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Lower Back Pain from Lifting: Deadlifts, Squats, and What Actually Helps

By Zack Yang · Lifestyle Physio, Mount Waverley

You felt it on a deadlift — a sharp catch in the lower back, or a deep ache that built over a session and stuck around for days. Now every time you go to lift, it’s in the back of your mind. The internet tells you your discs are crumbling and you should stop lifting forever. As someone who trained as an Olympic weightlifter and treats this constantly: that’s almost never the right read.

Lower back pain from lifting is one of the most common things I see in the gym crowd, and one of the most over-catastrophised. Here’s what’s actually going on and how to deal with it without giving up training.

What’s actually happening

In the vast majority of cases, lifting-related back pain is not a structural injury. It’s the tissues of the lower back — muscles, the deep stabilisers, the joints and their surrounding structures — being loaded beyond what they could tolerate that day. The result is irritation and pain, and often a protective muscle spasm that makes everything feel worse and more fragile than it is.

Your spine is genuinely robust. The idea that bending or loading it “wears it out” doesn’t match the evidence — loaded spines adapt and get stronger, the same way every other tissue does. Pain is a signal that the load exceeded current capacity on that occasion, not proof that damage has occurred. More on why the “fragile spine” story is wrong →

Why it happened

It’s usually a combination of these, not one single cause:

  • Load outpacing capacity — jumping weight too fast, too much volume, not enough recovery between heavy sessions. The most common driver by far.
  • Technique breakdown under fatigue— form holds for the first reps, then the bar drifts, the back rounds under load, or the brace fails on the last grinding rep. That’s usually when the tweak happens.
  • Skipping the warm-up — going heavy cold, without ramping sets that prepare the tissue for the load.
  • A capacity gap somewhere in the chain — weak or poorly-coordinated glutes and trunk leaving the lower back to do more than its share.
  • Life load— poor sleep, high stress, and under-recovery all lower your tissue tolerance on a given day. The same lift that’s fine one week tweaks you the next because the rest of your life changed, not your back.

Should you stop lifting? Almost never

This is the key message. Complete rest is the wrong move for lifting-related back pain. It settles the acute symptom but deconditions the exact tissues you need strong, and it feeds the fear that the back is fragile — which is itself one of the strongest predictors of pain becoming chronic.

What you need is to modify, not stop. Reduce the load to something that doesn’t flare the pain, keep moving, and rebuild. In the early acute phase that might mean dropping the deadlift weight dramatically, switching to variations that load the back less (trap bar, elevated pulls, tempo work), and keeping the rest of your training going. Movement is part of recovery, not a risk to it.

What treatment involves

Settling the acute flare

Hands-on treatment — soft tissue work to the muscles that have spasmed and locked down, joint mobilisation to the stiff segments, and dry needling where there are trigger points — reduces pain and breaks the guarding cycle. This gets you moving comfortably again faster, which opens the window to load. More on how hands-on work and loading fit together →

Rebuilding capacity and technique

This is the part that stops it happening again. Progressive loading rebuilds the back’s tolerance; specific work on the glutes and trunk closes the capacity gap that left the back overloaded; and reviewing your lifting technique — bracing, bar path, hip hinge — fixes the breakdown that caused the tweak. The goal isn’t to lift “more carefully” forever; it’s to build a back that handles heavy load without complaint.

When it’s worth getting checked properly

Most lifting back pain settles with sensible load management over days to a few weeks. See a physio or GP promptly if you have:

  • Pain shooting down the leg, especially past the knee, with pins and needles or numbness
  • Weakness in the leg or foot
  • Any change in bladder or bowel control (this is urgent — same-day medical assessment)
  • Pain that’s severe, not settling at all after a couple of weeks, or steadily worsening

These are uncommon, but they’re the situations where the back pain is more than a simple overload — and where proper assessment matters before you push back into training. More on back pain that travels down the leg →

The bottom line

Lower back pain from lifting is rarely a damaged spine and rarely a reason to stop training. It’s a signal that load got ahead of capacity — fix the load, settle the flare, rebuild the capacity and technique, and keep lifting through it in a modified form. The people who do worst are the ones who panic, stop completely, and never rebuild. The back you want is a strong one, not a rested one.

Back pain that flares every time you go heavy?

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