Rebuild Yourself

Doctor's Note: Back pain when you get up after sitting (Hip Hinge)

The importance of position and application to daily activities in rehab

The Anatomy of Therapy's avatar
The Anatomy of Therapy
Nov 21, 2021
∙ Paid

Last week in clinic I noticed an odd trend. I saw patient after patient that told me they felt back pain as they were getting up from being seated. What is happening in this movement to trigger the pain and what sort of intervention can I suggest? How would that actually work? And what if we run into problems along the way? Perhaps if we understand the problem clearly we can find a solution.

The Solution: In this article I will explain how this exercise is one solution to our problem. This post hit 1 million views in the first week on my instagram recently so I decided that perhaps it was worth explaining the mechanism within the movement. Let’s check out the movement here first before we dive into the application.

This second variation will help people who have back pain more on one side.


HOW TO DO IT

Sit on your heels then raise yourself up from your heels rolling your hips back as you shift forward. We are moving from hip flexion to hip extension from the kneeling position. There are a couple important pieces to focus on during the movement, but let’s go back to the problem to make it clear why these things matter.

Starting position (seated)
Second position (standing)

THE PROBLEM

How does this exercise relate to a friendlier outcome when getting out of a chair? Let’s dig into raising from the seated position and see what we can uncover about how it triggers low back pain. Perhaps it will help make sense of today’s exercise.

The mechanics of getting out of a chair

This post is for paid subscribers

Already a paid subscriber? Sign in
© 2025 John Cybulski, DC
Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture