Easy Extension in Standing Tweak for Low Back Pain | Modern Manual Therapy Blog

Easy Extension in Standing Tweak for Low Back Pain



The repeated extension in standing movement is a great way to add variability to static standing or frequent bending.

Getting to end range lumbar extension is what convinces the nervous system that loading your spine is safe again, thus decreasing pain output from the brain.

If the following improve your lumbar/hip mobility and decrease pain
  • lumbar mobilizations
  • manipulation
  • any treatment to the lumbar spine
Then EIS is a great and novel way to repeatedly load the lumbar spine to end range, providing flexion is what they do repeatedly throughout the day. In other words, this does not work as a loading strategy/reset for sway back individuals or 3rd trimester pregnancy - they may need to be unloaded with flexion.

Using the table, especially in hypermobile individuals makes sure they load the lumbar spine to end range, getting the healthy, novel, non-threatening info back to the CNS.

Easy Extension in Standing Tweak for Low Back Pain


Interested in live cases where I apply this approach and integrate it with pain science, manual therapy, repeated motions, IASTM, with emphasis on patient education? Check out Modern Manual Therapy!

Keeping it Eclectic...






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