Blog, Physiotherapy, Posture
Core Strength and Back Pain: Why It’s More Important Than You Think

Most people associate core exercises with getting six-pack abs, but your core is far more than just a set of visible muscles.
It’s the foundation of every movement you make. Whether you’re sitting at your desk, lifting groceries, or swinging a golf club, your core is constantly working to stabilise and protect your spine.
A strong, well-trained core is one of the most effective ways to prevent and manage back pain.
Why I’m Talking About This
My name is Kevin Go, a physiotherapist from Brisbane with a passion for helping people overcome back, neck, and shoulder pain through evidence-based care.
Having treated many patients struggling with recurring back pain, I’ve seen first-hand how often weak or underactive core muscles play a key role in their symptoms.
Strengthening this area can make an enormous difference not only in pain reduction but also in posture, mobility, and overall quality of life.
Understanding the Core: More Than Just Abs
Your core is a complex system of muscles that wrap around your trunk and spine. These include:
- Deep stabilisers like the transverse abdominis and multifidus
- Obliques which help with rotation and side bending
- Back extensors that support upright posture
- Pelvic floor and diaphragm which help with stability and breathing
Studies show that up to 80% of Australians will experience lower back pain at some point in their lives.
Research consistently finds that poor core endurance and coordination contribute to this. When these muscles are weak or not engaging properly, your spine loses support, increasing the risk of strain, stiffness, and injury.
The Core Problem
Many people spend long hours sitting, driving, or looking down at their phones. This lifestyle leads to poor posture and deactivated stabilising muscles. The body then compensates by overloading other areas such as the lower back, hips, and shoulders.
Over time, this imbalance can lead to:
- Recurrent or chronic lower back pain
- Poor movement control during daily activities or sport
- Reduced flexibility and stiffness
- Increased fatigue when standing or walking
The Impact and How Physiotherapy Helps With Core Strength and Back Pain
Reactivating and strengthening your core can restore balance and stability throughout your body. Physiotherapy focuses on retraining your core muscles to work as a team rather than isolating them with endless sit-ups.
A tailored approach might include:
- Deep core activation exercises to wake up the stabilisers
- Posture retraining to reduce spinal stress
- Functional strengthening that mimics real-life movement patterns
- Education and self-management strategies to prevent recurrence
When your core muscles fire properly, you’ll notice improved posture, reduced back pain, and better performance in everyday and sporting activities.
Take Action Today
If you’ve been experiencing lower back discomfort or feel your posture has suffered from long hours of sitting, it’s time to take control of your core health.
Here are three simple steps you can start with today:
- Practice gentle core activation – focus on drawing your belly button slightly towards your spine while breathing normally.
- Incorporate regular movement breaks – stand up, stretch, or walk every 30–45 minutes.
- Book a physiotherapy assessment – to receive a personalised plan that strengthens your core safely and effectively.
A strong core is the foundation of a healthy spine. If you’re ready to move better and live pain-free, book a session today to get started on your journey towards a stronger, more stable back.
![]() |
Written By:
Bachelor of Physiotherapy |
References
Borghuis, J., Hof, A.L. and Lemmink, K.A.P.M. (2008) ‘The importance of sensory-motor control in providing core stability’, Sports Medicine, 38(11), pp. 893–916. doi:10.2165/00007256-200838110-00002.
da Silva, T. et al. (2017) ‘Risk of recurrence of low back pain: A systematic review’, Journal of Orthopaedic & Sports Physical Therapy, 47(5), pp. 305–313. doi:10.2519/jospt.2017.7415.
Hodges, P.W. (2003) ‘Core stability exercise in chronic low back pain’, Orthopedic Clinics of North America, 34(2), pp. 245–254. doi:10.1016/s0030-5898(03)00003-8.
Hoy, D. et al. (2010) ‘The epidemiology of low back pain’, Best Practice & Research Clinical Rheumatology, 24(6), pp. 769–781. doi:10.1016/j.berh.2010.10.002.
Koes, B.W., van Tulder, M.W. and Thomas, S. (2006) ‘Diagnosis and treatment of low back pain’, BMJ, 332(7555), pp. 1430–1434. doi:10.1136/bmj.332.7555.1430.


