Exercises & stretching
for herniated disc pain

Benefits of exercise for a herniated disc

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.

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.

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):

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.

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

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:

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:

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:

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:

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.

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:

Days 4–71–2x/day:

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:

Progress by:

Pull back and get advice if:

How Sword supports your recovery

Search your employer or health plan

Footnotes

1

NICE Clinical Knowledge Summaries. Sciatica (lumbar radiculopathy) - Red flag symptoms and signs. URL: https://cks.nice.org.uk/topics/sciatica-lumbar-radiculopathy/diagnosis/red-flag-symptoms-signs/

2

Gloucestershire Hospitals NHS Foundation Trust. Cauda Equina Syndrome (CES) ED Guideline. 2020 (reviewed 2022). URL: https://www.gloshospitals.nhs.uk/media/documents/CES_ED_guideline_Nov_20.pdf

3

NICE. Low back pain and sciatica in over 16s (NG59): Exercise and physical activity (information for the public). 2016. URL: https://www.nice.org.uk/guidance/ng59/ifp/chapter/Exercise-and-physical-activity

4

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

5

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

6

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

7

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

8

NICE. Low back pain and sciatica in over 16s: assessment and management (NG59). 2016. URL: https://www.nice.org.uk/guidance/ng59

9

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

Portugal 2020Norte 2020European UnionPlano de Recuperação e ResiliênciaRepública PortuguesaNext Generation EU