Gentle, well-chosen exercise can help calm symptoms, reduce stiffness, and rebuild the strength and endurance that support your spine.³⁴⁸ The goal is not to “push the disc back in,” but to help your body settle the flare, move more confidently, and lower the chance of future episodes.³⁴⁸
Below you’ll find general exercise ideas for people with a lumbar herniated disc (sciatica) and cervical herniated disc (arm pain). These are not a substitute for individual medical advice, but they can give you a safe starting structure.
Did you know?
Most herniated discs get better over time without surgery, even when nerve pain is present. Studies show that the body can naturally reduce disc inflammation and irritation, and guided movement helps support this recovery process.¹³⁸
Exercises for managing a herniated disc
Not every exercise is right for every person. If a movement causes sharp pain or new symptoms, stop and consult a medical provider.
Part 1 – Positions of ease and gentle movement (early stage)
These are useful in the first few days or weeks when pain is more irritable.
Prone on elbows (gentle press-up)
How to do it:
Start lying on your stomach
Prop yourself up onto your elbows, like a half-cobra position
Keep hips and pelvis on the bed/floor
Hold 10–20 seconds, return down
Repeat 6–10 times, 1–2 sets
You should feel a gentle stretch in your low back, not a big spike in leg pain. If leg pain increases a lot or moves further down, stop or go back to supported prone lying.
Cat–Cow Stretch
How to do it:
Sit on a chair with good posture.
Draw your belly button inwards, towards the back of the chair slightly, and tilt your pelvis backwards (i.e. flatten your spine towards the chair).
Return to the start position by arching your back.
Chin tucks (deep neck flexor activation)
How to do it: This can help calm upper trapezius tension and give your neck a neutral rest position.
Lie on your back
Gently nod “yes”, like you’re making a tiny double chin
Do not lift your head; the motion is small in the upper neck
Hold 5 seconds, relax
Repeat 8–12 times, 1–2 sets
Stop if this increases arm pain or tingling. Mild neck muscle work is okay; sharp or spreading nerve symptoms are not.
Part 2 – Nerve-friendly mobility (gentle glides)
These are not big stretches; they are small, rhythmic movements to help the nerve and tissues move better.
Seated sciatic nerve glide (lumbar)
How to do it: Sit tall near the front of a chair and start with your knee bent, ankle relaxed (pointed slightly down):
Slowly straighten the knee a bit while you bring your toes up
At the same time, look up slightly
Bend the knee back and point toes down a little while you look slightly down
That’s 1 rep. Repeat 8–10 times, 1–2 sets, once per day. You should feel mild tension, not a strong burn. If leg pain spikes, reduce the range or stop.
Median nerve glide (for some cervical radiculopathy patterns)
How to do it: Stand or sit tall with your arm by your side, elbow bent, and palm facing you.
Slowly straighten your elbow and extend the wrist/fingers, like you’re balancing a tray
At the same time, tilt your head away from that side slightly
Then, bend the elbow and relax the wrist while you bring the head back to neutral
Repeat 5–8 times, for 1–2 sets
Again, aim for mild, controllable pulling. Stop if tingling or pain shoots sharply into the hand or worsens.
Part 3 – Trunk and hip strengthening (For lumbar herniated disc)
Once your symptoms are a bit calmer (often after the first 1–3 weeks), start building strength and endurance that protect your spine.
Hooklying abdominal bracing
How to do it: Lie on your back, knees bent
Gently tighten your lower tummy as if zipping up tight jeans
Keep breathing and do not tilt the pelvis aggressively
Hold 5–8 seconds, relax
Repeat 10 times, 2–3 sets. This is your “base” contraction you’ll use in other exercises.
Bridge
How to do it: Lie on your back, knees bent, feet hip-width apart:
Lightly brace your core
Squeeze your glutes and lift your hips until your body forms a straight line from shoulders to knees
Hold 3–5 seconds, lower slowly
Repeat 8–12 times, 2–3 sets
If this increases leg pain significantly, reduce the lift height or pause and retry in a few days.
Bird dog (alternating arm and leg)
How to do it: Start on your hands and knees, spine neutral:
Gently brace your core
Extend one leg back (toes on floor at first), then lift a few inches if tolerated
Optionally add the opposite arm reaching forward
Hold 3–5 seconds, return
Alternate sides
Repeat 6–8 times per side, 1–2 sets
Focus on quiet, controlled movement without big rocking or twisting.
