Why Runners Develop Low Back Pain (And How to Stop the Cycle)

Why Runners Develop Low Back Pain (And How to Stop the Cycle)

Low back pain in runners is incredibly common—and often blamed on “tight hamstrings” or “bad posture.” In reality, most running-related low back pain is a stability and movement issue, not a structural one.

Common Causes of Low Back Pain in Runners

1. Poor Core Bracing

Your core’s job is to stabilize your spine while your arms and legs move. If your core can’t maintain stability, your low back absorbs repeated stress with every stride.

2. Stiff Hips, Overworked Low Back

When hips don’t move well, motion shifts to the lumbar spine. Over thousands of steps, this excessive spinal movement leads to joint irritation, muscle tightness, and fatigue-related pain.

3. Inefficient Running Mechanics

Overstriding, excessive trunk rotation, or poor cadence increases spinal loading. These inefficiencies often worsen as fatigue sets in during longer runs.

4. Previous Injuries

Old disc issues, back strains, or even hip and ankle injuries can change how force travels through your spine, leading to recurring flare-ups.

5. Fatigue and Volume

As mileage increases, the muscles that protect your spine fatigue. Without adequate strength and endurance, the low back becomes the weak link.

Why Rest Alone Isn’t the Answer

Rest may calm symptoms, but returning to running without addressing:

  • Core stability
  • Hip mobility
  • Movement efficiency

often results in the pain returning—sometimes worse.

How Highland Spine and Sport Helps Runners With Low Back Pain

Our approach focuses on:

  • Restoring proper spinal and hip motion
  • Reducing nerve and joint irritation
  • Teaching effective core bracing strategies
  • Rebuilding strength so your spine is protected during running

We don’t just help runners get out of pain—we help them stay out of pain.

Signs You Should Get Evaluated

  • Pain that worsens mid-run or after
  • Stiffness that never fully loosens
  • Pain that radiates into the hip or leg
  • Reduced pace or mileage due to discomfort

Early intervention often means faster recovery and fewer missed miles.

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