might experience lower back pain:

  • Increased Lower Back Muscle Activation: Some push-up variations, like the BP (likely referring to a variation placing emphasis on the back) and FP (likely referring to a variation placing emphasis on the front of the body), can increase the demand on your lower back muscles. This over-activation can lead to fatigue and pain.

  • Spinal Compression: Push-ups cause temporary compression of the intervertebral joints in your spine. While this is usually not a problem, it can exacerbate existing issues or cause pain if you're not properly aligned.

  • Poor Form: This is perhaps the most common cause. Incorrect form during push-ups puts unnecessary stress on your lower back. Here are some form errors to watch out for:

    • Sagging Hips: If your hips sag towards the floor, your lower back arches, placing strain on the muscles.
    • Hips Too High: If your hips are too high, you're not engaging your core properly, and your back muscles are working harder to stabilize you.
    • Not Engaging Core: A weak core forces your lower back to work harder to maintain a straight line from head to heels.
  • Weak Core Muscles: A weak core cannot effectively stabilize your spine during push-ups, leading to lower back strain.

  • Pre-existing Conditions: If you already have a back injury or condition (e.g., herniated disc, spinal stenosis), push-ups can aggravate the problem.

Solutions and Prevention

Here's what you can do to prevent or alleviate lower back pain after push-ups:

  • Improve Your Form: Focus on maintaining a straight line from your head to your heels. Engage your core by drawing your belly button towards your spine.
  • Strengthen Your Core: Incorporate core-strengthening exercises into your routine, such as planks, bird dogs, and dead bugs.
  • Modify Push-Ups: If standard push-ups cause pain, try modified push-ups on your knees. This reduces the load on your lower back. You can also try incline push-ups, placing your hands on an elevated surface.
  • Warm-Up Properly: Before starting your push-up workout, warm up your core and back muscles with dynamic stretches.
  • Gradual Progression: Don't try to do too many push-ups too soon. Gradually increase the number of reps and sets as your strength improves.
  • Listen to Your Body: If you experience pain, stop immediately. Don't push through pain.
  • Consult a Professional: If the pain persists, see a physical therapist or doctor. They can help identify the cause of your pain and recommend a treatment plan.

By understanding the potential causes of lower back pain after push-ups and taking steps to improve your form, strengthen your core, and listen to your body, you can minimize your risk of injury and continue to enjoy the benefits of this effective exercise.