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3 Outdated Tips About Low Back Pain You Should Forget Immediately

  • Writer: Yannick Sarton
    Yannick Sarton
  • Jan 20
  • 3 min read

Updated: Nov 28

asian patient physio Phnom Penh

Low back pain is one of the most common health complaints worldwide, but the way we approach it has evolved significantly in recent years. Scientific research has debunked many old-fashioned tips that were once considered helpful. Here are three outdated pieces of advice you should leave behind for good—and what to do instead.


1. “Good Posture Will Save Your Back”


For years, people were told that maintaining “perfect” posture was the key to preventing or alleviating low back pain. However, a 2018 meta-analysis found no strong evidence linking posture to low back pain. In other words, sitting up straight like a board or avoiding slouching doesn’t guarantee a pain-free back.


What does matter is changing positions regularly. Staying in one position—no matter how “correct” it may seem—can strain your muscles and joints over time. Instead of obsessing over posture, focus on movement. Listen to your body: if you feel discomfort, stand up, stretch, or move around. Your back is designed to move, not to stay static. (1)


2. “Always Lift with a Straight Back”


You’ve probably heard this classic advice: “Bend your knees, keep your back straight, and avoid flexing your spine when lifting heavy objects.” But recent research shows that the spine is actually stronger in flexion than in extension. While it’s important to lift loads safely and avoid overstraining, the belief that bending your back is inherently dangerous is outdated.


Modern evidence emphasizes that your back is resilient and adaptable. The key is to train your body and gradually build strength in different movements, including bending and lifting. Rather than fearing certain positions, practice varied, controlled movements that prepare your spine for real-life challenges. (2)


3. “Low Back Pain Is Always a Serious Problem”


It’s natural to worry about back pain, especially if it’s intense or persistent. But in the vast majority of cases, low back pain is not linked to any serious condition. Most episodes resolve on their own or with proper management, such as gentle exercise, manual therapy, and staying active.


That said, there are rare cases where low back pain may signal a more serious issue, such as a spinal infection, fracture, or nerve damage. These instances usually come with red flags like unexplained weight loss, severe night pain, or bowel/bladder dysfunction. If you notice these symptoms, seek medical advice promptly. Otherwise, there’s no need to fear your pain—it’s often a normal, recoverable condition. (3)


The Takeaway


Low back pain is not a life sentence, and it’s certainly not something you need to manage with outdated advice. Forget stiff posture rules, embrace your spine’s natural strength, and trust that most cases of low back pain aren’t dangerous. By focusing on modern, evidence-based strategies, you’ll be better equipped to move confidently and live pain-free.



Whether you are in Phnom Penh or abroad, you can book your next in-clinic or online physiotherapy session today.I’m available worldwide for online consultations — simple, fast, and evidence-based.


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References:


  1. CTV, Pan F, Owen PJ, Schmidt H, Belavy DL. No consensus on causality of spine postures or physical exposure and low back pain: A systematic review of systematic reviews. J Biomech. 2020 Mar 26;102:109312. doi: 10.1016/j.jbiomech.2019.08.006. Epub 2019 Aug 13. PMID: 31451200.


  2. Mawston G, Holder L, O'Sullivan P, Boocock M. Flexed lumbar spine postures are associated with greater strength and efficiency than lordotic postures during a maximal lift in pain-free individuals. Gait Posture. 2021 May;86:245-250. doi: 10.1016/j.gaitpost.2021.02.029. Epub 2021 Mar 1. PMID: 33799053.






 
 
 

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