​​
top of page

Physiotherapy for Chronic Back Pain: Best Exercises and Treatments

  • Writer: Punya Bajaj
    Punya Bajaj
  • 3 minutes ago
  • 6 min read
Audio version of the blog “Physiotherapy for Chronic Back Pain,” explaining effective exer


Physiotherapist performing guided leg stretch therapy for chronic lower back pain in a professional clinic setting, highlighting physiotherapy treatment and rehabilitation exercises.

Introduction

Are you tired of living with constant back pain? Whether from sitting long hours, injuries, or slip discs, chronic back pain affects your sleep, work, and daily life. Unlike painkillers that mask the problem, physiotherapy addresses the root cause and builds lasting solutions.

This guide covers the best physiotherapy exercises and treatments for chronic back pain relief.


Chronic back pain persists beyond 12 weeks. Unlike acute back pain (which comes suddenly and improves with rest), chronic back pain develops gradually and requires comprehensive management, including physiotherapy.


Common Causes:

  • Poor posture and muscle imbalance

  • Slip discs, bulging discs, or disc degeneration

  • Weak core muscles and tight hip flexors

  • Sedentary lifestyle and repetitive strain

  • Age-related degeneration and previous injuries

  • Stress and tension


Who Gets Chronic Back Pain?


High-Risk Groups:

  • Office workers and desk job professionals (8+ hours daily)

  • Drivers and delivery personnel

  • Elderly people with reduced bone density

  • Gym beginners and athletes using improper form

  • Post-pregnancy women with weakened core muscles

  • Manual laborers and construction workers

  • People with sedentary lifestyles


Early intervention prevents pain from worsening. 

If you belong to these groups, physiotherapy can help you recover safely.


Common Symptoms: When to Seek Help

  • Constant dull ache in the lower, middle, or upper back

  • Sharp pain while bending, twisting, or reaching

  • Morning stiffness and immobility

  • Numbness or tingling in legs (nerve compression)

  • Difficulty standing for extended periods

  • Limited mobility and reduced range of motion

  • Pain radiating down the legs (may indicate sciatica)


If symptoms persist beyond 3 weeks, consult a physiotherapist immediately.


Important: Always perform exercises under certified physiotherapist guidance to ensure correct technique and prevent re-injury.


1. Pelvic Tilt Exercise

  • Benefits: Strengthens lower back, improves posture

  • Reps: 10-12 reps, 2-3 times daily

  • Lie on back, bend knees, tighten abs, tilt pelvis gently, hold 3-5 seconds


2. Cat-Cow Stretch

  • Benefits: Improves spine flexibility, reduces stiffness

  • Frequency: 1-2 times daily (especially morning)

  • Hands/knees position, alternate between arching and rounding spine with breath


3. Bird Dog Exercise

  • Benefits: Improves core stability, prevents recurring pain

  • Frequency: 2-3 times weekly

  • Extend opposite arm and leg, hold 2-3 seconds, 10 reps per side


4. Bridge Exercise

  • Benefits: Strengthens glutes and lower back, supports lumbar spine

  • Frequency: 2-3 times weekly

  • Lie on back, lift hips to form straight line, squeeze glutes, 10-12 reps


5. Quadruped Hip Extension

  • Benefits: Strengthens lower back extensors, improves stability

  • Frequency: 2-3 times weekly

  • Hands/knees, extend one leg parallel to ground, 10 reps per side


6. Child's Pose

  • Benefits: Stretches lower back, promotes healing

  • Frequency: Daily, especially before bed

  • Knees on floor, hips to heels, arms forward, hold 30-60 seconds


7. Glute Strengthening: Clamshells

  • Benefits: Prevents muscle imbalance, reduces lower back stress

  • Frequency: 3 times weekly

  • Side-lying, lift top knee while feet together, 15-20 reps per side


Back pain relief exercise chart with pelvic tilt, cat-cow, bird dog, bridge, child’s pose, and clamshell strengthening exercises.



Professional Physiotherapy Treatments


  • Joint mobilization and soft tissue release

  • Myofascial release and trigger point therapy

  • Benefits: Immediate pain relief, improved mobility, enhanced blood flow


  • Releases muscle tension and tight knots

  • Stimulates nervous system, releases endorphins

  • Benefits: Rapid pain reduction, improved flexibility, faster recovery



  • Blocks pain signals, increases endorphin production

  • Safe, non-invasive, portable


IFT (Interferential Therapy):

  • Deeper penetration than TENS

  • Reduces inflammation and pain effectively


  • Generates heat in deep tissues

  • Reduces inflammation, promotes healing, especially for disc-related pain


  • Stimulates cellular healing without heat

  • Reduces inflammation, accelerates tissue repair


Thermal Therapy

  • Heat: For chronic stiffness and muscle tension (15-20 min, 2-3 times daily)

  • Cold: For acute inflammation and sharp pain (10-15 min, 3-4 times daily)

  • Contrast: Alternating therapy for improved circulation


Posture Correction & Ergonomic Assessment

  • Detailed posture analysis

  • Workspace ergonomic evaluation

  • Furniture adjustment recommendations

  • Workstation optimization

  • Benefits: Prevents recurrence, improves spinal health


Traction Therapy

  • Cervical Traction: Relieves neck pain and nerve compression

  • Lumbar Traction: Decompresses lower back, relieves sciatica

  • Benefits: Improved spinal alignment, reduced nerve compression


Quick Relief Strategies


Hot & Cold Therapy:

