Stretches to prevent lower back injuries
Back disorders are a leading cause of disability, including among working adults, and OSHA has long listed them among the major causes of workplace injury. Regular movement is one of the most dependable ways to lower your risk.
Five movements to start with
Spine strengthening stretch
Lie face down and press through your hands to lift your chest, keeping your hips on the floor. Hold 5 to 10 seconds. Repeat 3 times.
Knees-to-chest stretch
Lie on your back and bring one knee toward your chest. Hold 5 to 10 seconds, then switch. Repeat 3 to 5 times per side.
Wall slide
Stand with your back against a wall and slide down into a partial squat, keeping your knees from moving past your toes. Hold 5 to 10 seconds. Repeat 3 to 5 times.
Standing back arch
Stand with your hands on your lower back and lean gently backward with straight knees. Hold about 5 seconds. Repeat 5 times.
Spine and posture exercise
Lie on your back with your knees bent to about 90 degrees. Draw your belly button gently toward your spine. Hold 10 seconds. Repeat 5 times.
Do them safely
Move slowly and stop if a movement sends pain down a leg, causes numbness or tingling, or leaves you worse for more than an hour or two. Mild stretching sensations are fine. Sharp or spreading pain is not.
See a clinician promptly if back pain follows a fall or accident, comes with fever, weakness, numbness in the groin or legs, or loss of bladder or bowel control, or if it wakes you at night and does not ease with position changes.
What the research says
A Cochrane review concluded that exercise therapy reduces pain and improves function in chronic low back pain compared with no treatment, with the best results from programs that are supervised and tailored to the person. The American College of Physicians recommends trying non-drug treatments such as exercise first for most low back pain. A physical therapist can adapt these movements to you.
The set-up of the work matters as much as the movements, as covered in workplace ergonomics and injury prevention. A physical therapy evaluation can adapt these movements to you. For a strain at work, a cold pack from the first aid kit is a sensible first step. More prevention advice is in our workplace health guides. When a strain happens on the job, work injury care starts with an evaluation.
References
- Hayden JA, et al. Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews. 2021.
- Qaseem A, et al. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine. 2017.
About the clinical team behind this page
Dr. Michael D. Schreiber is an osteopathic physician. He applies osteopathic principles to musculoskeletal diagnosis and rehabilitation, looking at the whole kinetic chain when judging how a joint or tendon problem developed, and advises on how physician care and physical therapy fit together. He is a graduate of the Chicago College of Osteopathic Medicine of Midwestern University, class of 1992.
Clinical reviewer
Dr. Angel Williams, PT, DPT, OCS, FAAOMPT
Director of Orthopaedic Rehabilitation & Biomechanical Recovery
Dr. Angel Williams is a board-certified Orthopaedic Clinical Specialist and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. Dr. Williams has served as a supervising physical therapist at Nova and designs rehabilitation programs built on progressive loading, manual therapy and dry needling for tendon, ligament and post-surgical recovery. Where a physician prescribes a cellular therapy alongside rehabilitation, Dr. Williams builds the loading program that goes with it.
- NPI 1174844872 (CMS registry)
- GA license PT012751, verify with the Georgia State Board of Physical Therapy
- Board-Certified Orthopaedic Clinical Specialist (OCS), American Board of Physical Therapy Specialties (ABPTS)
- Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT)
Medical disclaimer: The information on this site is for education and does not replace a consultation, diagnosis or treatment. Full credentials are on our physicians and clinical governance page.
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Individual results vary and no outcome is guaranteed. This page is general information, not medical advice.