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How to fix low back pain. It starts with proper assessment. @anna wildt @Muscle & Motion

original sound — @squatuniversity

what it claims

To eliminate back pain long-term, one must identify through a precise movement test whether the discomfort stems from a lack of spinal rigidity relative to the hips, in order to customize stability exercises (such as the "McGill Big 3" and loaded carry with oscillation) and relearn how to move without pain.

mixed

Deep stabilization exercises, particularly the "McGill Big 3" routine, have solid scientific support for relieving back discomfort.

noli's read

Deep stabilization exercises, particularly the "McGill Big 3" routine, have solid scientific support for relieving back discomfort. A meta-analysis published in the journal PLOS One (Wang et al., 2012) confirms that this type of strengthening improves core strength and mitigates physical discomfort in the short term. However, the explanation that these discomforts stem solely from a lack of physical spinal rigidity or a movement conflict with the hips is nuanced today. A publication in the Journal of Orthopaedic & Sports Physical Therapy (JOSPT, 2019) notes that the relationship between structural spinal stiffness and the level of well-being is neither direct nor automatic. Finally, numerous scientific syntheses, such as reviews from the physical therapy database PEDro (2026), reveal that in the long term, specific stability exercises do not systematically outperform general movement (such as walking or global muscle strengthening) provided that the activity is practiced regularly.

the sources

  1. 1Wang XQ, Zheng JJ, Yu ZW, et al. 2012

Claimed by Squat University. Noli grades the claim, never the person.

Decoded by Noli · July 13, 2026 · the original post

What the graded evidence says

Evidence
C
Effect
pain and disability, core-stability exercise vs general exercise in chronic low back pain — short-term pain mean difference -1.29 (95% CI -2.47 to -0.11) and disability -7.14 (-11.64 to -2.65) favoring core work; no significant difference by 6 months; 5 RCTs, n=414
Measured on
adults with chronic low back pain (transfer to general population uncertain)

What’s uncertain

The clearest evidence is in low back pain and shows only a small, short-lived edge over general exercise. Claims that core-specific training is uniquely essential for everyone are not well supported.

Squat University in the Register77 claims graded · solidity 81/100See their record →

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