Recent Advances in the Evidenced Based

Evaluation and Treatment of Lower Back Pain in Gymnasts

 How to help gymnasts get over their low back pain
and Return to the sport they love

 A Step by Step System For Evaluating, Treating and
building return to sport programs for gymnasts with lower back Injuries

"Evaluating and Treating Back Pain in Gymnasts  answered every question I had about assessing, evaluating, and treating  gymnasts for lower back injuries. 

If you are a clinician struggling to treat gymnasts, you're not alone. I used to think treating gymnasts for spine injuries was an impossible equation.

But Dave has done all the work to give us the exact step by step process, exercises, and hands on treatment tools to help gymnasts get out of pain and back to the sport they love.

It is packed full of evidenced based resources, videos, protocols, and case studies. 

I promise you will not regret enrolling in this course, the content just couldn't be more thorough" 

Rachel Mattison
Doctor of Physical Therapy and Gymnastics Coach

5/5 Stars

"I can't recommend Dave and his new gymnastics low back program enough, my daughter wouldn't be competing in college  gymnastics without it. My daughter's low back pain started when she was 13, training as a Level 8 . Despite doctors saying her imaging was 'clean' and just telling her to rest, the pain always came back.

After doing this for months, one practice she got shooting leg pain after a bar dismount, and another MRI from a different doctor showed a missed L4 stress fracture. Following 6 months of bracing and trying to get back to the gym, her pain came back immediately despite another scan showing no re-fracture.

I was desperate to help her achieve her dream of  college gymnastics. That's when I found Dave, and the rest is history! He gave her a full evaluation, provided specific exercises and drills, and then built a progressive program back to gymnastics. I'm happy to say that Kaleigh has just finished her  freshman year as part of an NCAA gymnastics team." 

-  Doreen

Mother of College Gymnast

5/5 Stars

A brand new 12 hour online course for medical providers who want learn exactly how to evaluatetreat, and build return to sport programs for male and female gymnasts with back pain

This course is approved for 10 Category A credits by the Board of Certification for Athletic Trainers, and is pending approval for 9 CEU by the Federation of State Boards for Physical Therapy. 

Main Highlights of
Evaluation and Treatment of Lower Back Pain in Gymnasts Online Course 

5 Modules with 10 hours of Lecture and lab Content

Module 1 - Literature and pathology Review
Module 2 - Evaluation and Movement Assessment
Module 3 - Subacute and Acute Rehabilitation
Module 4 - Advanced Rehabilitation and strength & Conditioning
Module 5 - Return to Sport, Maintenance, and Prevention

19 Downloadable Protocols, PDFs, Case Studies, and Worksheets

Rehabilitation Protocols  - Specific to Injury Subcategories
Lecture PDFs - Slides For every lecture Presentation
Case studies -  Male and Female gymnast Examples
Return to sport skill progressions - specific to injury and male / female
Downloadable templates  -  for Return to sport and home programs
gymnastics screening worksheets - for clinic and club use

Stop feeling overwhelmed and frustrated when trying to help gymnasts with back pain  

The rates of lower back pain in gymnastics are terrifying, being as high as 85% in some studies. Even worse is the massive negative impact back pain has a gymnast's health, performance, and their entire life.

Back injuries are one of the biggest contributing factors to prolonged pain, frustration, and gymnasts quitting the sport due to concerns for their long term health.

A lot of it comes down to the fact that gymnastics is one of the hardest sports in the world. It requires young athletes to do hundreds of repetitions of high force skills per week, almost year-round. Huge compression forces and extreme ranges of motion have been measured in the lower backs of gymnasts  when performing common skills.

For medical providers, it’s is quite a daunting task to help gymnasts struggling with these injuries. With such a complex sport that has high forces, high repetitions, and even higher numbers of hours spent in the gym,
As a medical provider, it can feel impossible to find ways to help.


i've been exactly where you are, and it's not fun

As a former collegiate gymnast, I had really bad back pain that caused huge headaches. As a gymnastics coach, I've unfortuantely had athletes quit because of their back pain. And as a medical provider, I've  treated well over 500 gymnasts for a variety of back injuries.

