Stop immediately and consult your doctor if any of the exercises below increase or cause pain.
(A) Cat-cow pose
The cat-cow pose is a gentle stretch that can help ease the pain in your middle back.
- Get down on all fours with knees and hands on the floor. The back and neck should be in a neutral, straight position.
- Slowly tighten lower abdominals, rounding the back towards the ceiling and tucking your chin. You should feel a stretch along your spine.
- Hold for 5 seconds.
- Release and return to a neutral position.
- Slowly lift your head, chest and tailbone toward the ceiling, letting your spine and stomach sink toward the ground. This should also produce a comfortable stretch in your spine.
- Hold for 5 seconds.
- Release and return to a neutral position.
(B) Prone cobra
The prone cobra is an advanced back extension exercise that targets your upper back muscles:
- Lie on the floor face down. You may place the forehead on a rolled-up hand towel for comfort.
- Place the arms at the side, palms down on the floor
- Pinch the shoulder blades together and lift the hands off the floor. Keep shoulders down and away from ears.
- Roll the elbows in, palms out and thumbs up.
- Gently lift the forehead about an inch off the towel keeping the eyes looking straight at the floor (do not tip the head back and look forward).
- Try to hold the position for 10 seconds.
- Aim to complete 10 repetitions.
To increase the intensity slightly, you can lift your legs off the ground, too.
(C) Opposite arm/leg raise
This exercise, sometimes called the bird-dog pose in yoga, strengthens your abdominals and back muscles.
- Get on your hands and knees. Keep your spine straight, with your hands directly below your shoulders and your knees aligned directly under your hips.
- Slowly reach out with one arm while extending the leg on its opposite side. Keep both straight and level.
- Hold for a few deep breaths, then gently lower your arm and leg to starting position.
- Repeat this exercise with your other arm/leg.
- If you had a tissue box balanced on your lower back it should remain in place throughout the exercise.
Try for 10 to 15 repetitions on each side.
(D) Press-up exercise
This press-up or back extension exercise targets your back extensor muscles, which are attached to the back of your spine.
- Lie on the stomach with your hands under your shoulders.
- Raise your upper body onto your elbows while keeping both forearms and hips relaxed on the ground. Breathe out and allow your chest to sink toward the ground. You should feel a comfortable stretch in your mid back.
- Hold for 5 seconds, then slowly return to the floor.
- Aim to complete 10 repetitions. Gradually build to hold the position for 20 seconds.
A more advanced Step 2 involves raising your upper body onto your hands (rather than forearms) while still keeping both hips relaxed on the ground. In yoga, this is called the cobra pose. https://www.nhs.uk/conditions/back-pain/treatment/