Chronic Low Back Pain with Multifidus Atrophy
Atrophy
Spinal Multifidus Atrophy refers to the weakening and shrinking (atrophy) of the multifidus muscle, a deep stabilizing muscle located along the spine. The multifidus muscle plays a critical role in maintaining posture, stabilizing the vertebrae, and supporting movement of the spine. Atrophy of this muscle can lead to spinal instability, poor posture, and chronic back pain.
Learn more about your symptoms and solutions by watching this video here.
Symptoms:
Muscle Weakness: Reduced muscle mass and strength in the lower back, leading to instability and difficulty performing physical tasks.

Other Symptoms:
Poor Posture: The multifidus helps support spinal alignment; its atrophy can result in an inability to maintain proper posture.
Limited Range of Motion: Difficulty with movements like bending, twisting, or lifting.
Fatigue: As the spine becomes less stable, other muscles may overcompensate, leading to muscular fatigue.
Causes:
- Disuse: Prolonged inactivity or sedentary behavior can lead to muscle atrophy, including in the multifidus.
- Spinal Injuries: Injuries like herniated discs, spinal surgery, or trauma can cause the multifidus to weaken due to lack of use or nerve damage.
- Nerve Damage: Compression of the spinal nerves, often due to conditions like spinal stenosis or disc degeneration, can inhibit the multifidus from functioning properly, leading to atrophy.
- Chronic Back Pain: Persistent back pain can alter movement patterns, causing the multifidus to become underused, leading to muscle wasting.
- Aging: Natural age-related muscle degeneration may affect the multifidus, especially if coupled with physical inactivity.
We understand that each patient’s pain is unique. Therefore, the treatment recommended to each patient will be personalized to fit their condition and lifestyle. Schedule an appointment today to discuss your concerns and what treatment options might be right for you!
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