Picture of lifter deadlifting

Stop Avoiding Deadlifts: How to Safely Return After Low Back Pain

January 02, 20263 min read

Stop Avoiding Deadlifts: How to Safely Return After Low Back Pain - Lewis Physical Therapy & Sports Rehabilitation

If you’ve ever hurt your back deadlifting, you know exactly what happens next.

You rest.
You stretch.
You tell yourself you’ll “ease back into it.”

And then… you don’t.

Weeks turn into months. The bar feels intimidating. And every time you think about deadlifting again, you worry one wrong rep will flare your back up all over again.

At Lewis Physical Therapy & Sports Rehabilitation in Point Pleasant, NJ, this is one of the most common stories we hear from lifters. The issue isn’t that deadlifts are bad — it’s that most people never rebuild them the right way.


🎥 Watch: How We Get Lifters Back to Deadlifting After Back Pain

In this video, I walk you through the exact rehab progression we use to help lifters return to deadlifting confidently, safely, and pain-free — without guessing or fear of reinjury.

You’ll see:

  • Why deadlifting after back pain feels scary

  • How we reintroduce hip hinging with RDLs

  • Why landmine kickstand RDLs are a game-changer

  • How isometric rack pulls reduce pain and rebuild confidence

▶️ Watch on YouTube:


Why Avoiding Deadlifts Often Keeps Back Pain Around

After a back injury, most lifters fall into one of two traps:

  1. They avoid deadlifts completely

  2. They rush back too soon

Avoiding load altogether lowers your body’s tolerance to stress.
Rushing back overwhelms tissues that aren’t ready yet.

Both approaches keep pain lingering.

What actually works is graded exposure — progressively reintroducing deadlift-specific patterns and load in a controlled, intentional way.


Step 1: Rebuild the Hip Hinge with RDLs

The first step in returning to deadlifting is restoring a clean hip hinge pattern.

Romanian Deadlifts (RDLs) allow us to:

  • Load the glutes and hamstrings

  • Minimize excessive spinal motion

  • Control range of motion early in rehab

Key cues we focus on:

  • Slight knee bend (knees stay fixed)

  • Hips push straight back

  • Stop around mid-shin early on

  • Tension felt in the glutes and hamstrings — not the low back

Two common mistakes we correct immediately:

  • Straightening the knees (turns it into a hamstring stretch)

  • Squatting the movement down instead of hinging

When performed correctly, RDLs build the foundation needed to deadlift again safely.


Step 2: Why the Landmine Kickstand RDL Is a Game-Changer

Once tolerance improves, we often progress to a landmine kickstand RDL.

The landmine offers several advantages:

  • Increased stability compared to a barbell

  • A natural arc that encourages proper hinge mechanics

  • Allows higher loading without excessive stress on the back

The kickstand setup is key:

  • Outside leg is the working leg

  • Inside hand holds the bar

  • Back foot stays lightly on the toes for balance only

This variation bridges the gap between bilateral and single-leg loading, letting us challenge strength without balance becoming the limiting factor.


Step 3: Use Isometric Rack Pulls to Reduce Pain and Rebuild Confidence

One of the most effective tools we use early — and throughout rehab — is the isometric rack pull.

Isometrics allow lifters to:

  • Reintroduce deadlift-specific tension

  • Reduce pain sensitivity

  • Build confidence without movement

Early on, we may use:

  • 3–4 sets of 30–45 second holds at lower intensity

As tolerance improves:

  • Shorter holds (20s → 10s → 5s)

  • Higher effort

  • More aggressive intent

The focus is always on driving through the feet and engaging the glutes and hamstrings — not pulling from the low back.


The Biggest Mistake Lifters Make

The biggest mistake isn’t deadlifting.

It’s guessing when and how to return.

If you’ve been avoiding the bar because you’re afraid of reinjury, that’s a sign you need structure — not more rest.


🗓 Ready to Train Without Pain? Book Your Evaluation Today

If low back pain is limiting your training or keeping you from lifting confidently, there’s a proven path forward.

👉 Book your evaluation here:
https://go.dptpreneur.com/widget/form/zt52az6nu2DnPG0S4SyG


🎙 Listen to This Topic on The Lewis Physical Therapy & Sports Rehab Podcast

Dive deeper into how we rebuild strength safely after injury.

🎧 Listen on Spotify:
https://open.spotify.com/show/4A6iBs0CzkAwSu9rUVPfGX?si=lrea2AaWQSy5USIT90KXhQ

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