Ultimate Guide to Exercises for Lumbar Herniated Disc Relief 2

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Did you find our previous article, “Disc Herniation Part 1,” helpful but are still battling discomfort? Are you eager to discover exercises that can effectively reposition your herniated disc and enhance your well-being? You’re in the right place.

In this comprehensive guide, we’ll cover:

  • Effective Exercises for Repositioning a Herniated Disc: Learn the top movements to gently coax your disc back into alignment, reducing pain and improving mobility.
  • Stabilization Techniques to Prevent Disc Displacement: Discover exercises that strengthen your core and back, ensuring your discs stay in place.

Understanding Lumbar Disc Herniation:

Lumbar Disc Herniation-Dr Ken Nakamura herniated disc Toronto Chiropractor
Lumbar Disc Herniation-Dr Ken Nakamura herniated disc Toronto Chiropractor

A herniated disc occurs when the disc’s nucleus breaks through the annulus, as shown in the illustration from neurosciences.beaumont.edu. But what triggers this displacement? The primary culprit is forward bending, which compresses the disc (think of it as a jelly-filled doughnut) and can lead to the annulus fracturing, allowing the nucleus to protrude and press against nerves.

Why Does it Hurt?

The disc’s exterior is tough cartilage, while its interior is softer, akin to mucus. Applying pressure on one side forces the inner material to the opposite side, similar to squeezing a doughnut. When a herniated disc or inflammation puts pressure on a nerve, pain ensues. The key to relief is applying counterpressure to reposition the disc.

For a deeper dive into herniated discs, refer to “Disc Herniation Part 1: Best Self-Treatments for Lumbar Disc Herniation.

How to Apply Counterpressure:

The strategy involves bending your spine backwards or into the extension to shift the disc away from the nerve.

Exercises to Reposition a Herniated Disc: Note of Caution:

Initially, these exercises might intensify your pain slightly. If pain significantly worsens or radiates further down your leg during these exercises, cease immediately and consult a professional.

Exercises for Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc

  • Lie face down or prone in bed with your elbows tucked in under your side:
  • As soon as you get up in the morning you should lie prone (face down). By getting in this position, your lower back becomes more arched, or as doctors say, you increase your lordosis.
  • The increased lordosis pushes on the back of the disc helping to bring the nucleus forward into the correct position.

#2 Sphinx pose in Yoga For Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc
Sphinx-Pose-Downtown-Chiropractor

  • Get into the prone position lying down on your stomach.
  • Next, get on your elbows. If you have a hard time with this position go back into the prone lying position.
  • Do these exercises hold each time for 1-2 seconds 6-8 times per set? This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or the pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. You also get a green light if there is no difference at all.

  • If your self-assessment gives you the green light, move on to the Cobra exercises just below.
  • If your thigh or leg pain is worse, then stop right away.
  • If your lower back, thighs and legs are the same you get a green light, so move on to the Cobra exercises.

#3 Cobras For Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc
Female doing Cobra to help with lumbar disc herniation

 

  • Lie down face down with your hands underneath your shoulders.
  • Push up from as high as you can until your lower back stops you or your elbows are straight.
  • The pelvis should still be on the floor and the lower back muscles relaxed.
  • Do these exercises hold each time for 1-2 seconds 6-8 times per set? This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or the pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. If your thigh or leg pain is worse, then stop right away.

#4 Standing Extensions Lumbar Herniated Disc

  • Stand straight and put your hands behind your hips with your fingers facing down.
  • Push your hands into your pelvis so that your lower back arches.
  • Don’t use your lower back muscles
  • These exercises can be done 6-8 times for 1-2 seconds. This exercise can be repeated every two hours throughout the day.

Stabilization Exercises: Prevent Your Disc From Coming Out By Having A Stable Spine.

#1 Cat-Camel or Cat-Camel For Herniated Disc

Best Mid Back Pain Exercises: doing backbend in cow posture, bitilasana, exercise for flexible spine and shoulders, asana paired with cat pose on the exhale, studio
Best Mid back Exercises working out, doing cat pose, marjaryasana, exercise for flexible spine and shoulders, asana paired with cow pose on the inhale, studio
Best Low back Exercises working out, for lower back disc herniation. Back pain relief.
  • On all fours with your knees under your hips and hands under your shoulders.
  • Inhale and let your belly fall downwards toward the floor as you look up toward the ceiling for 2 seconds.
  • Exhale and arch your back up as far as it will go or until you feel pain. You should not feel pain with this exercise, otherwise you are going too high.
  • At the same time bend your neck forward and look toward your navel.

