Spine Strengthening Exercises
Back pain affects most adults at some point in their lives. In fact, around 80% of adults experience back pain at least once. Strengthening the muscles that support the spine is crucial both for preventing and managing back pain. This article provides a complete guide to spine strengthening, including the benefits of key exercises, proper technique, guidelines for safe training, and lifestyle tips.
There are many excellent strength training moves to choose from for back health. Always tailor exercises to your current fitness level, taking care not to overdo it. Move slowly, focusing on proper form and alignment. Here are some top choices:
Planks
The plank tones just about all core and back muscles in one simple move. To perform:
- Start in pushup position, resting weight on forearms and toes.
- Draw navel towards spine, tightening muscles.
- Hold position, keeping hips level and spine neutral.
- Start with 10-20 seconds, working way up to 1 minute.
Works: Spinal erectors, obliques, transverse abdominis, glutes, shoulders
Bird Dogs
Bird dogs strengthen lower back muscles, glutes and shoulders:
- Begin on all fours with a flat back.
- Lift one arm forward and the opposite leg back without arching.
- Hold for 5 breaths, then gently lower and switch sides.
- Do 5-10 reps per side.
Works: Spinal erectors, gluteus, deltoids
Glute Bridges
Glute bridges target the buttocks muscles while keeping the core engaged:
- Lie on back with knees bent, arms at sides.
- Squeeze glutes, lifting hips toward ceiling.
- Hold briefly, then lower with control.
- Perform 10-15 reps. Can add weight for intensity.
Works: Glutes, hamstrings, lower back
Cat-Cow Stretch
A cat-cow stretch creates mobility through the spine:
- Start on all fours with flat back.
- Inhale, drop belly down and lift chest up.
- Exhale, arch back and tuck chin towards chest.
- Move slowly between stretches for 30 seconds.
Works: Spinal erectors, obliques, lats, shoulders
Supermans
Supermans strengthen lower back extensors:
- Lie face down with arms extended overhead.
- Keeping hips, legs and feet anchored, simultaneously lift arms/chest.
- Hold for 2 counts, then lower with control.
- Do 10 reps.
Works: Spinal erectors, glutes, hamstrings
Good Mornings:
Good mornings improve hip hinge motion and hamstring flexibility:
- Stand with feet hip-width, holding weight at chest height.
- Maintaining flat back, push hips back to lower into squat.
- Drive through heels back to start.
- Perform 10-12 controlled reps.
Works: Spinal erectors, hamstrings, glutes
Seated Twists
Seated twists build rotational strength in the thoracic spine:
- Sit upright with knees bent, feet flat.
- Clasp hands together and twist slightly to one side.
- Hold for 3 slow breaths, then repeat other side.
- Do 5 times per side.
Works: Spinal erectors, obliques, lats, chest
Knee-To-Chest
Knee-to-chest stretches lengthen tight lower back muscles:
- Lie on back with knees bent, feet flat.
- Bring one knee toward chest until stretch is felt.
- Hold for 30 seconds. Switch sides.
- Repeat 3 times per leg.
Works: Spinal erectors, glutes, hamstrings
Child’s Pose
Child’s pose provides a gentle spine stretch.
- Kneel on floor, sitting back over heels. Walk hands forward.
- Allow belly to sink onto thighs, forehead toward floor.
- Hold for 30 seconds, focusing on full exhales.
Works: Spinal erectors, lats, shoulders
Cardio/Aerobic Exercise
Low-impact cardio like walking, swimming, or cycling delivers blood flow to nourish structures around the spine. Aim for 30 minutes daily.
Works: Delivers nutrient-rich oxygenated blood to nourish spine
Yoga Or Pilates
Yoga and Pilates incorporate core and flexibility training into full-body workouts. Excellent cross-training options.
Works: Total body balancing, awareness, and stretching
What Is Back Pain and Why Is It So Common?
Back pain refers to any pain felt in the back due to injury or stress on muscles, ligaments, nerves or discs. It can originate from strained muscles, injuries, arthritis, structural problems or even psychological factors. Back pain can be acute, subacute or chronic depending on duration:
- Acute: Lasts less than 6 weeks
- Subacute: Persists between 6 to 12 weeks
- Chronic: Lasts over 12 weeks
Up to 31 million Americans suffer from low back pain at any given time. There are many reasons why back pain is so prevalent:
- Weak Core and Back Muscles: Weak muscles cannot properly support the spine, placing extra strain.
- Poor Posture and Alignment: Slouching, hunching over computers, improper bending and lifting.