  • Use heat for chronic stiffness (15-20 min)

  • Use cold for acute inflammation (10-15 min)


Daily Stretching Routine:

  • Forward bend, knee-to-chest stretch

  • Lying spinal twist, hip flexor stretch

  • Cat-cow stretch (10-15 minutes daily)


Proper Sitting Posture:

  • Keep back straight, shoulders relaxed

  • Screen at eye level, elbows at 90 degrees

  • Feet flat, use lumbar support pillow

  • Stretch every 30 minutes


Avoid Long Sitting:

  • Stand and stretch every 30 minutes

  • Walk 5 minutes after each hour of sitting

  • Use standing desk partially

  • Perform spinal mobility exercises


Sleep Position & Mattress:

  • Firm but comfortable mattress

  • Sleep on side or back (avoid stomach)

  • Use neck-supportive pillow

  • Consider lumbar support pillow


Weight Management:

  • Excess weight stresses lower back

  • Healthy weight reduces pain significantly


Quick Relief Strategies.webp


Why Choose Our Clinic?

Experienced Team:

  • 10 dedicated, highly trained physiotherapists

  • Expertise in pain management and musculoskeletal rehabilitation

  • Trained at leading hospitals: Fortis, Max, IVY


Advanced Equipment:


Personalized Care:

  • Customized exercise plans for every condition

  • Safe, non-surgical treatment

  • Proven high success rate

  • Evidence-based rehabilitation protocols


Convenient Clinic Environment:

  • Private, heated therapy rooms

  • No waiting—on-time appointments

  • Attendant lounge and kids zone

  • Lift-accessible location


Location & Contact


Near Major Hospitals:

  • IVY Hospital (1 km)

  • Max Hospital (1.5 km)

  • Fortis Hospital (5 km)

  • Multiple other specialty hospitals


Phone: +91 98769 78488

WhatsApp: +91 98759 15278


Affordable Packages

  • Single Session: ₹500

  • 10-Session Package: ₹4,500 (₹450/session)

  • 20-Session Package: ₹8,000 (₹400/session)

  • Custom Packages: Available upon request


Advanced Techniques We Use

  • Dry Needling: Rapid pain relief and muscle tension release

  • Cupping Therapy: Improves blood circulation, reduces inflammation

  • Wax Therapy: Deep heat therapy for muscle relaxation

  • TENS Therapy: Blocks pain signals, increases natural endorphins

  • Gait Training: Corrects walking patterns, prevents injuries

  • Manual Therapy: Joint and soft tissue mobilization


Real Success Stories


From Tibia Fracture to Confident Walking Again

After suffering a tibia fracture, walking even a few steps felt painful and scary. The fear of putting weight on the leg made recovery stressful.


That’s when they connected with our Physiotherapy Team at


They carefully reviewed the X-ray reports and created a safe, step-by-step rehabilitation plan. With guided weight-bearing exercises and gradual strengthening sessions, progress started showing week by week.


Pain reduced. Confidence improved. Walking became easier.


And the biggest relief? The latest X-ray confirmed proper bone healing and bone union.


Today, they are walking comfortably again — strong, stable, and pain-free.

👉 Expert guidance makes all the difference in fracture recovery.


Frequently Asked Questions


Is Physiotherapy Better Than Surgery? 

Yes. 80-90% of back pain improves with conservative treatment. Surgery is considered only when conservative treatment fails after 6-12 weeks, or with severe nerve compression.


Can Exercises Permanently Cure Chronic Back Pain? 

Yes, combined with professional physiotherapy. Maintenance is essential: continue exercises 2-3 times weekly, maintain posture, stay active, and have regular check-ups.


Can I Exercise During Acute Flare-Up? 

No. Rest and ice therapy are appropriate. After 2-3 days, gentle stretches can begin. Consult your physiotherapist before resuming exercise.


Is Physiotherapy Safe for Elderly Patients? 

Absolutely. Physiotherapy improves balance, strengthens muscles, reduces pain, and enhances independence for seniors.


What Should I Avoid?

  • Heavy lifting with poor form

  • Repetitive bending and twisting

  • Prolonged sitting without breaks

  • High-impact exercises in early recovery

  • Stomach sleeping

  • Stress-causing activities


When Should You Visit a Clinic?

  • Pain lasting more than 3 weeks

  • Pain spreading to legs (nerve compression/sciatica)

  • Numbness or tingling sensations

  • After injury or accident

  • Post-surgery rehabilitation

  • Loss of bladder/bowel control (medical emergency)

  • Unexplained weight loss with back pain


Summary: Your Path to Freedom from Chronic Back Pain

Chronic back pain doesn't have to control your life. With professional physiotherapy, targeted exercises, and lifestyle modifications, you can achieve lasting relief.


Key Takeaways:

  • Physiotherapy is more effective than painkillers for long-term relief

  • Consistent exercise is essential for recovery

  • Professional guidance ensures proper technique and faster results

  • Early intervention prevents complications

  • Maintenance exercises prevent recurrence


Take Action Today:

Don't wait for pain to worsen. Contact our experienced physiotherapy clinic and start your journey toward a pain-free, active life.


Book Your Consultation:

  • Call: +91 98769 78488

  • WhatsApp: +91 98759 15278

  • Address: SCO No 48 & 49, Sector 71, Mohali


Let us help you move better, feel better, and live better. Your recovery journey starts today.



Comments

Rated 0 out of 5 stars.
No ratings yet

Add a rating
bottom of page