Hurt Your Back Deadlifting? What to Do in the First 72 Hours

You're halfway through a heavy set of deadlifts when something suddenly feels off.

Maybe it's a sharp pain in your lower back as you pull the bar off the floor. Maybe you finish your set feeling fine, but an hour later your back starts tightening up. By the time you get home, bending over to take your shoes off feels like a workout of its own.

Naturally, your first thought is that you've seriously messed something up.

Did you pull a muscle? Herniate a disc? Is your deadlifting career officially over?

Probably not, but let's not pretend we can diagnose your back through a blog either.

Lower back pain after deadlifting doesn't automatically mean you've damaged your spine. Muscle strains, irritated joints, and other sources of mechanical back pain can cause significant discomfort. And while some symptoms do require medical attention, many episodes of acute lower back pain improve with time and appropriate activity.

The biggest mistake isn't necessarily what happened during your deadlift. It's what you do afterward.

At Get Back PT & Performance in Denver, we're big believers in keeping people active and strong. But that doesn't mean trying to pull 315 pounds again tomorrow just to prove your back is fine.

Here's how we'd approach the first 72 hours after hurting your back deadlifting.

Why Does My Lower Back Hurt After Deadlifting?

Deadlifts place substantial demands on the muscles, joints, and connective tissues around your spine.

That's not inherently dangerous. Your back is built to handle load, and resistance training can be an effective way to build strength.

But like any other exercise, the demands of a deadlift can exceed what your body is currently prepared to tolerate.

There are a few reasons lower back pain might develop.

You Did More Than Your Back Was Ready For

Let's say you've been deadlifting 225 pounds for sets of five without any issues.

Then one Friday you decide to test your max. You're feeling good, the gym playlist is hitting, and suddenly you're pulling 315 pounds for the first time in six months.

Your back hurts afterward.

It's tempting to assume you used terrible technique or that deadlifting is simply bad for your spine.

But the bigger issue might be that your training intensity increased faster than your body was prepared for.

The same thing can happen when you dramatically increase your weekly deadlift volume, introduce heavy Romanian deadlifts, or return to lifting after several weeks off.

The load itself isn't necessarily the problem. It's whether you're prepared to handle it.

Your Back Muscles May Be Irritated

Your spinal erectors and other muscles around your trunk work hard during deadlifts.

They help control the position of your spine while your hips and legs produce force.

Like other muscles, they can become sore or irritated after demanding exercise.

If you've developed a muscle strain, you may experience localized pain, stiffness, and discomfort when bending or changing positions.

But here's an important distinction: Not every painful back is a pulled muscle.

Pain alone doesn't tell us exactly which tissue is responsible.

Other Structures Can Contribute to Pain

Discs, joints, ligaments, and other structures in your lower back can also contribute to symptoms.

For example, a disc-related problem may sometimes cause pain that travels into your buttock or leg, potentially accompanied by tingling or numbness.

But having back pain after a deadlift doesn't automatically mean you've herniated a disc.

And even if an MRI identifies disc changes, those findings don't always explain someone's symptoms.

A proper evaluation considers your symptoms, medical history, movement, strength, and neurological findings when appropriate.

First 24 Hours: What to Do Immediately After Hurting Your Back

Your back just started hurting. Now what?

The goal during the first day isn't to immediately fix everything.

It's to manage your symptoms, avoid unnecessarily aggravating the problem, and keep moving within a tolerable range.

1. Stop the Heavy Lifting for Now

If you experience sudden, significant back pain during a deadlift, stop the set.

Don't immediately strip 20 pounds off the bar and try again to see whether it still hurts.

And please don't attempt another max because you think the first rep was just a fluke.

You've already gathered enough information for the day.

Continuing to load an acutely painful movement isn't going to earn you extra credit.

That doesn't mean you have to avoid all exercise. If walking or other gentle activities feel manageable, those may be reasonable options.

Just give the heavy deadlifts a break while you figure out what's going on.

2. Keep Moving, Even If It's Just a Little

This is one of the most important things to understand about acute lower back pain.

Prolonged bed rest is generally not recommended for uncomplicated lower back pain.

In fact, current clinical guidance encourages people to remain as active as their symptoms allow rather than spending days completely immobilized.

That doesn't mean forcing yourself through significant pain.

It means finding movements you can tolerate.

For example, you might take a few short walks throughout the day instead of lying on the couch for six straight hours.

You might change positions regularly, stand up periodically, or move gently through a comfortable range of motion.

