Low Back Pain with Mobility Deficits

Manual therapy should be utilized to address flexibility deficits with soft tissue mobilization techniques and manual stretching and to address joint mobility deficits with mobilizations and manipulations. Massage guns and foam rollers may be useful too. This should be followed by an exercise to utilize the newly gained range of motion. Focus should be on the thoracic and lumbar spine in all planes of movement as well as the hips, knees and ankles, with primary muscle groups including lats, paraspinals, QL, hip flexors, glutes, quads, hamstrings and calves.

Manual therapy should be immediately followed by these exercises with a daily routine developed to make consistent gains, reduce low back pain, and improve movement capacity.