I know these feelings of frustration all too well. To say it feels awful awful is an understatement. 

I know exactly what that stomach turning sensation of frustration, being overwhelmed, and feeling terrible is like when a gymnast is sitting in front of you asking for help, but you honestly don't know what else to say or do.

Like many other medical providers and allied health professionals, it truly breaks my heart to see the devastating impact that these injuries can have on the gymnasts and their families.

When I was a younger clinician, I knew I wanted to help gymnasts with back pain having gone through it myself, and because I was both a coach and Physical Therapist who knew the sport gymnastics.

Despite hours and hours of researching and trying to find answers, nothing I tried seemed to be making a long-term change in the rates of re-injury and quitting for gymnasts I was treating .

I distinctly remember when one of the gymnasts I coached and treated for back pain called me crying.

She had just been diagnosed with a significant stress fracture, and that due to new pains in her legs and concerns from her doctor, her family and her had decided she would be quitting gymnastics and no longer pursuing competing for a college team she had worked her whole life for.

It absolutely crushed me.

I was supposed to be the coach and Physical Therapist who had the answers to help. But because I lacked an evidenced based system, any gymnastics specific rehabilitation protocols, and the tools I needed, I was unable to successfully work with her.

And this kept happening in some way, shape, or form over the next 6 months.

It is also unfortunately a common story for so many medical providers and gymnasts around the world.

I get hundreds of emails and messages from medical providers, parents, and coaches, who are completely lost on how to get help gymnasts with their back pain. 

Thousands of gymnasts around the world struggle with back pain. When they go to well intentioned health care providers to get help, clinicians often research what to do...and come up empty handed

 It leaves gymnast, clinicians, parents, and coaches struggling to find solutions and a result feeling really frustrated.

They may find a handful of exercises or other techniques that temporarily reduce pain, but they can not find a gymnastics specific, step by step system to evaluate, treat, and build specific return to sports programs for these athletes.

get a step by step, evidence based system to evaluate, treat, and build return to sport programs for gymnasts  

So after seeing so many gymnasts struggle with back pain, and after being frustrated with not having the tools I needed to help them, it lit a fire in me.

 I decided it was time to create a new, gymnastics specific, evidenced based system to help gymnasts with their back pain.

I was lucky that I had mentors who worked in other professional and Olympic sports, and that I also was friends with elite level gymnastics coaches.

Over 5 years, I took all that they had learned, and also spend endless of hours researching, taking courses, and treating hundreds gymnasts with back pain.

After many rounds of trial and error, this new system was finally starting to get real results.

I started being able to help gymnasts who had been to multiple doctors and health care providers get out of pain and back to full gymnastics training.

Not only this, they went above and beyond their previous performance level (which their coaches and parents were happy about as well).

By giving them a specific movement diagnosis based on talking with them, doing a head to to evaluation, identifying the gymnastics skills that hurt, and then building a step by step rehabilitation protocol followed by a gymnastics specific objective return to sports program, I started really seeing amazing results.

I started seeing gymnasts cry tears of joy that they didn’t have to quit gymnastics, instead of tears of frustration that they may have to give up the sport they love, a community with their friends, and an environment that taught them important life values.

The one that really hit home for me was when 5 years later, one of the gymnasts I coached who was in her senior year of college suddenly had a really big flare up back pain in the middle of her competitive season.

She was completely knocked out of training, and was terrified that she was going to miss her last final year as the captain of her team.

Thankfully with this new systematic approach to her back pain, and a lot of great supporting people on her team of providers, I was able to watch her compete in her senior meet and enjoy a positive end to her career.

It was one of the best moments I had as a medical provider having had a gymnast in a similar position quit 5 years ago because I didn’t know how to help her.

I want medical providers all over the world working with gymnast to have that exact same feeling.

I want them to feel confident in their ability to help gymnasts, and share the same joy I had when they can help a gymnast get out of pain.

I want to give them the exact system and step by step process I have seen help hundreds of gymnasts with back pain, so that they can change the lives of gymnasts they work with.