The goal is to keep your body moving without repeatedly aggravating your symptoms.

And yes, walking to the kitchen for another snack technically counts as movement. We'd just recommend doing a little more than that when you can.

3. Try Heat or Ice for Symptom Relief

Should you ice your back or use heat?

The answer is less exciting than you might expect.

Either can be reasonable, depending on what feels better.

Heat has evidence supporting short-term symptom relief for acute lower back pain. Ice may also help some people feel more comfortable, although the evidence for its effectiveness is less established.

If your back feels stiff or your muscles seem to be tightening up, a heating pad might provide some relief.

If cold feels better, that's fine too.

Try 15–20 minutes at a time, with a protective layer between the heat or ice source and your skin.

Neither treatment is repairing your back on its own.

They're tools for managing discomfort while your symptoms settle.

4. Find Comfortable Positions, but Don't Stay There All Day

Sometimes acute lower back pain makes it difficult to find a comfortable position.

You might feel better lying on your back with your knees supported, or on your side with a pillow between your knees.

That's fine.

Use those positions when you need a break.

But don't convince yourself that you need to maintain one specific spinal position for the next three days.

Your back doesn't become fragile the moment it starts hurting.

Rest when you need to, move when you're able, and avoid turning a temporary flare-up into a reason to become completely inactive.

Hours 24–48: Start Reintroducing Comfortable Movement

The day after hurting your back can be frustrating.

Sometimes you wake up feeling significantly stiffer than you did when you left the gym.

That doesn't automatically mean you've caused additional damage.

Pain and stiffness can fluctuate during the first several days, and symptoms don't always follow a perfectly predictable timeline.

Assuming you don't have concerning symptoms that require medical attention, this is a reasonable time to start exploring which movements your back tolerates.

Try Gentle Walking

Walking is often a useful starting point because it's accessible and easy to adjust.

Start with a manageable distance.

For one person, that might mean walking around the block. For someone with more significant symptoms, it might mean walking around the house for a couple of minutes.

There's no magic step count.

If walking feels okay, gradually do a little more.

If your symptoms noticeably worsen, scale it back.

The goal is to maintain some normal movement, not turn your recovery into a 10,000-step challenge.

Experiment With Gentle Back Movements

Some people feel better bending forward. Others prefer extending backward. Some find both uncomfortable initially.

There's no universal movement that fixes every episode of lower back pain.

A few gentle options worth exploring include:

Cat-cow: Start on your hands and knees and slowly alternate between rounding and extending your back. Stay within a comfortable range for 5–10 repetitions.

Pelvic tilts: Lie on your back with your knees bent and gently rock your pelvis forward and backward. Try 10 controlled repetitions.

Standing back extensions: Place your hands on your hips and gently lean backward a small amount, provided it feels comfortable. Repeat a few times without forcing the movement.

You don't have to do all three.

And if one consistently makes your pain worse, skip it.

These movements aren't meant to force your spine back into alignment. They're simply ways to explore comfortable movement.

No Need to Aggressively Stretch Your Back

Here's a common mistake.

Your lower back feels tight, so you assume the muscles need to be stretched as hard as possible.

You start doing deep forward folds, pulling your knees to your chest, and hanging from a pull-up bar because someone online told you it would decompress your spine.

Then your back feels even worse.

Muscle tightness doesn't always mean a muscle needs more flexibility. Sometimes it's simply how you're experiencing pain or guarding around an irritated area.

Gentle stretching may feel good, but forcing yourself into painful ranges of motion probably isn't the best approach.

You don't need to win a flexibility competition on day two of back pain.

Hours 48–72: Can You Start Lifting Again?

This is where we get to the question most lifters actually care about.

When can I get back in the gym?

The answer depends on your symptoms and how you're moving.

Some people with mild discomfort may tolerate certain exercises within a day or two. Others with more significant symptoms may need longer before returning to resistance training.

There is no universal 72-hour rule that says you're ready to lift again.

But if your symptoms are improving, you can walk and perform daily activities reasonably comfortably, and you don't have any concerning neurological symptoms, it may be appropriate to begin exploring light exercise.

Start With Movements You Can Control

You don't have to go straight back to conventional deadlifts.

Depending on your symptoms, you might experiment with:

  • Bodyweight squats

  • Light hip hinges

  • Glute bridges

  • Supported split squats

  • Light resistance exercises that don't aggravate your back

For example, try a hip hinge without any weight.

Can you move through a comfortable range? Can you control the movement? How does your back respond afterward?

