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When I work with clients to resolve lower back pain I use exercises to train and strengthen four key muscles…

  • The diaphragm
  • The pelvic floor
  • The transverse abdominus
  • The multifidus

Diaphragmatic breathing, inhale through the nose and and breathe into the tummy and lower ribs. Exhale through the mouth.

To activate the pelvic floor think about gently lifting up through the pelvic area to stop the passage of urine.

To activate a transverse abdominus contraction think about gently drawing in the belly button on the out breath.

Training the multifidus muscles with a co-contraction of the pelvic floor and / or TVA. Think about drawing the pelvic bones at the back of the pelvic gently together, then perform a clam exercise.

Once you have mastery of these isolated contractions we need to start putting them all together and adding movement…

About Wandsworth Physiotherapy

At Wandsworth Physiotherapy and Osteopathy we are focused on getting you out of pain and back to what you love doing. Whether it's playing with your kids or simply being able to sit on the train comfortably; whether it's being able to get back into the gym class or to run 5k again; whether it's to banish the Tena Lady or being able to lift your child without pain our expert physiotherapists and osteopaths are here to help.