Exercises for Lower Back Muscle Strain (2024)

Muscles in the low back, abdomen, buttocks, and hips are all necessary for supporting and stabilizing the spine. Keeping these muscles active and strong can help avoid low back injury, and can minimize pain if the spine does become injured.

A complete back exercise program consists of stretching and strengthening the low back, abdominal, and lower body muscles, and also includes regular aerobic conditioning. Specific exercises should be prescribed based on individual needs. The program that works best will largely depend on factors such as fitness level, specific back pain diagnosis, and personal preferences.

In This Article:

  • Pulled Back Muscle and Lower Back Strain
  • Lower Back Muscle Strain Symptoms
  • Causes and Diagnosis of Lower Back Strain
  • Pulled Back Muscle Treatment
  • Exercises for Lower Back Muscle Strain
  • Lower Back Strain Video

Low Back Stretching Exercises

Stiff back muscles put added strain on the vertebrae because they limit the spine’s natural movements. Stretching low back and lower body muscles can alleviate tension, reduce pain, and better support the spine.

A few typical stretching exercises that may be recommended include:

Back muscle stretches

Exercises such as lying on the back and bringing the knees and chin to the chest, pulling slightly on muscles in the neck, shoulders, and torso. Stretching these muscles grants the spine more flexibility and lessens the chance of muscle strain.

See Stretching for Back Pain Relief

Hip and gluteus muscle stretches

These stretches focus on the hip flexor, gluteus muscles, and piriformis muscles. Stretching these muscles minimizes tension in the lower body and maintains a healthy range of motion. For example, the piriformis muscle can be stretched by lying on the back, pulling one knee to the chest and across the body while the other leg is flat. This should produce a slight pulling sensation in the buttock or upper thigh.

Watch: Video: Kneeling Hip Flexor Stretch

Hamstring stretches

Hamstring stretches aim to gradually lengthen the hamstring muscles, lessening strain across the lower back. The hamstring muscles originate in the pelvis and extend down the back of the thighs to the knee. Hamstring stretches can be done in a gentle, supported manner in order to protect the lower back.

Stretching should not hurt; it is advised to stop if a stretch causes pain. Stretches should be held long enough to feel the muscles loosen up—between 20 and 30 seconds—and repeated 5 to 10 times. Breathing deeply helps relieve muscle tension and can make stretching easier.

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Strengthening Exercises for Low Back Pain

There are many kinds of exercises to develop or improve lower back and core muscle strength. Common recommendations include Pilates, yoga, and tai chi, as well as working with a physical therapist or other health care provider who uses a customized exercise program.

See Strengthening Exercise Program for Low Back Pain Relief

Examples of two strengthening exercise programs that may be recommended include:

  • The McKenzie Method focuses on alleviating musculoskeletal pain by gradually altering how the body moves naturally.

    See What is the McKenzie Method for Back Pain and Neck Pain?

  • Dynamic Lumbar Stabilization works by finding the “neutral spine” (the natural position of the spine in healthy alignment) and training the back to hold that posture on its own.

    See Lumbar Spine Stabilization Exercises

Adherence to exercise is one of the main factors for long term rehabilitation, so it is advised to choose an exercise program that is comfortable and enjoyable enough to do on a regular basis.

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Low-Impact Aerobic Exercises

After a back muscle injury, aerobic exercise can be beneficial for recovery and rehabilitation . A healthy blood flow, as facilitated during aerobic exercise, moves oxygen and nutrients through the body to injured muscles, supporting healing in injured tissues.

Low-impact exercise elevates the heart rate without jarring the body, making it a good option for exercising while keeping back pain at a minimum. Examples of low-impact aerobic exercise include:

Exercise walking

Going on a brisk, fast-paced walk can elevate the heart rate without putting excessive pressure on the low back.

Stationary cycling

Using a stationary bike can improve muscle strength and flexibility in the back, hips, and legs without the impact of riding on uneven terrain outdoors. A standard stationary bike may be preferable, or reclining or recumbent bikes may be used to if more back support is needed.

Elliptical machines

Running on an elliptical machine allows for a workout that mimics running without the impact of the foot hitting the ground. Elliptical machines provide exercise that elevates the heart rate and strengthens muscles in the legs, hips/buttocks, core, and low back.

Water aerobics, swimming, or water therapy

Exercising in a pool can provide a comfortable workout despite back pain, and one that is a low risk for injury. The buoyancy and resistance of moving through water allow for comfortable movement with little impact on the spine, while also strengthening muscles throughout the body (especially the core and back muscles). Many pools are kept at a warm temperature, which is often soothing for low back muscle strain.