This is exactly why I build my brand new course,

Recent Advances in the Evidenced Based Evaluation and Treatment of Lower Pain in Gymnasts. 


What's inside the course?

Module 1 - Introduction, Spine Biomechanics, and Pathology

  • Literature Review, Blending Spine Biomechanics and Pain Science (Lecture Video)
  • Spinal Pathology and and Testing (Lecture Video)
  • [Guest Lecture] - A Physicians Perspective on Injuries, Imaging, Bracing, and Injections (Lecture Video)
  • A Physical Therapy  Perspective on Evaluation and Treatment  (Lecture Video)

Module 2 - Subjective and Objective Assessment

  • Subjective Examination Questions  for (Lecture Video)  
  • Global Movement Evaluation (Lab Video) 
  • Local Spinal Evaluation (Lab Video)
  • Kinetic Chain Breakouts (Lab Video)

Module 3 - Acute / Subacute Rehabilitation Concepts

  • Goals and milestones of acute / subacute rehabilitation (Lecture Video)
  • Education for posture, load, and pain science to desensitize tissue (Lecture Video)
  • Soft tissue care, breathing drills, and basic exercise progressions (Lab Video)
  • Advancing core and hip exercise progressions (Lab Video)
  • Building home programs for hip and shoulder flexibility (Lab Video)
  • Extension, Flexion, Compression, and Traction Rehabilitation Protocol Downloads (PDF)

Module 4 - Advanced Rehabilitation / Strength and Conditioning Phase

  • Goals and milestones of Advanced Rehabilitation / S&C Phase (Lecture Video)
  • Rebuilding Extension, Landing, and Flexion patterns  (Lab Video)
  • Using Medballs and Beginnger Plyometrics for Advanced rehabilitation (Lab Video)
  • [Guest Lecture] - A Strength coaches perspective on Post Injury Strength Programs (Lecture Video)
  • Teaching Squatting, Hinging, Split Squats, Single Leg RDLs, Hip Bridges, Loaded Carries,  and Advanced Plyometrics (Lab Videos)

Module 5 - Building Return to Sports Programs and Maintenance Care

  • Building Gymnastics Specific Return To Sport Programs Following Back Injuries (Lecture Video)
  •  Tips for Challenging Cases During Return To Sports (Lecture Video)
  •  Preventing Back Pain in Gymnastics (Lecture Video)
  • Complete Case Studies for Male and Female Gymnasts with Back Pain (PDF)
  • Referral and Screening Flowchart Worksheet Downloads (PDF)
  • Skill Progression Worksheet Downloads (PDF)
  • Return to Sport and Home Program Template Downloads  (PDF)

Download Full Rehabilitation Protocols, Return to Gymnastics Skill Progressions, and Screening Flowsheets 

I wanted to take all the research based examination, examination, treatment, and return to sports protocols I use every day to help gymnasts with back pain.

I’m incredibly lucky that I have worked with some of the worlds very best medical providers, gymnastics coaches, and strength coaches.

By learning from them and reading tons of research, I’ve been able to help hundreds of gymnasts for lower back pain ranging from the recreational to elite international level, and ranging across all domains of both men’s and women’s gymnastics.

For the first time ever, I  am putting it all together in one course where people can learn the exact system, right from the comfort of their own couch and when it best fits their schedule.

Taking multiple weekends off, spending thousands of dollars, and traveling to courses can be an absolute nightmare.

I wanted to take all the headaches out of that piece to education, so I put everything into an online course. Every piece of the material is in video, lecture, audio, and downloadable PDF worksheets.

That way, people can watch, listen, or read the material however they want. I synthesized the 5 years and hours of reading research I have done, and combined it with guest lectures from friends of mine who are expert Medical Doctors and Strength Coaches who work with gymnasts to really complete the entire package.

People will be able to help gymnasts from the very start of their injury, though rehabilitation, and all the way back to return to sports and maintenance care phases.

People may think that the material is too complicated, or that it takes too much time, but I promise you I have made sure it is presented in easy to apply concepts.

By spending just 30 minutes per day, you could learn the entire system in just one month. That is a tiny fraction of the time and money someone would have to spend to go through all the separate courses themselves.

