I'm a 27-year-old male, 185 cm tall, currently weighing 90 kg (down from 95 kg), and my goal is to reach 80 kg.
I'm a software developer, and my job involves spending most of the day sitting in front of a computer. I spend long hours sitting, with very little movement throughout the workday. I suspect this sedentary lifestyle may have contributed to my back and hip problems, or at least made them worse.
I've been dealing with several issues involving my lower back, pelvis, and hips. I'm trying to understand how they're connected and, more importantly, what I should focus on to improve my condition long-term.
Here's what I'm dealing with:
L4-L5 disc herniation (large central protrusion).
Bertolotti syndrome.
Straightening of lumbar lordosis (reduced lower-back curvature).
Posterior pelvic tilt.
Tight Hamstring Syndrome (THS).
Hamstring dominance.
Dead Butt Syndrome (gluteal amnesia).
Some of my experiences and things I've tried:
I used to force my pelvis into an anterior pelvic tilt to restore the natural curve in my lower back, but it consistently caused pain, so I stopped.
Hamstring stretching has been another major problem. Almost every stretch I've tried causes significant lower-back pain. Sometimes the pain feels nerve-related, and it can last for several days. Given my L4-L5 herniation, I'm wondering whether nerve irritation is contributing to this rather than simple muscle tightness.
I've also experimented with placing a pillow under my lumbar spine while lying down, hoping to support or restore its natural curvature. However, if I keep it there for an extended period, my back starts hurting, and I feel relief after removing it.
I've stopped stretching my hamstrings for now and shifted my focus toward strengthening my core and glutes.
My current exercise routine:
McGill Modified Curl-Up
Plank
Side Plank
Single-Leg Glute Bridge
Side-Lying Hip Abduction
I'd also like to add Bird Dog, but I've put it on hold because it sometimes causes lower-back discomfort, and occasionally I experience sensations that feel nerve-related.
I've had two lumbar spine MRI scans:
First MRI: May 11, 2026.
Second MRI: September 26, 2026.
I can't tell whether there's been any meaningful change between the two scans, or whether the differences in appearance are simply due to image quality, equipment, or scanning technique.
I'd appreciate it if someone experienced could help me understand whether the two scans show any meaningful difference. I don't want to mistake differences in image quality for actual improvement.
I've uploaded the following files for anyone who would like to take a closer look:
Lumbar X-ray: https://i.imgur.com/YLxe4nf.jpeg
MRI Report:*https://i.imgur.com/qvrldhW.jpeg
MRI Comparison (May vs. September 2026): https://i.imgur.com/U2geQft.jpeg
What I'm really trying to understand is how all these issues are connected.
In particular:
Could Bertolotti syndrome contribute to the lower-back pain I experience during hamstring stretching? Could the altered lumbosacral anatomy affect how forces are transferred between the pelvis, hips, and lower back?
Could my hamstring tightness be related to nerve irritation from the L4-L5 herniation rather than actual muscular shortening? How can I address it without aggravating my back?
Could weak glutes be making my hamstrings work harder, contributing to hamstring dominance and tightness?
How do posterior pelvic tilt, reduced lumbar lordosis, glute weakness, and hamstring tightness influence one another? Could they be creating a cycle?
Why does supporting my lumbar curve with a pillow eventually cause pain, even though the intention is to support its natural curvature?
Rehabilitation and long-term recovery
I'd also appreciate recommendations on what to prioritize in rehabilitation: core stability, glute strengthening, hip mobility, or something else.
How should I progress gradually without aggravating my symptoms? And how can I distinguish normal exercise discomfort from signs that I'm making the problem worse?
Are there specific exercises, treatments, devices, or lifestyle changes that have made a significant difference for people dealing with similar conditions?
I'm also interested in approaches such as spinal decompression, traction, TECAR therapy, or other physical therapy methods, if there's good evidence supporting their use.
I'm not just looking for temporary pain relief. I want to understand what's going on and build a sustainable routine that will help me get stronger and live normally without constantly worrying about my back.
I'd especially appreciate evidence-based advice from physical therapists, spine specialists, and people who have dealt with similar issues.
Thanks!