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  5. Poor Shoulder Mobility Leads to Low Back Pain

Poor Shoulder Mobility Leads to Low Back Pain

I had another epiphany the other day. Another Ah-Ha moment. Sometimes when these ideas occur I can't decide whether I am smart or dumb. Am I smart because I had this thought or dumb because it took so long? A member of my staff and I were talking about wall slides. If you don't know, wall slides are a great exercise borrowed from physical therapy to develop the combination of shoulder mobility and scapular stability.


In fact wall slides are one of my favorite upper body warm-up/ correctives. As the discussion progressed my young trainer asked about the tendency of our athletes to have to arch their backs to get into a fully externally rotated position to perform the exercise. Strangely, up to that point I had not really thought about the relationship between external rotation, shoulder flexion and lumbar extension.


At that moment I suddenly realized that the compensation for poor shoulder mobility was in fact lumbar extension. This thought brought shoulder mobility into a whole new light for me. Suddenly poor shoulder mobility became a major causative factor in back pain. How could I have missed this for so long? If I try to overhead press and lack shoulder mobility, what do I do? I extend my lumbar spine. If I try to position the bar to back squat and lack shoulder mobility, I arch my back. If I try to get my elbows up in the clean or front squat and lack shoulder mobility, what do I do? Just like in the wall slide I extend my lumbar spine.


Just as we have realized that the hip and spine are linked, so are the lumbar spine and the shoulder. Next time you have an athlete with low back pain don't just look at hip mobility, look at shoulder mobility and at exercise selection. I think this might be why we have less low back pain when we dumbbell or kettlebell split squat or when we deadlift instead of squat. The elimination of forced external rotation in those who lack it may cause a significant decrease in back symptoms. It's amazing what you learn when you listen and think.




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