#2 Curl-Ups

  • To start, one foot is bent and the other is straight.
  • One forearm goes under the arch of your lower back to support it.
  • The other arm is supporting your head.
  • Your head and neck come up as one block until your shoulder blades clear the floor.
  • Do three sets of 5 working your way up to 10. If it’s easy, then hold for a couple of breaths.

#3 Squats

  • Stand in front of a chair as if you are going to sit on it.
  • Stand with your feet facing slightly more outward than your knee.
  • Make sure your butt comes out, and keep lowering your butt until you touch the chair.
  • Practice 3 sets of 10.

#4 Bird Dog

 

  • Get into a crawling position with your hands and feet shoulder-width apart.
  • Harden your core by contracting your abs and lower back. This is called bracing.
  • Lift your arm first. If this is easy, then lift your leg only. If that is easy, then lift the opposite legs and arms, for example, right leg, and left arm.
  • Want to make it tougher? Try lifting an arm and leg on the same side.
  • 3 sets of 10. If you are shaking a little or cannot balance quite right, you’re doing the right exercise for you, i.e. lifting just the leg or arm might be easy, but lifting opposite arms and legs might put you off-balance a bit. Make sure you are stable before going to the advanced bird dog.

Tell us what you think in the comments below and like us on Facebook. This Toronto Downtown Chiropractor will answer all questions in the comments section. Let us know your vote for the best Toronto chiropractor in the comments section.

References

1.  J Med Genet 2002;39:387-390 doi:10.1136/jmg.39.6.387

Leave a Reply

  • The tourist physiotherapist also mention that after recovering from this herniated disc pain, meaning i able to do cobra with no pain at all, i should start do child pose stretches and actually should start slouching forward slowly little by little, to get the body used to it again. This is something i doubt. I remember you mention to me to never bend forward or slouch again in a bad way to prevent it herniating again? Also the child’s pose stretch, isn’t that bad for herniated disc even when pain free? What’s your view

    • Post
      Author

      Thanks for your comment Ras. The physiotherapist is talking about getting confidence emotionally as well as being comfortable to do flexion. There aren’t too many people that need this. This is only indicated when:
      1. Someone has fully reduced their herniated disc and they are still afraid of flexion
      2. They cannot flex due to a little bit of pain at the end.

      There are numerous other criteria which are related to testing your back.

      Yes, child’s pose or knee to chest exercises. Although knee to chest is used more often as it is more controlled then child’s pose especially at the beginning. You don’t usually start when pain-free you start when the pain is fully reduced which means that there can be some pain at the end of forward bending.

      The vast majority of people don’t need recovery of function so right now just concentrate on getting better.

      Your job right now is to do cobra straight and go as far as you can breathing out at the end.

      Hope that helps your herniated disc.

  • A tourist that i met said he work as physiotherapist in Europe. I mention about my herniated disc to him, the symptoms and also about my right leg more painful than the left. He recommended me to do cobra exercise but instead of straight legs he teach me to align the both legs to the right side like banana while doing cobra, to close the gap of disc that protrude to the right, thus to reduce the pain of the right leg. What’s your view on this?

    • Post
      Author

      Thanks for your question Ras. This is a technique used when the problems are more severe on one side than the other like you have. However I don’t usually recommend this to people as most people don’t give me enough information. Assuming that the physiotherapist questioned more closely or examined you to determine if it’s appropriate for you then go right ahead.

      That’s the opinion of this Toronto chiropractor.

      • Thanks for your reply Dr. The PT just talk to me, he is in tourist mode. He didn’t touch me, or thorough examination. I traumatized by the previous massage of”chronic pain specialist” that made it worse. The straight leg cobra is fine with me so far, if misdiagnosed does banana shape cobra will make me worse? Can normal cobra help fix with my right leg more dominant pain ? He also mention that if the herniation is long time such as 1 year than manipulation any kind is useless, what’s your view on that?

