December 11, 2023 Dr. Danny Govenar

“The Healing Power of Movement: Exercise for Low Back Pain Relief”

Is It ok to exercise while experienceing low back pain? In most cases yes….but read on to learn the best approach!

Mechanical low back pain is a common condition that can significantly impact one’s quality of life. In fact, up to 80% of the world’s population will experience low back pain at some point in their lifetimes and low back pain is the second leading cause of missed work right behind the common cold. Whether caused by repetitive postures, muscle strain, or underlying medical conditions, the pain, and limitations it imposes can be overwhelming. While rest might seem like the logical solution during a bout of low back pain, evidence suggests that exercise and movement can be a powerful ally in the journey toward relief and recovery. 

Understanding Low Back Pain 

Before delving into the role of exercise, it’s essential to comprehend the nature of low back pain. The lower back, or lumbar region, bears much of the body’s weight and is highly susceptible to strain and injury. Common causes of low back pain include muscle or ligament strains, herniated discs, arthritis, and in some cases, underlying medical conditions. 

Contrary to instinct, complete rest may not be the most effective strategy for managing low back pain. Prolonged inactivity can lead to muscle weakness, stiffness, and a decline in overall physical health. As counterintuitive as it may seem, incorporating movement and exercise into your routine can often accelerate the healing process. 

The Role of Exercise in Low Back Pain Management 

  • Strengthening Muscles: Muscles play a pivotal role in supporting the spine. Engaging in exercises that target the abdominal, oblique, lower back, and hip muscles helps build strength and stability. Strength in these muscles provides better support for the spine, reducing the risk of future episodes of low back pain. 
  • Improving Mobility and Flexibility: Poor joint mobility and tight muscles can contribute to low back pain. Gentle mobility and stretching exercises help improve joint mobility and muscle flexibility, release tension, and enhance range of motion. Incorporating activities such as yoga or Pilates can be particularly beneficial for those experiencing low back pain. 
  • Enhancing Blood Circulation: Exercise increases blood flow to the affected area, promoting the delivery of nutrients and oxygen necessary for healing. Improved circulation also helps reduce inflammation, a common contributor to low back pain. 
  • Boosting Endorphin Release: Physical activity triggers the release of endorphins, the body’s natural painkillers. These neurochemicals not only alleviate pain but also contribute to an improved mood and overall sense of well-being. 
  • Maintaining Healthy Body Weight: Excess body weight places additional stress on the spine, potentially exacerbating low back pain. Regular exercise, combined with a balanced diet, can help manage weight and reduce the strain on the lower back. 

Exercise Guidelines for Low Back Pain 

When experiencing low back pain, it’s important to approach exercise with an awareness and choose activities that are gentle on the spine. Here are some guidelines to keep in mind: 

  • Start Slowly: Begin with low-impact activities such as walking or swimming. Gradually progress to more challenging exercises as your strength and flexibility improve. 
  • Listen to Your Body: Pay attention to how your body responds to exercise. If an activity exacerbates your pain, modify, or avoid it. Consult with a healthcare professional before starting a new exercise program, especially if you have pre-existing conditions. 
  • Incorporate Stretching: Gentle stretching can relieve muscle tension and improve flexibility. Focus on stretches that target the hips, legs, and lower back. 
  • Start with low-Impact Activities: Opt for exercises that minimize impact on the spine, such as stationary cycling, swimming, or water aerobics. These activities provide cardiovascular benefits without placing undue stress on the lower back. 
  • Include Strengthening Exercises: Core-strengthening exercises, like pelvic tilts, bridges, and modified planks, can help build stability and support for the spine. 
  • Stay Consistent: Consistency is key to experiencing the long-term benefits of exercise. Establish a routine that includes a variety of activities to address different aspects of physical fitness. 


When dealing with mechanical low back pain, the instinct to rest and avoid movement is understandable. However, current evidence suggests that exercise and gentle movement are essential components of an effective pain management strategy. By incorporating activities that strengthen core muscles, improve flexibility, enhance circulation, boost endorphin release, and maintain a healthy body weight, individuals can contribute to their own healing and reduce the likelihood of future episodes of low back pain.

It’s important to approach exercise with mindfulness, listening to the body’s signals and consulting with healthcare professionals as needed. With a tailored and gradual approach to physical activity, individuals can not only find relief from low back pain but also cultivate a lifestyle that promotes overall health and well-being. Remember, movement is medicine, and in the case of low back pain, it can be a powerful prescription for a healthier, more active life.

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