Redefining the Strategy for Chronic Low Back Pain

by Kevin Mullins Jr, CSCS
Personal Training Quarterly November 2019
Vol 6, Issue 3

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This article explores the possible causes of low back pain, as well as three potential strategies that a personal trainer may use to work with someone dealing with low back pain.

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This article originally appeared in Personal Training Quarterly (PTQ)—a quarterly publication for NSCA Members designed specifically for the personal trainer. Discover easy-to-read, research-based articles that take your training knowledge further with Nutrition, Programming, and Personal Business Development columns in each quarterly, electronic issue. Read more articles from PTQ »



1. Freburger, JK, Holmes, GM, Agans, RP, Jackman, AM, Darter, JD, Wallace, AS, et al. The rising prevalence of chronic low back pain. Archives of Internal Medicine 169(3): 251-258, 2009.

2. Hayden, JA, van Tulder, MW, Malmivaara, AV, and Koes, BW. Meta-analysis: Exercise therapy for nonspecific low back pain. Annals of Internal Medicine 142(9): 765-775, 2005.

3. Hicks, GE, Simonsick, EM, Harris, TB, Newman, AB, Weiner, DK, Nevitt, MA, and Tylavsky, FA. Trunk muscle composition as a predictor of reduced functional capacity in the health, aging and body composition study: The moderating role of back pain. The Journals of Gerontology 60(11): 1420-1424, 2005.

4. Ramdas, J, and Jella, V. Prevalence and risk factors of low back pain. International Journal of Advances in Medicine 5(5): 1120-1123, 2018.

5. Reconciling Biomechanics with Pain Science. Treatment fundamentals: A simple framework to reconceptualize pain and injury treatment. 2015. Retrieved 2019 from http://www. framework-to-reconceptualize-pain-and-injury-treatment.

6. Scott, WJ, Bury, DC, and Miller, JA. Mechanical low back pain. American Family Physician 98(7): 421-428, 2018.

7. Urquhart, DM, Berry, PB, Wluka, AE, Strauss, BJ, Wang, Y, Proietto, JJ, et al. Increased fat mass associated with high levels of low back pain intensity and disability. Spine 36(16): 1320-1325, 2011.

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Kevin Mullins is the Director of Product Development for the St. James in Washington D.C. Mullins is the author of the book “Day by Day: The Persona ...

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