        • Post
          Author

          Thanks for your question Ras. In your case I would simply try to go harder and see if it help? Do four sets a day of 10 sets. You want to try to go to end range.

          Hope that helps your herniated disc.

          • Thanks for your reply. I will do normal cobra harder and to the very end. Every 2 hours, meaning more than 4 sets a day. Weird thing is sometimes when i reach to the highest during cobra, i felt a little tingle on my feet and legs sometimes, not necessary worse but is that and an indication that I’ve reach the max extension in cobra?
            And is it true that manipulation is useless if the herniation is long time?

          • Post
            Author

            Ras. It’s very effective for chronic herniations if you know what you are doing. Chiropractors have far more training in manipulation than physiotherapists in Canada. Physiotherapists don’t get trained for manipulation in school this done with supplementary courses on weekends. I don’t about physiotherapists in Europe though. Chiropractors are the experts when it comes to manipulation. If you manipulate often you know the effectiveness. Besides most chiropractors don’t just manipulate. That’s why I spend 20 minutes with each patient personally.

            Hope that helps your herniated disc.

  • Dr Ken

    My daughter is a college athlete and has recently been diagnosed with a herniated disk between l4 and l5. She does not have any pain in her legs – mostly in her back.

    We are trying to get her into see a PT to get a specific set of exercises, but it may take a few weeks for us to get her an appointment. And she wants to get started on rehab as soon as possible.

    Do you think that the exercises above will help someone who is in really good physical shape and does not have any leg pain from the herniated disk?

    • Post
      Author

      Thanks for your question Mary. Any time you have any injury of the spine your back becomes weaker as you don’t use it as much and you protect yourself. The exercises are very helpful for people with back pain and for some people with leg pain. This is an opinion and not a recommendation.

      Hope that helps your daughter’s herniated disc.

  • Hi DR Ken,
    Just want to ask the picture of the girl doing cobra exercises to put above shown her hand position placed under ribs in order to achieve that kind of level height when she pushed. Here hip flexor didn’t touch the floor anymore. Is that the right technique? Because it’s different than your step by step explanation, stated to put the palms shoulder position or chest, but in order to achieve higher each repetition hand position need t to move lower to the ribs like shown your picture.

    • Post
      Author

      Thanks for your question. Yes you do make a great point. I couldn’t find a picture that was appropriate. There are no McKenzie Exercises pictures available but there are a lot of Yoga exercise pictures available on the photo gallery sites.

      Just go by the step by step explanation, the picture was meant to be a guide. Hope that helps your herniated disc.

    • Post
      Author

      Acupuncture for herniated discs can be very helpful. It can make some people better but it will do nothing for others and it will make some worse.

      It depends on the type of disc, the state of the disc and most importantly the acupuncturist.

  • Hi Dr Ken
    I just been massage by chronic pain specialist that said my right back muscle, piriformis and hamstring are tight. He recommended me to stretch my hamstring. Is hamstring stretching is recommended for herniated disc?
    By the way i don’t feel better after the massage. The massaged leg, the right one actually more sore now. But he didn’t touch my joints or spine.

    • Post
      Author

      Ras, a chronic pain specialist is a medical doctor in North America. They don’t massage do massage. Also, you always have to take care of the lower back before taking care of the leg pain. Often you don’t need to touch the leg as the back treatments help the leg pain. Doesn’t sound like a pain specialist to me, sounds like a self-proclaimed “chronic pain specialist”.

  • Hi Dr. Ken
    I just want to know how many types of manipulation for herniated disc? And how many times usually manipulations performed to a herniated disc patient?
    I saw on YouTube manipulation for l4 l5, it’s fast and quick, not massage like.

    • Post
      Author

      Thanks for your question Ras. There are many types of manipulation for a herniated disc. I can think of 8 types off the top of my head that I use. Some will make you worse and some will make you better. The chiropractor has to know from your history and exam what will make you better otherwise you have more of a chance to get worse. The number of times depends on how severe the problem is. If it’s too severe manipulations are not appropriate.

      Hope that helps your herniated disc.