This brand new 5 module course will give you the absolute latest, cutting edge techniques to help gymnasts with back pain so that you can be the go to expert for these athletes.

The modules go exactly through the natural course of injury.

It  starts with background information, then moves to examinations, then to acute/subacute rehabilitation, then to advanced rehabilitation and strength and conditioning phases, and finally teaches people how to build objective return to sport programs for gymnasts based on the back injury they had.

Dr. Dave Tilley DPT, SCS, CSCS

Doctor of Physical Therapy
Board Certified Sports Physical Therapist
Certified Strength and Conditioning Coach
CEO of SHIFT Movement Science

learn my entire system for treating back pain in gymnasts, when it fits your schedule, and right from your couch  

I have taken the time to put these protocols into real life case studies so people can see the entire treatment systems I use visit by visit.

They break down the exact treatments that helped male and female gymnasts successfully get over their pain.

I wanted to make sure that this course was for everyone, brand new graduates who are just starting off or experienced clinicians who have years in the field.

I also wanted to make sure it was for both seasoned veterans who spent their life in gymnastics, but also those who have never done gymnastics and just happen to work with a ton of gymnasts.

It doesn’t matter your  background or how long you have been in gymnastics, this course will give you exactly what you need.

I have literally put everything I possibly could into this course. Along with the case studies, I have put together specific protocols for the most common injuries gymnasts face with extension, flexion, compression, and traction pain generators.

 People can print them out and get an exact blueprint for the evaluation and rehabilitation process.

I also made sure to include specific return to skill progressions for people to use when getting back into the gym.

 Lastly, I made specific screening and referral flowcharts to help keep back pain at bay when training. I essentially made all the resources that I never had, and I want you to have them all.

What are People Saying About The 
Evaluating and Treating lower back pain in Gymnasts

Still on the fence and Want to see What's inside?
Check out a free Preview of the course!

Count Me In!
How Much Does Evaluation and Treatment of
Lower Back Pain in Gymnasts Cost? 

I have easily spent over $10,000 on spine courses, books, research articles, and mentoring. I have also spent endless hours at weekend courses learning new concepts. It's crazy how many hours some educational companies require to learn about lower back pain.

I wanted to take all the headaches out of continuing education, including the massive money and time commitment. I firmly live by a "people over profits" mentality, and I wanted people to be able to access all the information right from their couch, whenever it best fit their schedule. No more lost weekends, staying in hotels, and emptying your bank account to learn.

That's why I am launching my spine course at just $249.

I wanted to get the information to as many people as possible, so I tried to cut down the cost of access as much as possible. I know how expensive and time consuming continuing education can be, and I firmly believe in a 'people over profits'  mentality, so my hope is by keeping the price low people will be able to make the investment. 


I pride myself on making sure that the educational content offered by SHIFT is of thigh highest possible quality. If in 30 days you are not completely satisfied with your purchase, just send me an email and I will personally refund your entire order. 

Frequently Asked Questions

When does the course start and finish?

The course starts now and never ends! It is a completely self-paced online course - you decide when you start and when you finish.

How long do I have access to the course?

How does lifetime access sound? After enrolling, you have unlimited access to this course for as long as you like - across any and all devices you own.

What if I am unhappy with the course?

We would never want you to be unhappy! If you are unsatisfied with your purchase, contact us in the first 30 days and we will give you a full refund.

Who is the course for?

This is the first ever medical course by SHIFT. It is intended for medical doctors, athletic trainers, chiropractors, physical therapists, physicians assistants, strength and conditioning coaches, physical therapy assistants, and other allied health providers.

Do I need to be in gymnastics to take this course and help gymnasts?

Nope! I intentionally made the course something that those from outside the sport can learn. Whether you have spent your entire life in gymnastics, or are brand new to the sport, whether you are a new grad or an experienced clinician, you can learn a massive amount of information from this course. 

P.S. Evaluating and Treating Lower Back Pain in Gymnastics is the first ever gymnastics specific, evidenced based system to help gymnasts with this complicated injury. I promise that you will not be disappointed in your financial and time commitment!