Low Back Trouble

Hey guys,

39 year old male here. Long time template buyer and user. I’ve been dealing with a low back injury since January. I started to notice pain during squats. Just a slight tinge of pain at the initial part of the descent. No pain throughout the rest of the rep. In response, I backed off loading to a level where the pain was no longer there. That was effective for a bit but after a short time the pain would return. I continued a cycle of reduced intensity for a couple of months.

I then turned to the Low Back Rehab template. I was only able to tolerate the first week. Adding volume resulted in more pain. I restarted the template at a lower load, only to be met with the same pain upon increasing volume. I continued this process for about 6 weeks, trying different loads and exercises, with no improvement.

I decided to go to PT. This served to only increase the sensitivity - same pain but with even lower loading. The PT discharged me, recommending I see a doctor.

I saw my GP. An X-ray revealed minor decreased disc height, with mild to moderate endplate irregularity and osteophytes at L4-L5, along with 2mm of L4 on L5 retrolisthesis. He didn’t seem convinced this was causing my pain, but couldn’t rule it out.

My doctor also prescribed a muscle relaxant, in case it was a seized up muscle. This had no noticeable effect. He also sent me to a different PT, but I’m having the same experience - increased sensitivity to extremely minor loading - Body weight squats now trigger pain. Throughout all of this, the pain only comes on when nearly upright.

I’m not sure where to take this next. I appreciate any guidance you can offer.

Not able to give any advice here, but out of curiosity, did you try variations with any success? Hack squat, belt squat, split squat, etc?

I did try different variations with no success. At this point it’s unclear if this is because they weren’t the right path, or if I just chose the wrong weight/volume.

High bar and front squats felt quite a bit worse than low bar. I think this is due to the nature of the injury - my pain happens more when I’m upright.

Goblet squats and Split squats felt better for some reason, but like low bar, I wasn’t able to make any progress in load or volume without aggravating the injury.

Limiting the range of motion wasn’t viable, since it hurts in the upright position.