Why Do I Get Lower Back Pain When Doing Leg Raises?

Lower back pain is a common frustration during core movements like leg raises. This exercise, which involves lying supine and lifting the legs, frequently causes discomfort in the lumbar spine. The sensation of strain signals that the forces generated by the movement are exceeding the stabilizing capacity of the core muscles. Understanding the underlying biomechanics explains why this exercise is often difficult to master without discomfort.

Understanding the Biomechanics of Leg Raises

Leg raises are technically a demanding hip flexion movement, often mistakenly viewed as primarily abdominal. The primary muscles responsible for lifting the legs are the hip flexors, notably the iliopsoas group, including the psoas major and iliacus. The psoas major is implicated in back pain because it originates directly from the lumbar vertebrae and attaches to the upper thigh bone.

When the psoas muscle contracts to lift the legs, the legs act as a long lever arm, generating a strong opposing force on the lower spine. When the psoas contracts powerfully, it exerts a pulling force on the lumbar vertebrae.

If the abdominal muscles, primarily the rectus abdominis and transverse abdominis, are not strong enough to stabilize the pelvis and hold the lower back flat, the psoas pulls the spine into an anterior pelvic tilt. This action increases the natural arch of the lower back, a position known as hyperlordosis, which compresses the vertebral joints and causes pain. This struggle between the hip flexors pulling the spine and the abdominal muscles stabilizing it is the root mechanism of lower back strain during leg raises.

Common Execution Mistakes That Increase Strain

The biomechanical challenge of leg raises is worsened by execution errors. The most common mistake is lowering the legs too far. The moment the lower back begins to arch away from the ground, you have exceeded the range of motion your core can stabilize, transferring the load directly to the lumbar spine.

Another error is failing to initiate the movement with a posterior pelvic tilt, flattening the lower back against the floor before the legs move. Starting with an arched back immediately places the spine in a vulnerable position. Incorrectly bracing the core or holding the breath also compromises the intra-abdominal pressure required for spinal stability.

Some people compensate for abdominal weakness by placing their hands underneath their hips for support. While this reduces strain, it wedges the pelvic tilt into place, removing the stabilizing work the abdominal muscles are meant to perform. This bypasses the core strength development the exercise intends to achieve.

Immediate Modifications and Safer Alternatives

To continue building core strength without exacerbating lower back pain, modifications and alternative exercises are available. The most effective modification is to reduce the lever arm by bending the knees, performing a bent-knee leg raise or knee tuck. This dramatically reduces the force placed on the psoas and the subsequent strain on the lumbar spine.

Modifying the Leg Raise

Limit the range of motion of a straight-leg raise, lowering the legs only until the lower back remains pressed firmly into the floor. Use your hands to feel the space between your lower back and the floor, ensuring the gap does not increase as you move your legs. Focus on the controlled return of the legs, as the eccentric (lowering) phase requires the core to work hardest to prevent arching.

Safer Alternative Exercises

For foundational stability, safer alternatives are recommended. The dead bug exercise involves alternating opposite arm and leg movements while maintaining a stable spine. This targets deep core muscles like the transverse abdominis without the high leverage of a full leg raise.

The reverse crunch is another excellent option. In this movement, you curl your hips toward your chest instead of moving the legs away from your body. This focuses on the rectus abdominis while being easier on the back.

When to Consult a Medical Professional

While mild muscle soreness is common after exercise, certain types of pain signal a problem requiring professional medical evaluation. Consult a physician or physical therapist if the pain persists for more than a few days despite rest, or if it is sharp, intense, or worsens over time instead of improving.

Symptoms suggesting nerve involvement are of particular concern, such as shooting pain that radiates down one or both legs (sciatica). These red flags require immediate attention:

  • Numbness.
  • Tingling.
  • Muscle weakness in the legs or feet.

These symptoms can indicate a serious underlying issue, such as a disc problem, which cannot be corrected by changing exercise form.