Mark OttobreFounder, Enterprise Fitness · Results Driven Coaching

Scoliosis; pain or tension?

29 Apr 2026 · 0 min

Watch on YouTube

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In a brief YouTube clip, a patient presents an X‑ray showing rotated hips and reports significant lower‑back discomfort. Mark Ottobre explains that hip rotation and spinal curvature alone are not necessarily problems; the crucial factor is whether the patient experiences pain. He notes the sensation may be tension along the dominant curve and suggests that if pain is absent, a simple workaround—activating the abdominal muscles—can help reduce lower‑back tension.

On my X-ray, my hips are like turned like this. Feel a lot of pain in my lower back.
That's not necessarily something we're going to fix, that's a workaround. So if there's no pain, then it's no— there's no pain, right?
Just feels a lot of tension where the curve is dominant.
Tension is good. Yeah, there's world champions who have scoliosis and their back, you can see the curvature. It's not necessarily a problem we have to fix, it's just the way you present. So that's why I'm more interested in is their pain. The more we teach you to activate your abs, the less lower back pain they will have.