If everything feels reasonably manageable, that's useful information.

If bending to mid-shin height causes significant pain, you probably don't need to add a barbell yet.

Keep the Intensity Low Initially

This isn't the time to test your strength.

If you're returning to lifting after an acute back pain episode, start with loads that feel easy and manageable.

You might perform a few light sets while paying attention to how your back responds.

The goal is to begin rebuilding confidence and tolerance, not to prove that you haven't lost strength.

And if lifting causes a significant increase in pain, there's nothing wrong with stepping back and trying a different variation or waiting until symptoms settle.

What About Your Deadlift Technique?

This is probably the most overcomplicated part of the entire conversation.

You've likely heard some version of:

"Never round your back."

"Your spine must stay perfectly neutral."

"Deadlifts are dangerous if your form isn't perfect."

We don't agree with treating the spine as something that breaks the moment it moves outside one ideal position.

Your back is capable of bending, extending, and rotating. Those are normal movements.

There's no single deadlift technique that's perfect for every person, and a rounded back doesn't automatically mean an injury is about to happen.

That said, technique still matters.

A consistent setup can help you control the lift, manage fatigue, and distribute the demands of the exercise.

If you repeatedly experience discomfort in a particular position, changing your setup, range of motion, or load may be useful.

At Get Back, we'd rather help you find a deadlift variation that works for your body than force you into one rigid definition of perfect form.

Deadlift Variations to Try When Returning From Back Pain

Once your symptoms allow you to resume resistance training, different deadlift variations may help you rebuild tolerance. Here are some examples and why.

Kettlebell deadlift: Allows you to start with a lighter load and adjust the setup

Elevated deadlift: Reduces the amount of bending required to reach the weight

Trap bar deadlift: Offers different handle positions and loading options

Romanian deadlift: Allows you to control the range of motion and hip hinge demands

Conventional deadlift: Can be gradually reintroduced as tolerance improves

None of these variations is automatically safe or pain-free for everyone.

A trap bar deadlift isn't necessarily better than a conventional deadlift, and an elevated deadlift isn't the answer to every back problem.

They're options.

The best choice depends on what you're trying to accomplish and what your back currently tolerates.

5 Mistakes to Avoid After Hurting Your Back Deadlifting

If you're dealing with lower back pain after deadlifting, here's what we'd try to avoid.

1. Spending Three Days in Bed

Rest can feel good initially, but prolonged inactivity generally isn't the best strategy for uncomplicated acute back pain.

Find tolerable ways to move, even if you need to start small.

2. Stretching Aggressively Because Your Back Feels Tight

Some gentle movement is fine, but repeatedly forcing painful stretches isn't necessary.

More stretching doesn't automatically mean faster recovery.

3. Testing Your Deadlift Every Day

You don't need to pull a heavy barbell every morning to check whether your back is better.

Monitor how you're moving and functioning throughout normal activities, then return to lifting progressively.

4. Assuming You Have a Herniated Disc

A sudden episode of back pain can feel alarming, but symptoms alone don't tell you exactly which structure is involved.

Avoid diagnosing yourself from a fitness influencer's video.

5. Avoiding Deadlifts Forever

This one might be the biggest long-term mistake.

Just because you experienced pain during a deadlift doesn't mean the exercise is permanently off-limits.

Once you've been appropriately evaluated when needed and your symptoms allow, you can often work toward returning to deadlifts through progressive loading and modifications.

You may need to change your approach.

You don't necessarily need to give up the exercise.

When Is Lower Back Pain After Deadlifting Serious?

Most episodes of acute lower back pain are not caused by a dangerous condition, but certain symptoms should never be ignored.

Seek emergency medical attention if you experience:

  • New difficulty urinating, loss of bladder or bowel control, or urinary retention

  • Numbness around your groin, genitals, or inner thighs

  • Significant or rapidly worsening leg weakness, particularly if it affects both legs

  • Severe back pain following major trauma

These symptoms can sometimes indicate serious neurological or spinal problems that require immediate evaluation.

You should also seek prompt medical attention for new or worsening leg weakness, significant numbness, fever, feeling systemically unwell, or severe back pain that is rapidly worsening.

A history of cancer, osteoporosis, or other significant medical conditions may also change how back pain should be evaluated.

Don't try to self-treat these symptoms with stretching or exercise.

Do You Need an MRI After Hurting Your Back Deadlifting?

Not necessarily.

