RTUS and its role in reducing pain
When your core muscles are weak, it can contribute to back pain. This is because your core plays a crucial role in stabilising your spine and transferring force between your upper and lower body. A weak core can lead to an improper distribution of load within your spine and pelvis, potentially causing strain and overuse injuries.
It is a two-way street however: a weak core can certainly cause back pain, but persistent back pain can also lead to a weakening of your core muscles. Either way, it is essential to assess these muscles and, if needed, retrain and rehabilitate them. This not only helps reduce current symptoms but also prevents future injuries.
How Back Pain Contributes to Core Weakness
Back pain and core weakness often go hand-in-hand, creating a challenging cycle. Some of the reasons that your back pain can directly weaken your core include:
- Pain Inhibition: Your body naturally tries to avoid pain. This can lead to a "shutdown" of certain core muscles, reducing their activity and leading to weakness over time.
- Altered Movement Patterns: To avoid pain, people often change how they move. These new patterns can cause some core muscles to be underused, becoming weaker as a result.
- Altered Movement Patterns: To avoid pain, people often change how they move. These new patterns can cause some core muscles to be underused, becoming weaker as a result.
- Muscle Imbalances: Back pain can cause some core muscles to become overactive while others become underactive, leading to imbalances in strength.
- Reduced Physical Activity: Back pain often leads to less overall movement, contributing to general deconditioning and weakening of core muscles.
- Changes in Motor Control: Back pain can alter how your nervous system activates muscles, potentially leading to decreased coordination and strength in your core.
Core weakness can contribute to back pain, and back pain can lead to core weakness. Breaking this cycle typically involves dedicated core strengthening and addressing other factors like posture and overall fitness.