- Excess Weight: Extra weight places more pressure on the spine.
- High-Impact Exercise: Certain intense or repetitive sports can cause back injuries over time if muscles are not balanced.
- Normal Aging: Disks lose flexibility and shock absorption over time.
By strengthening core and back muscles through targeted exercises, many cases of back pain can be prevented or better managed when they do occur.
Benefits of Spine and Core Strengthening
Performing specific exercises to strengthen muscles surrounding the spine is extremely beneficial, both for prevention and treatment of back pain. Some key advantages include:
Improves Posture and Spinal Alignment
Strong muscles keep the back properly aligned and withstand gravitational forces pressing down on the spine all day. Good posture redistributes weight properly.
Increases Flexibility and Range of Motion
Just as a rubber band loses elasticity if left idle for too long, back muscles will stiffen and shorten without consistent stretching and movement. Building muscular strength and endurance increases range of motion.
Stabilizes Spine and Reduces Strain
Stable spinal joints experience less pressure and degeneration. Coordinated deep abdominal muscles protect the spine from excess movement.
Strengthens Supporting Muscles
Superficial back and neck muscles get strengthened, taking pressure off deep stabilizing muscles so they can work optimally.
Alleviates Muscle Tension
Chronically tensed muscles are a common source of back pain. Targeted strengthening relieves overworked muscles.
Boosts Stability For Everyday Tasks
Bending, lifting, twisting and turning without compensation patterns becomes easier. The spine handles surprises or sudden movements with grace.
Which Muscles Should You Target?
There are several key muscle groups that coordinate to support a healthy spine. Strengthening exercises typically target some combination of the following:
Spinal Erectors: Long paired muscles running vertically to lift and stabilize the spine.
Multifidus: Deep muscles along spine grooves that support vertebrae.
Transversus Abdominis: Deepest abdominal layer that wraps around the spine for stability.
Obliques: Side abdominal muscles that assist with rotation and lateral flexion.
Gluteal Muscles: Buttocks muscles that stabilize the pelvis and spine at connection points.
Quadratus Lumborum: Deepest back muscle connecting spine to hips.
Hip Flexors: Front of hip muscles that pull thigh and pelvis together.
Hamstrings: Back of thigh muscles that allow bending at the hips.
Now let’s explore some of the most effective spine strengthening exercises.
Exercise Guidelines For Safe, Effective Training
Implementing a few quick tips will ensure your back strengthening routine remains safe, enjoyable, and yields optimal results:
Warm Up First – Take 5-10 minutes to warm muscles with light cardio or joint rotations before diving into any new movements.
Cool Down Afterwards – Allow muscles time adjust back down with gentle stretches.
Use Proper Form – Keep good posture and brace core throughout exercises. Move slowly and deliberately rather than quickly.
Start Low Intensity – Build up time/reps gradually so muscles acclimate.
Vary Moves Often – Ensure balanced strength by switching exercises session to session.
Sample Training Split
Day 1: Glute bridges, knee-to-chest, cardio
Day 2: Planks, good mornings, child’s pose
Day 3: Bird dogs, dead bugs, cat-cow Day 4: Cardio/rest Day 5: Side planks, lunges, supermans
Additional Lifestyle Tips For Lifelong Back Health
While targeted exercise provides the building blocks, supporting lifestyle factors boost long-term back integrity:
Maintain Healthy Weight – Excess weight strains the spine. Eat clean, nutrient-dense anti-inflammatory foods.
Reduce Stress Levels – Chronic stress causes muscular tension. Try meditating, yoga, or getting a massage.
Optimize Sleep Hygiene – Allow muscles time to recover and recharge overnight. Most adults need 7-9 hours.
Improve Flexibility – Gentle regular stretching enables greater range of motion and shock absorption.
Conclusion: Start Strengthening For Spine Health
Back pain can interrupt both productivity and quality of life when spine health is neglected. Thankfully targeted exercise pays massive dividends for supporting proper spinal alignment and function. Aim for just 30 minutes per day focusing on core and back moves like planks, glute bridges, good mornings and more. Support muscles through healthy lifestyle habits as well. Your future back will thank you!
Written by Dr. Tony Mork
Orthopedic Spine Surgeon
I’m Dr. Tony Mork, MD, a Minimally Invasive Orthopedic Spine Surgery Specialist in Newport Beach, California. With over 40 years of experience, I’m dedicated to providing information for all topics that involve neck and back pain.
January 19, 2024
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