  • Dr. Nakamura, you are a Godsend!! Last Sunday, I was suddenly in severe pain trying to stand or sit, almost disabled that day, moving very slowly and in considerable pain. I am a physician, and self diagnosed herniated lumbar disc, so did a search and found your article. Because of what you wrote, that same afternoon I was 30% better, the next morning 75% better, and now a week later, I feel 100% better! I modified your cobra pose for ease of doing them frequently at work: Lean forward against a wall or heavy furniture. Push the hips far forward while keeping the arms straight. I did them every two hours as you said then started slacking off when feeling so much better.
    I am very grateful to you, Doctor, and I hope you have the most wonderful holiday season and an even better 2017.

    • Post
      Author
  • Hi Dr. Nakamura,

    Im 27 years old and Ive had lower back pain on and off for about 8 months. For months it can be fine and then maybe I bend over in a weird way and I’m right back to where I started and it takes me a couple weeks to get better. I had an MRI done and saw a spine specialist a couple days ago and you can see in the MRI that I have a couple herniated discs. I was also diagnosed with degenerative disc disease since both of the herniated discs looked a little gray and flat. I got my first epidural steroid injection today and now I’m trying to figure out what the next step would be. I exercise almost everyday and I live a very healthy lifestyle. I don’t want this to cripple me for the rest of my life. Is it possible to prevent these herniated disc from coming back with specific daily exercises? If I’m strict enough is it possible for my 2 discs to become healthy again or is this something I’m going to struggle with for the rest of my life?

    Thanks

    • Post
      Author

      Thanks for your question Kyle. While you can’t prevent the back pain from ever coming back you can do three things to help.
      1. Great posture helps prevent your pain from coming back.
      2. Interrupt your posture: Get up every 2 hours from your sitting position.
      3. Doing the exercises that was given to you by your chiropractor or physiotherapist. If you haven’t gone to a chiropractor you can do these exercises in this article, but these are not customised to you so there is a possibility you will get worse. Just like I have numerous people get worse at the gym or going to Yoga class.

      This is a opinion and not a recommendation.

      Hope that helps your herniated disc.

  • Hi,

    I have nerve irritation most of the time when I sit or try to bend. Bending is worse. It flared up 3 years ago and has gotten worse. MRI report saysL4-L5 / L5-S1 herniation. Can I still swim ? I read that doing breast stoke is bad for herniated disks in lower back. Can I do free style and back stroke ? I want to try everything I can. I always stretch using exercises you mentioned.

  • Is it true that the longer time herniated disc require longer rehab exercise time?
    Because my first herniation the leg pain went away after 1 week cobra exercise, my second pinch nerve leg pain lasted a year because at the same time i got kidney stone thats why i can’t do any exercises for almost a year until the stone is resolved, then i start exercises above for 2 months now, the leg pain changed into hip buttock pain and then change into mild leg pain again.

  • I also can feel the pain in the leg increase when I’m holding and reading my phone with my hand to my face standing. Is that part of low back herniated disc? Maybe the posture?

    • Post
      Author

      Thanks for your question Ras. You can get pain in any position with a disc herniation, even lying down. The position that you feel the pain and the examination tells me which way the disc is going out. Do you also get pain while sitting and bending forward?

      Hope that helps your herniated disc.

      • Thx for reply. Yes i feel increase pain in my right leg bending forward, slouching, sitting down long time and hunching my back.i felt better after cobra, or just straighten my standing posture. I am an avid cyclist before.

    • Post
      Author

      I do have a bias towards chiropractors as I am a chiropractor but having said that it really depends on the individual. Do they keep up with reading, continuing education. What are their priorities? Business or the patient? There are great chiropractors and great physiotherapists as well as bad chiropractors and bad physiotherapists.

  • Can chiropractic manipulation push the disc bulge back in? How effective is it compare to cobra exercises? Dealing with disc herniation pinch nerve l4 l5 is it better to see physiotherapist or chiropractor?
    Thx

    • Post
      Author

      Thanks for your question Rad. Yes, chiropractic manipulation can push the disc back in. It’s definitely more effective than the cobra exercise. Both chiropractors and physiotherapists are effective but it really comes down to the individual not so much the profession. In Canada, chiropractors get 4 years education after graduating from University while physiotherapists get 2 years education after university.

