Which Exercise Should I Avoid When I Have Back Pain?

Symptoms of back pain may include: 

• Pain ranges from a muscle ache to shooting or stabbing pain
• Reduced flexibility 
• Limited range of motion
• Inability to stand up straight

Treatment for back pain may include:  

• Over-the-counter (OTC) pain relievers to reduce discomfort 
• Anti-inflammatory drugs to reduce inflammation
• Prescription medications for pain and/or inflammation
• Use of cold and hot compresses 
• Bed rest for only one to two days at most
• Activities may be resumed as soon as possible if you don’t feel pain
  • Take it slowly and gradually to not aggravate your back 
• Exercise 
• Surgery in severe cases

Exercise is often the best way to speed back pain recovery and help strengthen back and abdominal muscles. 

The American Academy of Orthopaedic Surgeons recommends the following back exercises. Check with your doctor or physical therapist before performing any of these exercises for back pain. Depending on the cause of your back pain, some exercises may not be recommended.  

If any exercises worsen pain or cause new pain, stop and contact your doctor. 

Beginning Exercise Program

Ankle Pumps

• Lie on your back
• Move ankles up and down
• Repeat 10 times

Heel Slides

• Lie on your back
• Slowly bend and straighten knee
• Repeat 10 times

Abdominal Contraction

• Lie on your back with knees bent and hands resting below ribs
• Tighten abdominal muscles to squeeze ribs down toward back
• Do not hold your breath
• Hold 5 seconds, then relax
• Repeat 10 times

Wall Squat

• Stand with your back leaning against a wall
• Walk feet 12 inches in front of body
• Keep abdominal muscles tight while slowly bending both knees to 45 degrees
• Hold 5 seconds, then slowly return to upright position
• Repeat 10 times

Heel Raises

• Stand with your weight evenly distributed on both feet
• Slowly raise your heels off the floor
• Hold 5 seconds, then slowly lower your heels to the floor
• Repeat 10 times

Straight Leg Raises

• Lie on your back with one leg straight and one knee bent
• Tighten abdominal muscles to stabilize the lower back
• Slowly lift leg straight up about 6 to 12 inches and hold for 1 to 5 seconds
• Lower leg slowly
• Repeat 10 times

Intermediate Exercise Program

• Single Knee to Chest Stretch
• Lie on your back with both knees bent
• Hold thigh behind knee and bring one knee up to chest
• Hold 20 seconds, then relax
• Repeat 5 times on each side

Hamstring Stretch

• Lie on your back with legs bent
• Hold one thigh behind knee
• Slowly straighten knee until a stretch is felt in back of thigh
• Hold 20 seconds, then relax
• Repeat 5 times on each side

Advanced Exercise Program

Hip Flexor Stretch

• Lie on your back near edge of bed, holding knees to chest
• Slowly lower one leg down, keeping knee bent, until a stretch is felt across top of the hip/thigh
• Hold 20 seconds, then relax
• Repeat 5 times on each side

Piriformis Stretch

• Lie on your back with both knees bent
• Cross one leg on top of the other
• Pull your opposite knee to your chest until a stretch is felt in the buttock/hip area
• Hold 20 seconds, then relax
• Repeat 5 times on each side