See Water Therapy Exercise Program

An ideal exercise program raises the heart rate for at least 20 minutes, 3 to 4 times per week, but depending on pain levels this may not be possible. It may be necessary to start with shorter periods of exercise and gradually build up to 20 minutes or more, or to tailor exercise habits to fit one’s needs and abilities.

Dr. Kojo Hamilton is a neurosurgeon at the University of Pittsburgh Medical Center. For more than a decade he has specialized in spine trauma, adult spinal deformity, and minimally invasive spine surgery.

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Exercises for Lower Back Muscle Strain (2024)

FAQs

Exercises for Lower Back Muscle Strain? ›

Exercises such as lying on the back and bringing the knees and chin to the chest, pulling slightly on muscles in the neck, shoulders, and torso. Stretching these muscles grants the spine more flexibility and lessens the chance of muscle strain.

What exercises can you do with a strained lower back? ›

Exercises such as lying on the back and bringing the knees and chin to the chest, pulling slightly on muscles in the neck, shoulders, and torso. Stretching these muscles grants the spine more flexibility and lessens the chance of muscle strain.

How do you stretch a pulled muscle in your lower back? ›

Knee to chest stretch: Lie on your back, lift one leg, and wrap your hands around your knee. Pull it gently toward your chest. With your abs pulled in and your spine pressing the floor, hold for five seconds. Release and repeat with the other leg.

What not to do with a pulled back muscle? ›

Avoiding strenuous activity or heavy lifting when low back pain is intense, can help prevent worsening a muscle injury and low back pain. In some cases a short rest period may be advised; it is best to limit rest to one or two days, as underusing muscles causes deconditioning and stiffness over time.

How long does a lower back strain take to fully heal? ›

Recovery and Outcome

Back muscle strains typically heal with time, many within a few days, and most within 3 to 4 weeks. Most patients with mild or moderate lumbar strains make a full recovery and are free of symptoms within days, weeks, or possibly months.

Is it good to walk with lower back strain? ›

Walking engages and stretches the muscles and ligaments surrounding the lower back, such as the hip flexors, gluteal muscles, and hamstrings. Stretching these muscles relieves muscle tension and stiffness, reducing lower back pain.

Should I stretch a lower back strain? ›

Stretching and focused back and abdominal strengthening exercises are two of the best ways to ease lower back pain. Strong abdominal and hip flexor muscles help improve posture, and strong glutes help support the back while walking, standing, and sitting. Having well stretched muscles helps improve your mobility.

How do you release lower back muscle pain? ›

Physical therapies

These may include: advising on lower back exercises to improve your movement, muscle strength, posture and flexibility. helping with pain management, using various therapies, such as ice, heat and ultrasound. providing 'hands on' (manual) therapy, such as massage or spine manipulation.

What is the number 1 back pain relief? ›

Best for fast back pain relief: Ibuprofen (Advil, Motrin)

Ibuprofen (Advil, Motrin) is an NSAID. NSAIDs work by decreasing pain and inflammation.

What is an instant relief exercise for back pain? ›

Lie on your back with your knees bent and your feet flat on the floor (A). Keep your shoulders firmly on the floor, and slowly roll your bent knees to one side (B). Hold for 5 to 10 seconds. Slowly go back to the starting position (C).

Should you massage a strained lower back muscle? ›

Back pain is a common condition in adults. It can occur for many reasons, such as improper lifting, inactivity, and normal wear and tear. Some treatments for back pain include rest, medications, and using heat or ice, but massage may be helpful for short-term symptom relief as well.

Is it better to sit or lay down with lower back pain? ›

You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move. "The goal isn't to get into the chair. The goal is to start moving. Walking is better than sitting," he says.

What drink helps back pain? ›

Also, drink healthy herb teas and true teas (green, oolong, and white). Experts say that olive oil, green tea, and brightly colored fruits and vegetables have all been shown to reduce inflammation in cartilage in the spinal column, which helps to control back pain and stiffness.

Is walking good for lower back strain? ›

Those who have chronic low back pain can receive benefits of doing yoga and walking by creating one program where they do both throughout the week. Starting a walking program is an easy first step in helping to reduce pain. Start small and build on it until you are walking at least 30 minutes per day.

How do I know if my back pain is a disc or muscle? ›

Signs of pulled back muscle are that the pain is usually dull and aching. You'll find it feels like it is in the back and often gets work if you don't rest that area. With a slipped disc, the pain is much sharper. It can even feel like it's radiating through the back, into the shoulders or surrounding areas.

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