Part 4 – Trunk and hip strengthening (for cervical herniated disc)
For cervical herniated disc, these exercises focus on easing neck and arm symptoms while improving control and support around the neck and shoulders.
Scapular retraction (shoulder blade squeezes)
How to do it: start from a comfortable sit or stand tall:
Gently draw your shoulder blades back and down, like sliding them into your back pockets
Hold 5 seconds, relax
Repeat 10–15 times, 2–3 sets
You should feel work around the mid-back, not shrugging in the upper traps.
Wall angels (modified)
How to do it: stand with your back against a wall, feet slightly forward:
Gently tuck your chin (small double chin)
Place arms on the wall in a “goalpost” position if comfortable
Slowly slide your arms up and down a short distance without pain
Repeat 8–10 times, 1–2 sets
Keep the motion small and pain-free or only mildly uncomfortable.
Part 5 – Walking and general conditioning
Nerves and discs like movement and blood flow.
Aim for short, frequent walks (even 5–10 minutes) once or twice per day at first
Gradually increase time or distance every few days as tolerated
Treadmill, cycling, or elliptical can be good options if walking is tough, as long as your leg/arm pain does not spike
If you notice pain consistently worsening during or after cardio, trim back the duration or intensity and progress more slowly.
Sample 7-day starter plan (lumbar version)
You can adjust based on what your clinician recommends.³⁴
Days 1–31–2x/day:
Supported prone lying or prone on elbows (if extension-friendly)⁵
Pelvic tilts: 10–15 reps³⁴
Gentle seated sciatic glides: 8–10 reps⁶
Walking: 5–10 minutes, once daily, at easy pace³
Days 4–71–2x/day:
Prone on elbows or gentle press-ups (if tolerated): 6–10 reps⁵
Abdominal bracing: 10 reps, 2 sets³⁴
Bridges: 8–10 reps, 2 sets³⁴
Bird dog: 6–8 per side, 1–2 sets⁹
Seated sciatic glides: 8–10 reps (if still helpful and comfortable)⁶
Walking: 10–15 minutes, once or twice daily as tolerated³
For cervical symptoms, slot in the neck-focused exercises (chin nods, scapular retraction, median nerve glides) instead of the lumbar-only moves.⁷
When to progress and when to pull back
Progress when:
Leg or arm pain is decreasing or moving closer to the spine⁵
You can do current exercises with 0–3/10 discomfort and no next-day spike³⁴
You feel stronger or more confident in daily movement³⁴
Progress by:
Adding a few reps or an extra set³⁴
Making movements slightly larger or slower and more controlled³⁴
Increasing walking time by 2–5 minutes every few days³
Pull back and get advice if:
Pain in the leg or arm suddenly gets much worse or travels further down¹²⁵
You notice new or worsening weakness (foot slapping, grip failing, etc.)¹²
How Sword supports your recovery
Clinical Insight
Clinical guidelines consistently recommend exercise-based care and staying active as first-line treatment for herniated disc and radiculopathy, as long as serious warning signs are not present.⁴⁸ Prolonged bed rest is discouraged because it can slow recovery and increase stiffness and weakness.³⁴
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians. Ann Intern Med. 2017. DOI: 10.7326/M16-2367
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Aina A, May S, Clare H. The centralization phenomenon of spinal symptoms: a systematic review. Man Ther. 2004;9(3):134-143. DOI: 10.1016/j.math.2004.05.003
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Liu J, et al. Neural Mobilization for Reducing Pain and Disability in Patients with Lumbar Radiculopathy: A Meta-analysis. Life. 2023;13(12):2255. DOI: 10.3390/life13122255
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Blanpied PR, et al. Neck Pain: Revision 2017 Clinical Practice Guidelines. J Orthop Sports Phys Ther. 2017;47(7):A1-A83. DOI: 10.2519/jospt.2017.0302
Shamsi M, et al. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain-related outcomes in patients with subacute non-specific low back pain. BMC Musculoskelet Disord. 2021;22:804. DOI: 10.1186/s12891-021-04858-6