Is Your Core the Missing Link in Your Back Pain?

People often want to blame their back pain on their spine, but the spine doesn’t work alone. It relies on a deep system of muscles in your abdomen, hips, and pelvis for support, what’s collectively known as the core. When those muscles are weak or poorly coordinated, your back absorbs more strain than it should.

Many people associate their core with six-pack abs, but in reality, this group of muscles helps stabilize your spine during movement. People with ongoing back pain often issues with one or more of their core muscles, such as:

  • Delayed activation of deep abdominal muscles
  • Reduced endurance in trunk stabilizers
  • Poor coordination between the hips and spine
  • Muscle imbalances that shift load onto the lower back

As a result, their spine moves more than it should, causing the ligaments in the spine to take on more stress. Larger core muscles tighten up to compensate, fatigue sets in faster, and over time, pain and irritation set in.

That’s why a strong core isn’t so much about having a visible six-pack as it is about good stability. Improving your ability to coordinate and time muscle activation helps reduce back pain and improve function for everyday tasks, like bending, lifting, and sitting.

A stable spine reduces excessive motion that irritates joints and soft tissues.

Instead of your lower back absorbing most of the load, your hips and trunk share the work.

Strong stabilizers help maintain neutral alignment during sitting, standing, and lifting.

Better muscle endurance means less fatigue and fewer flare-ups during daily activity.

When your body feels supported, you move with less guarding and tension.

These exercises train the deep abdominal muscles to stabilize the spine while the arms and legs move, reinforcing coordination between the trunk and limbs. This mimics real-life movement patterns such as reaching or walking, all while maintaining spinal control.

Bird-dog builds cross-body stability, which teaches your back and hips to work together. That coordination reduces excessive spinal motion during bending and lifting.

Side planks strengthen the lateral trunk stabilizers, including the obliques and deep internal muscles that support the lower back. Together, they control side-to-side movement and prevent collapse during walking or carrying weight.

Weak glutes often cause the lower back to compensate during standing and lifting, so strengthening them reduces strain on the lumbar spine.

Stronger Core. Better Movement. Less Pain.

At PhysioWorks, we know that back pain often feels unpredictable. But many cases share a common thread: poor stability and endurance in the muscles that protect the spine.

Building core strength helps address these concerns directly by improving control, reducing strain, and increasing resilience throughout your midsection. So if your back has been asking for attention, your core may be the place to start.

Just remember that you don’t have to do it alone. The team at PhysioWorks is ready to help you build that foundation so you can move freely, return to work safely, and get back to doing what matters most.

Exercise of the Month

LOWER TRUNK ROTATIONS

Start by lying face up on the floor with your knees bent. Allow your knees to slowly drop to one side. Your lower back should rotate, but your shoulders should stay flat on the ground. Hold for 30 seconds. Bring your knees back up and then drop them to the opposite side.
2 Sets, 2 Reps.

Ingredients:

In a screw-top jar, combine lemon juice, mint, basil, olive oil, honey, and black pepper to make dressing. Cover and shake well. Place lettuce on a large platter. Top with chicken, tomatoes, garbanzo beans, the quartered olives (if using), and feta cheese. Drizzle with dressing. If desired, garnish individual servings with whole olives.

April Word Scramble

Spring Is Running Season! Are You In Your Best Shape?

Runners are often misled into believing unproven solutions to avoiding pain and injury. Not many people know that the number-one risk factor for runners to sustain an injury is having had an injury in the last 12 months.

The other most common risk factors are:

To ensure you can get back to running or increasing your mileage without pain or injury, start with an injury evaluation and a biomechanical assessment to identify any factors that could contribute to pain or injury. 

Staff Spotlight

danny beeman
Read More

Danny Beeman

CEO, AIB-VRC, MPT, CFCE, PGAP

Is Your Core the Missing Link in Your Back Pain?
Read More

Karl Lange

AIB-VRC, PT, Clinic Director

Is Your Core the Missing Link in Your Back Pain?
Read More

Iryna Hrytsyuk

COTA, Industrial Rehabilitation Supervisor, CI

Is Your Core the Missing Link in Your Back Pain?
Read More

Leah Salius

Administrative Supervisor

Sherlyn
Read More

Sherlyn Dagohoy

Patient Care Coordinator

Jeric Tumaob Patient Care Coordinator PhysioWorks Clinic Silverdale WA.jpg
Read More

Jeric Tumaob

Patient Care Coordinator

Is Your Core the Missing Link in Your Back Pain?
Read More

Michael Kovach

Doctor of Physical Therapy

Is Your Core the Missing Link in Your Back Pain?
Read More

Jas Kaur

Occupational Therapist

Read More

Christin Hitchcock

Physical Therapist

Cara Thomas
Read More

Cara Thomas

Patient Care Coordinator