4 Exercises For Back Pain Relief

Woman doing a seated forward stretch on an exercise mat at home

The average person will accumulate an average of 50 hours per week of sitting. Driving, sitting at a desk, sitting at home (in front of the TV, smartphone or iPad) all contribute. One of the most common things we see from this is bad posture that leads to back pain.

Estimates from the Australian Bureau of Statistics 2014 to 15 National Health Survey show about 3.7 million Australians (16% of the population) have current back problems. It is estimated that 70 to 90% of people will suffer from lower back pain during their lifetime. We know that lower back pain describes a range of conditions related to the joints, bones, connective tissue, muscles and nerves.

So what is happening when we sit down too much?

Well, there are a few results, and they include:

  • Tightening/overactive hip flexors
  • Weakening core and trunk muscles
  • Poor posture
  • De-activating gluteal (bum) muscles
  • Pain

Being proactive with your health to help manage lower back pain is the best way to prevent or eliminate long-term pain. If you’re suffering from back pain, or even just a bit of stiffness, these four exercises will help.

This is Stage 1 of a back relief and strengthening program. The first step is to reduce or eliminate the stiffness and pain, and we do that by stretching.

Exercise 1 - Lumbar rolls

How - Spread your arms out to the side, keeping your knees and feet together, then roll your knees to one side then back again. Stay within your pain-free range of movement, but ideally you should feel a stretching feeling as your knees get closer towards the ground. Repeat 20 times.

Why - This is a great warm-up to stretch and improve blood flow to your lower back muscles. Completing this will allow you to determine how tight your muscles are, which can reduce your risk of any back impingement once you start to exercise.

Exercise 2 - Diagonal glute stretch (aka “knee hug” stretch)

How - Lying flat on the ground with both legs outstretched, raise one knee towards your chest and grab it with both hands, now hug this knee towards your opposite shoulder so you feel a stretch in your buttock muscles. Hold for 30 to 60 seconds each side.

Why - There is a very low chance of you having “tight or overactive” glute muscles, but again this stretch prior to movement will stretch your gluteal and lower back muscles, while flattening your vertebrae and reducing impingement in the lumbar discs.

Exercise 3 - Pelvic tilts

How - Lying flat on the ground with your knees bent. Be prepared that this one can be a bit tricky. Start with your hands on your hips so you can feel their movement. In this position you should feel your lower back slightly off the ground, so we will start the movement by rotating your hips posteriorly/backwards so your lower back flattens into the ground, then rotate your hips anteriorly/forward so your lower back pulls further away from the ground. Repeat 10 to 20 times.

Why - There are 2 main forms of lumbo-pelvic imbalance, which are anterior or posterior hip tilt. Through improving lumbo-pelvic mobility and awareness you can reduce your pain while also becoming more in tune with this area of your body.

Exercise 4 - Kneeling hip flexor stretch

How - Kneeling on one knee with the other bent up at 90 degrees in front of you. Keep your hands on your hips and upper body straight. Tuck your hips under your body then gently push forward until you feel a stretch high up in your quadriceps/groin.

Why - Like we discussed in the article, when we sit for too long our hip flexor muscles can become overactive and cause our hips to rotate forward, causing lower back pain. Remember the main hip flexor muscle also inserts into your lumbar vertebrae, so stretching this muscle group will take this pressure from your lower back and make it easier when doing the previous exercise, pelvic tilts.

There you go.

Try these stretches to relieve your back pain.

Andrew Moloney, Exercise Physiologist

More on back pain

Common questions

What is the best exercise for lower back pain relief?

Start with gentle mobility work like lumbar rolls and pelvic tilts to ease stiffness, then progress to strengthening your core, glutes and hips. The best exercise depends on what is driving your pain, which is why an assessment beats guessing.

Should I rest or exercise with back pain?

Keep moving. For most back pain, staying active within comfortable limits speeds recovery, while extended bed rest slows it down. If pain is severe, or you have numbness, pins and needles or leg weakness, get assessed before exercising.

How often should I do these back exercises?

Daily, in small doses. A few minutes of stretching each day does more than one long session a week. If an exercise consistently increases your pain, stop and get advice.

When should I see a physiotherapist about back pain?

If your pain is not settling after a week or two, keeps returning, or comes with numbness, pins and needles, night pain or weakness. A physiotherapist can identify the cause and build a program that goes beyond these starter exercises.

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