Spine Rx: Treat Low Back Pain in Weightlifters
Master treatment strategies for weightlifters with spine pain, including differential diagnosis, manual therapy techniques, and lifting mechanics to enhance recovery.
Low back pain is the #1 cause of disability globally — and yet, athletes with pain are often told to stop doing the very thing that keeps them healthy: lifting.
This CEU course teaches you how to confidently assess, treat, and load athletes with low back pain using a checklist-based clinical framework. Learn how to progress from acute mechanical symptoms to full return to deadlifts, squats, and performance — without fear-based avoidance or generic rehab protocols.
The “bucket” system: categorize 90% of low back pain cases with a simplified checklist
How to screen nerve function vs neurodynamic sensitivity using clinical tools
How to assess and improve active spinal stiffness and energy transfer
Manual therapy techniques including HVLA for pain modulation and athlete buy-in
Load reintegration strategies using the 50% Rule and compression testing
Modifications for performance: pin squats, tempo, and barbell variations that keep athletes training
Before we begin...
Spine Rx Course Notes
Lesson 1.1 - Introduction to Spine Pain in Lifters
Lesson 1.2 - Lumbar Differential Diagnosis
Lesson 1.3 - Mechanical
Lesson 1.4 - Radiculopathy (Disc Herniation)
Lesson 1.5 - Radiculopathy (Stenosis)
Lesson 1.6 - Central Disc Herniation
Lesson 1.7 - Central Stenosis
Lesson 1.8 - Intermittent Claudication
Lesson 2.1 - Lumbar ROM
Lesson 2.2 - Lumbar Accessory Testing
Lesson 2.3 - Nervous Tissue Testing
Lesson 2.4 - Strength & Performance Assessment
Lesson 3.1 - Prone Thoracic Manipulations
Lesson 3.2 - Supine Thoracic Manipulations
Lesson 3.3 - Lumbar Gapping
Lesson 3.4 - Mobilization with Movement Examples
Lesson 4.1 - Considerations for Neurologic Treatment
Lesson 4.2 - Considerations for Neurodynamic Treatment
Lesson 5.1 - Physics
Lesson 5.2 - Applied Science
Lesson 5.3 - Energy Leaks & Spinal Stiffness
Lesson 5.4 - Rehabilitation Considerations
Lesson 5.5 - How to Warm Up
Lesson 5.6 - Loading Preparation
Lesson 5.7 - Exercise Modifications & Working Around Pain
Lesson 5.8 - Bracing Preparation: Hooklying Bracing
Lesson 5.9 - Bracing Preparation: Quadratus Femoris in Standing
Lesson 5.10 - Bracing Preparation: Squat
This course applies the philosophy of progressive load reintegration — not avoidance. You’ll learn how to build back athletes using real data, active assessments, and strength-based progressions grounded in biomechanics.
Topics include:
Active vs passive spinal stiffness
Energy leaks and poor load transfer
Why “no lifting” is outdated advice
How to reintroduce axial loading without regression
Physical therapists treating barbell athletes or recreational lifters
Strength coaches guiding rehab through return-to-performance
Trainers managing clients post-disc injury or chronic low back pain
Rehab professionals tired of “non-specific” pain diagnoses
Any movement specialist seeking a clinical system for spinal rehab
A checklist-style diagnostic system for low back pain
Confidence in using load, not fear, as a primary intervention
Tools for manual therapy, spinal stability, and exercise progression
Real-world case applications — from acute disc injury to full barbell return