The Most Important Low Back Muscle

 

I’ll be straight forward and let everyone out there in reader-land know I’m not that smart. I’m a simple strength coach and personal trainer working out of a commercial facility. That being said, I do tend to piss excellence when ever I get someone to go through a workout. I can tell if someone is holding their core strong or if it’s flopping around loose as a ham sandwich whenever they try to get jiggy with it in the gym. I’m also smart enough to figure out that if one exercise isn’t working, I’m able to try something else to get the result I want, and help turn meek and mild-mannered Clark Kent types into absolutely stark-raving mad Superhero’s looking to do nothing but throw around more plates than a dishwasher at Denny’s.

Take for example my client James, who is working on getting over a long-standing shoulder irritation injury while simultaneously throwing down a set of 10 reps of 110 pound dumbell goblet squats while making panties drop all across the world.

This isn’t the typical shoulder “rehab”exercise, which all systematically make me want to simultaneously fall asleep, and act like the 14 year old inside everyone who is so that they begin to hop around and do that thing where they swing their arms back and forth like they’re dead and they’re just rotating at their torso, simply for the sole purpose of doing something more exciting than a typical shoulder rehab exercise. Buuuut it works a LOT on shoulder stability, rotator cuff activation, and all sorts of other bags of awesomeness in the pursuit of having James becoming more machine now than man, sort of like Anakin Skywalker, but in real estate instead of as a Jedi warrior.

Now as I’m not that smart, I can’t quite see why so many rehab pro’s are so intense on working with low back pain clients and focusing on small muscles like the multifidus, erector spinae, and the other teeny tiny muscles like that. While I understand the main reasons why they’d be important, from a basic physics perspective, I can’t figure out how muscles with very short moment arms, very thin cross-sectional areas, low thresholds for activation, and minimal ability to both produce or resist spinal movement would be all that important to focus on in isolation, especially at the sacrifice of the big dogs on the block, like the glutes and latissimus dorsi.

I came to the realisation that the big muscles, and one in particular which I’ll get to later, were probably as important if not more important than the inner unit muscles when I was putting together a new tool to work in my yard, and I needed to tighten a screw. The screw driver wasn’t doing the job, so I used a wrench with a longer handle to help generate some torque. I then thought about a time I was using crow bar to do some demolition work for some renovations, and in order to do more work faster and with less effort on my part, I would use a crowbar with a longer handle.

Simply put, the multifidi and erector spinae have very short levers and very small moment arms with respect to leverage being created on the spine in order to help buttress the forces being applied when trying to lift copious amounts of weight, or even for the chicks trying to lift their purse, or to fend off the dreaded sneeze (if you’ve had back pain, you know what I’m talking about here).

Seriously, the muscles along the spine are pretty small and produce such a small effect that they’re almost not even worth discussing when it comes to extension and flexion. McGill found way back in 1991 HERE that the multifidus only really changed its’ length when it was put into a state of near full flexion, which is rarely the position causing low back pain.MacIntosh et al referenced HERE found that the axial torque produced by the multifidus was pretty much non-existed at each spinal segment.

SO why focus on it?? There’s a lot of research that shows down-regulation of the multifidus following any kind of disc injury, and pretty rapid atrophy immediately after any type of joint de-stabilization. We could also make a case to say that the glutes, hip flexors, diaphragm, and any other muscle that associates with the stabilization of the core could be considered dysfunctional in the presence of back pain. For me, when ever my back is not feeling happy, my glutes tense in conjunction with my hip flexors, and I can’t for the life of me get my TvA or rectus to work properly, and I wind up with a bit of a stoop going on.

SO I’ve kept you in suspense long enough while building my case against the common concepts of trying to isolate a small muscle that doesn’t do much for producing or resisting movement, I might as well let you in on my big revelation on the most important low back muscle. And much in the same way Scooby Doo episodes always showed you who the evil guy under the mask would be earlier in the episode (pretty simple to determine,a s you had never seen that person before and all of a sudden WHOOPS there they are), I showed you a little snippet of that muscle earlier in this post. But I’ll tell you again.

The latissimus dorsi is the most important low back muscle.

I’m sure there’s a lot of rehab professionals out there right now trying to throw things at their computer, calling me an idiot, and trying feverishly to unsubscribe from my newsletter in retribution, but before any of that goes down, please hear me out.

The lats, as the kids are calling them these days, attach to the spinous processes from T7-L5, meaning it covers the entire low back and then some. If you also take into account the fact that it blends almost seamlessly with the thoracolumbar and lumbodorsal fascial sheaths, it could even be said to have attachments right to the tailbone through the saccrum.It attaches to the illiac crest, the bottom few ribs, can cause the scapula to depress and rotate by its’ actions on the arm, extend and rotate the thoracic and lumbar spine, scramble eggs, make a mean protein shake, and do the dishes at the end of the day.

