Core Stability Training

Core Stability Training

John Miller Physiotherapist

Article by John Miller


Core Stability Training

The Key to Enhancing Your Back Stability Score and Achieving Low Back Pain Relief

Function Core Training

In recent years, core stability training has become a fundamental aspect of physiotherapy, particularly for individuals suffering from low back pain. As physiotherapists, we see firsthand how functional core retraining can significantly impact a person’s quality of life.

This article aims to educate you on core stability and its benefits, including an innovative approach like the Ultrasound-Guided Exercise Program.

The Importance of Core Stability Training

Core stability refers to the ability of your muscles to support your spine and pelvis. It’s crucial for maintaining balance, ensuring proper posture, and preventing injuries. In physiotherapy, we often see clients with low back pain who have weak core muscles. Strengthening these muscles is not just about getting a toned abdomen; it’s about creating a solid foundation for your entire body.

Research Insights

Recent studies have shown that core stability training can significantly reduce low back pain. A 2023 study in the “Journal of Physiotherapy” revealed that patients who engaged in core strengthening exercises experienced a notable decrease in pain and improvement in their quality of life. This score measures the resilience of your back under various conditions.

Functional Core Retraining: Beyond Traditional Exercises

Traditional core exercises focus on static movements like planks or crunches. However, functional core retraining takes a more holistic approach. It involves exercises that mimic everyday activities, ensuring that the strength you build is practical and beneficial in real-life scenarios.

Ultrasound-Guided Exercise Program

A groundbreaking approach in core training is the Ultrasound-Guided Exercise Program. This technique uses ultrasound imaging to give real-time feedback on how your muscles are working during exercises. It has proven especially effective for patients who struggle to engage their core muscles correctly.

Addressing Low Back Pain Relief

Low back pain can be debilitating, affecting every aspect of your life. Core stability training plays a crucial role in alleviating this pain. By strengthening the core, you’re essentially giving your back the support it needs to function without discomfort.

Tailored Exercise Regimens

As physiotherapists, we understand that every individual is unique. Therefore, we design exercise programs tailored to your specific needs and pain levels. Whether you’re an athlete or someone who spends long hours at a desk, there’s a core stability program for you.

Your Journey to a Stronger Back

Embarking on a core stability training program is a journey. It’s not just about relieving pain; it’s about building a stronger, more resilient body. Your physiotherapist will guide you through this process, ensuring that you’re performing exercises correctly and safely.

Progress Monitoring

Using tools like the Back Stability Score (BSS), we can monitor your progress. This score is a great motivator, showing you how far you’ve come since starting your core training.


Core stability training, particularly through functional core retraining, offers a promising path to low back pain relief. With innovative approaches like the Ultrasound-Guided Exercise Program, achieving a strong, pain-free back is more attainable than ever.

Your Next Step

If you’re struggling with low back pain, or just want to improve your overall physical health, consult with a physiotherapist. Together, we can develop a plan that’s right for you, guiding you towards a stronger, more stable core and a healthier life.

John Miller Physiotherapist

Article by John Miller

Do Core Exercises Help Lower Back Pain?

While all back exercises that strengthen the muscles that traverse your back are essential, back pain researchers have emphasised retraining your deep core muscles as a priority.

Core Stability is your body's ability to dynamically control and support your spine via specific muscles.

Your spine is an inherently unstable area of your body. Your lower back has five vertebrae that allow twisting, bending and arching with no other bones to assist. They sit on top of a triangular bone called the sacrum, which wedges itself into the pelvis. Unfortunately, all of these bones would fall in a heap on the ground without solid support.

Your deep core muscles are the main structures that support, control and move your lower spine and pelvis. They are also the most energy-efficient and best-positioned muscles to do the job for 24 hours a day.

However, your spine is not fully supported by its usual muscular corset when they turn off. This lack of support makes it quite vulnerable to injury and chronic pain.

Research has shown that our back pain causes your "deep core stability" muscles to STOP working in EVERY case.

When you experience low back pain, your brain automatically inhibits the Transversus Abdominis (TA) muscle's regular activity. This inhibition occurs in 100% of sufferers. Unfortunately, even once the back pain has eased, the TA muscle does not automatically switch on again.

Inhibition of the TA muscle exposes your spine to further trauma and hence "recurrent back pain". Each incident becomes a little more severe, and consequently, further wasting of the TA occurs.

Other causes of muscle inhibition include previous abdominal surgery, pelvic pain and post-pregnancy.

What are the Benefits of Core Stability Training?

Researchers have shown that the correct use of your core stability muscles not only prevents pain but also alleviates pain if you're already suffering. You'll be able to run faster, jump higher and even throw further when these muscles work correctly. Also, your body's strength, power, endurance and performance will improve.

Don't hesitate to get in touch with your PhysioWorks physiotherapist for more information.

Back Pain Info

Back Conditions:

What Causes Lower Back Pain?


Lower back pain is a widespread issue in Australia, stemming from diverse conditions. As physiotherapists, we often encounter various causes of this pain. This guide aims to shed light on these causes and provide valuable insights for effective management.

Lower Back Pain Causes
What's Causing Your Lower Back Pain?

Muscle-Related Injuries

Muscle injuries are a predominant cause of lower back pain, including:

Recent research underscores the importance of regular exercise and core strengthening in preventing these injuries.

Bone-Related Injuries

Bone health is crucial in lower back pain, encompassing conditions like:

Disc-Related Injuries

Spinal discs are vital for spinal health:

Minimally invasive surgical techniques have transformed the treatment of severe disc-related injuries where physiotherapy and other non-operative options fail to improve.

Back Joint Injuries

Nerve-Related Injuries

Nerve issues can lead to:

Physiotherapy and newer medications have been effective in managing these conditions. Some will require injection therapies or surgery.

Pelvis-Related Injuries

Pelvic issues also contribute to lower back pain:

Pregnancy-Related Pain

  • Pregnancy Back Pain: Often due to increased back strain during pregnancy. Prenatal physiotherapy programs are beneficial.

Systemic Diseases

Systemic diseases like Ankylosing Spondylitis, Fibromyalgia and Rheumatoid Arthritis can cause back pain.

Recent Research and Advancements

Current research emphasises a holistic approach to treating lower back pain. Techniques like yoga and Pilates, alongside traditional physiotherapy, and conservatively progressed gym programs show significant relief. The role of diet in managing weight and inflammation is increasingly recognised.

Best Treatments for Lower Back Pain

Treatment varies but often includes:

  • Physiotherapy
  • Pain management
  • Strength and flexibility exercise programs
  • Ergonomic adjustments
  • Surgical interventions for severe cases


Lower back pain is a significant health concern in Australia. Understanding its causes and seeking professional physiotherapy advice can greatly improve life quality. Remember, early intervention is key for an effective recovery.

What to Do?

If you're experiencing lower back pain, it's vital to consult a physiotherapist or doctor. They can provide an assessment and customised treatment plan based on your specific condition.