With hundreds of thousands of young women participating in this movement (pun intended), it is highly possible that there will be increased incidences of low back pain, hip pain, and other joint and muscle pain from twerking. There are many reasons why. Twerking places the pelvis in the anterior pelvic tilt, which elongates the psoas and other hip flexors and lifts the buttocks upward. (See illustrations.) This weakens the glutes and hamstrings, which causes low back pain and hip pain.
While twerking does not require you to lift anything while you bounce your hips, the prolonged, vibrating and gyrating movements may prematurely cause wear and tear of the lower vertebral discs.
Like hardcore salsa dancers and bboys/bgirls, it may be almost impossible to remove twerking from regular twerkers' lifestle. As with any dance or sports, there will also be some degree of risks to induce chronic pain. But if you're going to twerk, do it carefully and give yourself some time to rest between twerks. Also, doing corrective exercises, such as floor bridges and wall sits, could help improve your posture to reduce your risk of having the anterior pelvic tilt.
Of course, the best way to prevent such symptoms associated with twerking is to NOT twerk at all.