They are essentially the longer handle on the crow bar that is your low back. They can generate a hell of a lot more torque and compression compared to the other small deep muscles.

Due to its’ points of attachment on the spinous processes, cross-sectional area, and angle of pennation (what direction it pulls shit), it could be said to have a much larger role in spinal extension than any of the spinal extensor muscles. It’s binding into the low back fascial networks also means it’s integrally attached to core function, due to the fact that the transverse abdominis is also highly involved in those fascial networks.

Now if the lats cause extension and rotation to a greater degree than the multifidus and erector spinae, if they contract to pull the body through these directions, would that also cause the other muscles to fire up and do some work? Sort of like a low back variation of facilitated activation? Damn rights!! I’ve never had a client perform a proper lat activation who said it hurt their back , and never had a client do a proper lat activation who later said they didn’t have a noticeable increase in pain-free range of motion and function. It’s almost a perfect relationship.

When McGill looked at strongman activities like a farmers carry, yoke walk, and log lift, HERE, he found the lats were consistently one of, if not the most powerfully used muscles in each lift, both in single arm and double arm movements. These movements didn’t involve rowing or pulling down or up to a bar, either.

Now I know a lot of people are probably saying “but I do a lot of lat work and it doesn’t help me.” Well, check this short video and let me know if you’re getting yourself into the right position to really feel the muscles working properly.

Then tell me if you happen to have a back that looks anything like this guys (pay attention to his lats in his low back).

A common problem with a lot of lat exercises is no one really understands how to make them work properly. People are content to bang out lat pulldowns, chinups, and then the most god-awful creation of all time, the kipping chinup, which turns a lat-based exercise into a flailing excuse for corporal punishment. Much like Bret Contreras is responsible for getting people to re-think glute training, I’m hoping to at least shed some light on lat activation to get the best response possible.

The funny thing is that tying in with “The Glute Guy” is somewhat fortuitous as the lats work best when there is co-contraction with the glutes, and vice versa. The glutes should be fired hard, the back lightly extended, and the shoulders should be drawn back and down towards the back pockets, ensuring you don’t over-extend from the mid or low back, and creating a tense contraction that you can feel all the way from the bottom of your shoulder blades down to your tailbone. You know, because that’s where your lats actually are. I hate it when people say they feel their lats right under their arm pits. and not down their low back, because that means they’re working their teres major instead of their lats.

One of my favorite lat activation exercises is a kneeling pulldown. The seated version doesn’t allow for glute activation and doesn’t encourage a lumbar extension position, which makes kneeling a lot better of an alternative.

I’ve had some really great success working with clients getting lat activation in order to reduce their low back pain, and it also worked very well for myself in my recovery. It’s not typical in most rehab programs to focus on the big units, but I think they should be a major focus in a lot of programs, as the big rocks help to provide a solid foundation for getting stronger and more powerful than by focusing our energy and time on deep and small muscles that may or may not actually have a benefit for the individual getting back in shape faster or in better shape.

Again, I’m not that smart, so maybe I’m completely out to lunch on this, but it’s a theory and I’ll work it for all it’s worth.

  • http://www.facebook.com/AKraz88 Alex Kraszewski

    Another kneeling exercise off the Somerset conveyor belt, AWESOME!

  • Tammy

    Fantastic article and videos !!!  Thank you for this !  

  • http://www.stevenricefitness.com/ Steven Rice

     Agree about lat importance for the spine. Deadlifts are great for this- keeping the bar close to the body, shoulders back, and spine neutral all take strong lat engagement. Single leg, opposite arm deads are especially good.

  • Miha

    Great article! But like you said, doing the exercise right is the most important thing. There is so many ways
    to make any good exercise into bad one.

  • Maria

    I tweaked my right low back the other day.  Even picking up a 40 pound box of cat litter irritates my back.  I tried contracting my lats as I took a case of wine to the basement & behold… my back didn’t hurt.  Then as I kept reading your article (i read in spurts) I tried the zero weight pull down, that too offered me relief in my tweak.  Great advice!!!

  • Pingback: Ukas anbefalte artikler -09.06.2012 « Martin Hanstvedt

  • Jeremy Smith

    I really enjoy the videos you’ve been doing Dean. You convey your messages well and I find them rather simple (but important) to apply. Hitting the gym now and definitely incorporating some of these cues to get my lats firing efficiently. go leafs go

  • Jason Sweas, PT, DPT

    Dean - 

    From the Physical Therapy world, we are concerned about whether Transversus Abdominis, Multifidus, and the Pelvic Floor have their timing right – when someone has back pain, they all get delayed.  But the concern is for very low load postural activity (sitting, standing, walking), our goal is to get them firing again and then begin to work on the high load stuff.  I totally agree with you that things like glutes and the lats are way more important for high or moderate loads (like the cat litter example below).  

