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I've had decades of lower back pain, herniated discs, injections, etc.
The science I've seen work for me is to build a more balanced body. In cycling we are commonly quad dominant and hyper mobile in the lower back, at the expense of mid/upper back flexibility and glute / core strength. I've seen benefit from programmes of physio and pilates that target those areas. Is it a 'cure', no way. Does it mean confidence that body won't let me down, very much yes.
I have noticed that after a longer ride >2-3hrs I will have quite a stiff lower back the next day. I did have a bike fit earlier this year which has helped somewhat (and I haven't had any proper 'back attacks' since this), but I still feel quite stiff
I have been to a physio (actually an older member of my cycling club) and he believes my hip flexors are too tight from years of desk job + cycling and gave me some specific stretches to do. Again they may have helped a but but haven't 'cured' me.... after 4-5 sessions and paying out of pocket for his advice (albeit at a club discount) i didn't feel like i was actually getting anywhere so left him to it...
A friend of mine who lives in scotland and has his own physio clinic says the science behind the hip flexor theory is shaky at best and has recommend more strength training to build lower back muscle which I probably haven't been doing religiously enough to feel a benefit yet
just wondering if anyone has experienced similar? would really value your thoughts