If you’re one of the millions who suffer from chronic back pain, the idea of exercising might sound counterintuitive, or even terrifying. You might fear that movement will only exacerbate your discomfort, leading to more pain and stiffness.
But what if we told you that the opposite is often true? Extensive research continually demonstrates that targeted, appropriate exercise is one of the most powerful tools you have to not just manage, but truly alleviate chronic back pain. The right kind of movement improves blood flow to aid healing and strengthens those crucial supportive back muscles.
So, don’t let fear keep you from feeling better. Here’s a guide to getting started with exercise for back pain relief:
What can you do to help yourself?
- Unlock flexibility with stretching
Stretching isn’t just about flexibility; it’s a vital tool for pain relief and restoring function. It can help restore mobility, reduce muscle tension, and provide immediate comfort.
- Hold each stretch for 20 seconds.
- Focus on major muscle groups that support the spine, such as hamstrings, hip flexors, and pectorals.
- Stretch twice a day, ideally after showering when your muscles are warmer and more pliable.
- Stop immediately if you feel any sharp, shooting pain.
- Build a strong foundation: strengthening exercises
While stretching helps with flexibility, strengthening exercises provide the crucial support your spine needs to remain stable and pain-free. These can help centralize and control pain over time.
- McKenzie exercises are often very helpful for specific types of back pain.
- Gentle core exercises (think pelvic tilts, bird-dog, or basic planks) are key to strengthening the spinal muscles without overstraining them.
- A physical therapist or chiropractor can offer personalized guidance to ensure you’re performing these exercises correctly and safely.
- Move gently, heal deeply: low-impact aerobic exercise
Sometimes, the simplest movements are the most profound. Low-impact aerobic activity is fantastic for promoting overall healing without putting undue stress on your back.
- Walking is an excellent low-impact exercise – accessible and effective.
- Start with 5-10 minutes and gradually build up to 30-60 minutes per session.
- Consistency is more important than intensity in the beginning.
- Ellipticals and recumbent bikes are also great low-impact options if walking isn’t ideal or you want variety.
- Dive into relief: water therapy
If traditional land-based exercises feel too challenging, or you’re looking for an alternative, water therapy can be a game-changer.
- The buoyancy of water reduces body weight by up to 90%, dramatically reducing the strain on your spine and making movement much easier.
- Beyond the support, the water provides natural resistance for gentle strengthening, and its warmth helps relax muscles and reduce pain.
Your path to a pain-free future
Chronic back pain doesn’t have to dictate your life. By incorporating these types of exercises into your routine, you can take significant steps towards long-term relief and improved quality of life.
Remember: consistency is key, and listening to your body is paramount. Always consult with a healthcare professional (like your doctor, a physical therapist, or a chiropractor) before starting any new exercise regimen, especially if you have chronic pain. They can provide a personalized plan tailored to your specific needs and condition.
Ready to move towards a pain-free future? Start with one small step today!
Dr. David BenEliyahu, DC, FICC
Administrative Director, Back and Neck Pain Center at the Mather Medical Group