      • Thank you for reply. I been doing cobra exercises for two months now and there is progress but slow, so I’m looking for alternative. Definitely will look for manipulation.
        Can cobra exercises alone given time without manipulation can push back the disc bulge?

        • Post
          Author

          Thanks for your question Ras. Your name doesn’t come up as a person I have answered to. You must have changed your email and your name as it does not show up. Nevertheless, most people don’t do the “cobra” properly which is really called “extension in lying”. Even when explained and shown most people do it wrong. They may do the exercise correctly at the time, then go home and change it a little bit to make it easier. Most people don’t go as far as they can go. Some people can go a lot further than straightening out their elbow but they stop there. The point is to go further with each time you go up. If that doesn’t work then you can try manipulation. Chiropractors are the one to go to for manipulation as they are trained for far longer in manipulation. Four years for a chiropractor while physiotherapists in Canada graduate then do manipulation courses as an add on.

          That should answer your question about exercises for herniated discs.

          • Sorry about that, I’m still the same person. Thanks so much for replying.
            But how do we know the safe limit of pushing furthest with the cobra exercises? What is the signs that we reach the limit?

          • Post
            Author

            Thanks for your question Ras. You know you have gone too far or it’s the wrong exercise if you do the exercise and your pain, numbness or tingling goes further down the leg. This is an opinion and not a recommendation.

            Hope that helps your herniated disc.

  • Dr. Ken: I have a very bad sciatica pain on my right leg, please let me know what to do I’m including MRI results:
    MR LUMBAR SPINE, WITHOUT CONTRAST
    Findings: There is mild/moderate motion artifact, particularly on axial
    images. There is mild retrolisthesis at L4-5, otherwise lumbar alignment is
    normal. At L5-S1, there is moderate/severe facet DJD, and there is a mild
    right paracentral disc herniation with inferior migration causing mass
    effect on the proximal right S1 nerve root. At L4-5, there is mild/moderate
    facet DJD, a mild broad-based disc bulge and central annular tear, and
    mild bilateral lateral recess narrowing. At L3-4, there is a slight disc
    bulge without significant mass effect. There is no other evidence of lumbar
    HNP, spinal stenosis, neural foraminal narrowing, or conus abnormality.
    There is mild heterogeneity of marrow signal, with benign hemangiomas at
    multiple vertebral bodies, and a chronic benign Schmorl’s node at the L2
    superior endplate. No significant focal bone lesions are seen.
    Impression
    Impression:
    1. Mild/moderate motion artifact.
    2. L5-S1 moderate/severe facet DJD, and mild right paracentral disc
    herniation causing mass effect on the proximal right S1 nerve root.
    3. L4-5 mild/moderate facet DJD, mild retrolisthesis, mild broad-based disc
    bulge and central annular tear, and mild bilateral lateral recess
    narrowing.
    I do the exercises you recommend every day, Thank you so much for your help.

    • Post
      Author

      Thanks for your question Martha. You should tell me in detail what makes you worse and better like standing, sitting, walking lying down, time of day, etc..

      Hope that helps your possible disc herniation.

      • Dr Ken thanks for responding, I’m 58 years old, I have this pain 6 months ago; the pain is worst on the sitting position, and when I’m doing the exercises laying on my back and I raise the pelvis, but I’m doing the exercises every day, not so many repetitions, but I’m scared of surgery. I love your website.

Dr Ken Nakamura downtown Toronto Chiropractor
img 9195 4 depositphotos bgremover
Dr. Ken, has been recognized as the Best Toronto Chiropractor in 2024, 2023, and 2018, here in downtown Toronto. As a sports chiropractor, he excels in treating a wide range of conditions including concussions, temporomandibular joint disorders (TMJ), sports-related injuries, and spinal issues. Beyond his clinical skills, Dr. Ken is an accomplished athlete, having represented Ontario in the Canadian Judo Championships and completed the Toronto Marathon on two occasions. He employs the innovative C3 Program to provide targeted and effective care to his patients, ensuring a holistic approach to their well-being and athletic performance.