In fact, routine imaging is generally not recommended for uncomplicated acute lower back pain when there are no concerning symptoms or examination findings.

MRI findings also need to be interpreted carefully.

Disc bulges, degeneration, and other changes can appear in people who have no back pain at all.

That doesn't make imaging useless. It means an MRI should answer a meaningful clinical question rather than automatically being the first step.

If you have significant neurological symptoms, suspected serious injury, or other red flags, imaging may be appropriate.

But for many people with new lower back pain after lifting, a thorough clinical evaluation and an appropriate management plan are more useful starting points.

How Long Does Lower Back Pain After Deadlifting Last?

Unfortunately, we can't give you one perfect number.

A mild episode of exercise-related back pain might improve noticeably over several days. More significant injuries or persistent symptoms can take weeks or longer.

Many episodes of acute lower back pain improve within a few weeks, although some people experience ongoing or recurring symptoms.

What's more useful than counting days is looking at your progress.

Are you walking more comfortably?

Can you bend and get dressed with less discomfort?

Are you tolerating more daily activity?

Can you gradually return to exercise without significant flare-ups?

Those changes often tell us more about your recovery than whether it's been exactly seven, 14, or 21 days.

If your pain is severe, is significantly limiting your daily activities, or isn't improving, you don't need to wait weeks to seek an evaluation.

Frequently Asked Questions About Lower Back Pain After Deadlifting

Is it normal for my lower back to hurt after deadlifts?

Some muscular soreness after a demanding deadlift workout can be normal, particularly if you've increased your training intensity or volume. However, sharp, significant, or persistent pain shouldn't automatically be dismissed as ordinary soreness.

Did I pull a muscle or herniate a disc?

You can't reliably distinguish a muscle strain from a disc-related problem based on pain alone. Your symptoms, physical examination, and neurological findings may help determine what's contributing to the problem. Imaging is sometimes appropriate but isn't routinely needed for uncomplicated acute lower back pain.

Should I stretch my lower back after deadlifting?

Gentle stretching may be comfortable, but aggressive stretching isn't necessary and could aggravate symptoms. During the first few days, focus on tolerable movement rather than forcing your back into painful positions.

Is walking good for lower back pain after deadlifting?

Walking is often a reasonable activity for uncomplicated lower back pain because it's easy to adjust based on your symptoms. Start with a manageable amount and gradually increase as tolerated.

Can I squat if I hurt my back deadlifting?

Possibly. Some people tolerate squatting better than deadlifting, while others find the opposite. If squatting doesn't significantly aggravate your symptoms, a light or modified version may be appropriate. Don't assume that every lower-body exercise needs to be avoided, but don't force painful movements either.

How do I know when I can deadlift again?

Consider your ability to perform daily activities, tolerate a hip hinge, and gradually introduce light resistance without significant symptom aggravation. There isn't a universal timeline. More significant symptoms or recurring pain may warrant an individualized return-to-lifting plan.

Get Back to Deadlifting Without Being Afraid of Your Back

Hurting your back during a deadlift can be frustrating, especially when lifting is something you enjoy.

But one painful workout doesn't mean you've permanently damaged your spine or that you need to avoid heavy lifting for the rest of your life.

During the first 72 hours, focus on what your back can tolerate. Stay reasonably active, avoid repeatedly aggravating movements, and give your symptoms an opportunity to settle.

Then, when you're ready, start rebuilding.

At Get Back PT & Performance, we work with lifters and active adults throughout Denver who want more than temporary pain relief.

Our team combines one-on-one physical therapy, strength training, and individualized coaching to help you understand what's going on, rebuild your capacity, and return to the activities you care about.

Whether you're trying to get back to powerlifting, regular gym workouts, or simply bending over without worrying about your back, we'll help you develop a plan that makes sense.

You don't need to be afraid of deadlifts.

You need to be prepared for them.

Brett Green

I’m Brett Green, PT, DPT, a physical therapist, personal trainer, and founder of Get Back PT & Performance in Denver. I started Get Back because I wanted to create a better bridge between rehab and actually getting back to the things people care about, whether that’s running, lifting, playing sports, or just feeling stronger in everyday life.

My background is in collegiate baseball, and I’ve always been drawn to the overlap between physical therapy, strength training, and performance. I work with people dealing with pain, injuries, and movement limitations, but also with people who simply want to train smarter and feel more confident in what their body can do.

My goal is pretty simple: help people feel better, get stronger, and keep doing the activities they enjoy without feeling like they’re constantly starting over.

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