    I think you actually mentioned it above, but there probably isn’t 1 most important muscle for low back pain, but getting all of them working together is the most important thing.  I think your point is well taken regarding the lats though.  They are probably the #1 most overlooked muscle regarding low back pain.  

    Great post, keep it up, if everyone listened to you, there would be a lot less people in chronic, recurrent back pain.

    Jason

  • Maurice Totry

    brilliant………”m sure there’s a lot of rehab professionals out there right now trying to throw things at their computer, calling me an idiot, and trying feverishly to unsubscribe from my newsletter in retribution, but …”

  • Pingback: Top Good Reads of the Week: Edition 1 | LaVack Fitness

  • Kyle Adams

    Dean,

    I am a PT in the States and we covered lumbar/SI/hip dysfunction this weekend during in my ortho manual therapy residency this weekend.  There is a clear divide between the emphasis on what is most important when creating stability.  Most of the PTs would argue that dysfunction arises from hypermobility, segmental inhibition of local stabilizers and an inability to contract the TA/multifidus.  While this is an evidence-based approach, EMG data must be interepreted with a grain of salt.  I tend to see overextension/poor pelvic position as the most popular dysfunction in my patients.  We know the “core” is an anticipatory system, so why train the TA/multifidi to  become tonic?  I love to get patients comfortable in supine and then quickly progress to half kneeling/tall kneeling while cueing a glute squeeze, diaphragmatic breath and “ribs down.”  Put people in positions of pattern dysfunction and let them use the lats/glutes to create a stable base and the inner subsystem will likely fall into place as well.  Just wanted to offer my thoughts, keep up the great content.  If physical therapy borrowed more from the best strength coaches our profession would be much better at treating movement dysfunction.

    Kyle Adams, DPT, CSCS

  • Mark Bubeck

    Good job with the article Dean, while all the muscles mentioned are important, you’re right,  the Lats do often get overlooked when rehabing the lower back.  He might seem a little “out there” now, but back in the late 90′s when I was getting into the strength and conditioning field, Paul Chek was the first PT I learned from that put a strong emphasis on training the Lats for people with back pain.

  • deansomerset

    Thanks Kyle. Likewise, if trainers looked to how physios viewed the body and its’ ability to move and sequence, we would all be light years ahead of where we are now.

  • deansomerset

    Totally agree, Paul’s getting kind of spacy lately, but it seems to be working for him. His initial biomechanics papers were fantastic!!

  • R Smith

    Dean,

    Been very eager to try this one since I saw it posted. Tried it today, and oh boy, did I feel that lats working and the tension you speak of all along the spine. Felt damn good. Question for you: Could this be an A2 or B1 exercise? Looking to add it to my regimen.
    Thanks immensely, sir. 

    RS

  • Raylene

    Hi Dean,
    I am sure glad Ben put this article on his good reads for the week. I have a question and I hope I don’t come off sounding like an idiot. My lats seem to be constantly sore, so should I be working them more?

  • deansomerset

    Hi Raylene. It would depend on where you’re feeling your lat soreness. If it’s up around your arm pits, I would venture to say it’s probably more of your teres major instead of your lats. If that’s the case, work on getting more scap retraction and thoracic extension and you’ll start getting more lats. If you feel it fanning down your back and almost into your tailbone, you’re a rare bird indeed, and should be commended on your excellence!!!

  • deansomerset

    Add it where you see fit. I’m not too hung up on having it as an A2 or B1, but it would depend on what you had it paired with and in what phase of training you were using it (strength, hypertrophy, etc). Place it where it is best suited, with the set and rep scheme that best suits your goals. When in doubt, lift heavy stuff, capiche??

  • Raylene

    Starts mid-back and down. I realized later after sending the question it was stupid in the sense that there was not any details for you to go off of. I do appreciate you responding all the same and it was an informative read. Thanks!

  • R Smith

    I hear ya’ loud and clear. Thanks again, Dean.

  • Pingback: Haphazard Hash: Fascia, Alphabet Coaching and of course, Harry Potter – Strong Girls Win

  • http://twitter.com/laserdr Perry Nickelston

    Lats are rarely functional in sequence timing with people. If the lats are inhibited everything falls apart from the upper extremity to the lower extremity. Nice post!

  • deansomerset

    Thanks Perry!!