Low Back Exercises

Low Back Exercises for physio rehab

Low Back Exercises

Back pain and low back weakness affect millions of people globally. Traditional back exercises often focus on just one dimension, like stability or mobility, without fully addressing all aspects contributing to back health. A balanced program that includes mobility, stability, and strength exercises in all planes of motion—sagittal, frontal, and transverse—is key to achieving a strong, flexible, and resilient lower back. This guide outlines effective exercises to help you build a strong back and reduce discomfort over time.


Why Back Health Matters

Without a well-rounded approach to back health, creating imbalances can easily lead to discomfort or injury. For example, some people may only focus on stability through exercises like planks, while others may focus solely on mobility with stretching exercises like yoga. However, strengthening and stabilizing the muscles in multiple planes of movement ensures comprehensive support for the spine and lower back.

In this guide, we break down exercises into three main categories:

  • Mobility
  • Stability
  • Strength

Within each category, we further separate exercises into the three primary planes of motion:

  1. Sagittal Plane (Forward and backward movements)
  2. Frontal Plane (Side-to-side movements)
  3. Transverse Plane (Rotational movements)
Planes of movement back rehab

By choosing exercises from each category and plane, you’ll ensure a balanced back workout program that reduces your risk of pain and enhances your core stability.


Sagittal Plane: Forward and Backward Movements

Mobility Exercises

  1. Cat-Cow Stretch: Get on all fours and alternate between arching your back upward and letting it sag downward. This exercise improves spinal mobility and flexibility.
  2. Child’s Pose: Sit back onto your heels and extend your arms forward, reaching out as far as comfortable.
  3. Heaven and Hell Stretch: Reach down toward the floor, then lift your arms overhead. This dynamic stretch enhances spinal flexibility.

Stability Exercises

  1. Deadlift: A fundamental exercise to build lower back strength, keep your back straight, and lift a barbell from the floor. Variations include the Romanian Deadlift and Good Mornings.
  2. Plank: Maintain a rigid body position, supporting yourself on forearms and toes. This engages and stabilizes your core and lower back.

Strength Exercises

  1. Hyperextension: On a hyperextension bench, allow your back to flex slightly downward, then extend back up, engaging your lower back muscles.
  2. Reverse Hyperextension: With your body anchored, lift your legs behind you. This exercise targets the lower back.
  3. Reverse Hollow Body Hold: Lie flat on your stomach, lift your arms and legs slightly, then slowly lower and repeat. Alternate sides for a variation.

Frontal Plane: Side-to-Side Movements

Mobility Exercises

  1. Side Flexion Stretch: Sit on the floor and reach one arm over to the opposite side, stretching the lower back.
  2. Side Child’s Pose: Perform the Child’s Pose, but reach your hands off to the side to focus on the lower back.
  3. Modified Triangle Pose: Stand in a triangle pose, then bend your front knee to take the strain off your leg and focus on stretching the side of your lower back.

Stability Exercises

  1. Single-Arm Farmer’s Walk: Carry a weight in one hand while walking upright to engage the muscles on the opposite side of the back.
  2. Side Plank: Support your body on one forearm and the side of your foot, maintaining a slight backward tilt to engage more of your back.
  3. Bulgarian Split Squat: Perform this exercise with a weight in one hand on the opposite side of your forward leg. This exercise demands stability from your lower back.

Strength Exercises

  1. Side Hyperextension: Turn sideways on a hyperextension bench and lower yourself down, then return up. This targets the side muscles of the lower back.
  2. Standing Side Flexion: Hold a dumbbell in one hand, lower it to one side, and return upright. Avoid holding weights in both hands, as this will counteract the load.
  3. Side Plank Raises: Begin in a side plank, then lower your hips toward the floor before returning to the starting position.

Transverse Plane: Rotational Movements

Mobility Exercises

  1. Knee Rolls: Lie on your back with knees bent and rotate them side to side, aiming to get close to the floor.
  2. Texas Twist: Lie on your back with one leg straight and one bent. Cross the bent knee over, gently pressing it with your hand to increase the stretch.

Stability Exercises

  1. Pallof Press: Use a cable or resistance band at chest height and press out in front of you, resisting the pull to one side. This strengthens stabilizing muscles in the core and back.

Strength Exercises

  1. Swiss Ball Rotations: Lie on your back with your legs straight up and hold a Swiss ball between your feet. Rotate your legs from side to side.
  2. Cable Rotations: Using a cable machine, rotate your body from side to side through a 180-degree range to strengthen the rotational muscles in the lower back.

Creating a Balanced Low Back Exercise Routine

Choose at least one exercise from each category and plane to ensure balanced back development. Aim to spend 30 seconds to two minutes on each mobility exercise, while stability and strength exercises should ideally be performed in the 40–60 second range per set or around 8–12 reps.

Considerations for Back Pain

Regularly performing these exercises can help reduce back pain, though it’s important to recognize that pain can also stem from lifestyle factors, stress, and sleep quality. Acute back pain might require modified or gentler exercises, while chronic back pain might benefit from long-term adherence to a balanced exercise routine. Always consult with a healthcare provider if pain persists.

Conclusion

A strong, healthy lower back requires attention to mobility, stability, and strength across multiple planes. This holistic approach builds resilience, minimizes imbalances, and supports overall back health. By incorporating exercises in the sagittal, frontal, and transverse planes, you can effectively develop a well-rounded lower back that supports you in all areas of life.


By following these guidelines, you’ll not only build a stronger, more resilient lower back but also improve your overall posture, reduce pain, and enhance core stability. Prioritize variety, listen to your body, and aim for consistency to make meaningful progress in back health and function.

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