Lumbar Disc Herniation Exercises

Palmer Chiropractic · Kent, WA

Lumbar Disc Herniation Rehabilitation Exercises

Prescribed by Brian J. Bussard DC — Doctor of Chiropractic since 1998 · Cold Laser Therapy · Spinal Decompression · Serving Kent, Federal Way & South King County

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📍 24837 104th Ave SE, Suite 100, Kent WA 98030
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📞 (253) 854-7700

Lumbar disc herniation exercises prescribed by Brian J. Bussard DC are one of the most effective first steps toward recovery. Lumbar disc herniation occurs when the soft inner material of a spinal disc pushes through its outer layer, potentially irritating nearby nerves and causing pain, numbness, or weakness in the lower back and legs. The 10 exercises below were selected based on peer-reviewed clinical research to reduce nerve irritation, restore lumbar mobility, and build the core stability needed for lasting recovery. Always consult your chiropractor before beginning any new exercise program.

Knee-to-Chest Stretch for lumbar disc herniation — Palmer Chiropractic Kent WA
1
Knee-to-Chest Stretch
Stretch

Lie on your back and gently pull one knee toward your chest, hold, then alternate sides. Decompresses the lumbar vertebrae and reduces nerve root tension associated with disc herniation.

Sets: 2–3 Hold: 20–30 sec Each Side: Yes Freq: 3–4×/week

Modification: Keep one foot flat on the floor if pulling both knees increases leg pain or discomfort.

Cat-Cow Stretch for lumbar disc herniation — Palmer Chiropractic Kent WA
2
Cat-Cow Stretch
Stretch

On hands and knees, alternate between arching and rounding the spine in a slow, controlled rhythm. Restores segmental lumbar mobility and improves fluid circulation in the affected disc.

Sets: 2–3 Reps: 10–15 Hold: 2–3 sec Freq: 3–4×/week

Modification: Perform seated in a chair if kneeling is uncomfortable or increases symptoms.

Child's Pose for lumbar disc herniation — Palmer Chiropractic Kent WA
3
Child's Pose Stretch
Stretch

Kneel and fold your torso forward with arms extended, forehead resting on the mat. Gently lengthens the lumbar erector spinae and latissimus dorsi, reducing muscle spasm and nerve tension.

Sets: 3 Hold: 30–60 sec Each Side: No Freq: 3–4×/week

Modification: Place a pillow between your thighs and calves if sitting back on your heels is uncomfortable.

Figure-Four Piriformis Stretch for lumbar disc herniation — Palmer Chiropractic Kent WA
4
Figure-Four Piriformis Stretch
Stretch

Cross one ankle over the opposite knee and gently pull toward your chest, then alternate. Releases piriformis tightness that compresses the sciatic nerve — a common contributor to disc herniation symptoms.

Sets: 3 Hold: 30 sec Each Side: Yes Freq: 3–4×/week

Modification: Keep both feet flat and cross the ankle over the knee without pulling if hip flexibility is limited.

Dead Bug Exercise for lumbar disc herniation — Palmer Chiropractic Kent WA
5
Dead Bug Exercise
Strengthening

Lie on your back with arms up and knees at 90°. Slowly extend the opposite arm and leg simultaneously while pressing your lower back into the mat. Trains deep core coordination essential for disc herniation recovery.

Sets: 3 Reps: 8–10/side Each Side: Yes Freq: 3–4×/week

Modification: Lower one limb at a time rather than opposite pairs until core control improves.

Bird Dog Exercise for lumbar disc herniation — Palmer Chiropractic Kent WA
6
Bird Dog Exercise
Strengthening

From hands and knees, extend the right arm and left leg simultaneously and hold, then alternate. A McGill-validated exercise for deep lumbar multifidus and glute maximus activation with minimal spinal load.

Sets: 3 Reps: 10/side Hold: 3–5 sec Freq: 3–4×/week

Modification: Start with arm-only or leg-only extension before combining both limbs simultaneously.

Glute Bridge Exercise for lumbar disc herniation — Palmer Chiropractic Kent WA
7
Glute Bridge Exercise
Strengthening

Lie on your back with knees bent, press through your heels and raise your hips until your body forms a straight line from knees to shoulders. Strengthens the glutes to offload lumbar extensors and stabilize the pelvis.

Sets: 3 Reps: 12–15 Hold: 2–3 sec Freq: 3–4×/week

Modification: Reduce range of motion if you feel pinching in the lower back at the top of the movement.

Pelvic Tilt Exercise for lumbar disc herniation — Palmer Chiropractic Kent WA
8
Pelvic Tilt Exercise
Motor Control

Lie on your back with knees bent and gently press your lower back flat into the mat using your abdominals. Teaches lumbar neutral position awareness — the foundation for all core rehabilitation.

Sets: 2–3 Reps: 10–15 Hold: 5–10 sec Freq: 3–4×/week

Modification: Safe for even the most acute presentations — typically the first exercise prescribed after disc herniation.

Heel Slide Exercise for lumbar disc herniation — Palmer Chiropractic Kent WA
9
Heel Slide Exercise
Motor Control

Lie on your back and slowly slide one heel down the mat until nearly straight, keeping the lower back pressed in throughout. Challenges lumbar stability with hip flexor activation at low spinal load.

Sets: 3 Reps: 10/side Each Side: Yes Freq: 3–4×/week

Modification: Only slide to the point where you can keep your lower back pressed into the mat — stop before any arch develops.

Standing Hip Hinge for lumbar disc herniation — Palmer Chiropractic Kent WA
10
Standing Hip Hinge
Motor Control

Stand feet hip-width apart and hinge forward at the hips with a completely flat back to about 45°, then drive hips forward to return upright. Teaches proper spinal mechanics for bending and lifting — critical for preventing re-injury.

Sets: 3 Reps: 10–12 Each Side: No Freq: 3–4×/week

Modification: Hold a dowel along your spine to get tactile feedback for maintaining a flat back during the movement.

📅 Recommended Weekly Schedule

2–3
Sets per exercise
8–15
Reps per set
3–4×
Per week
⚠️ Important Safety Notice Stop any exercise that increases pain, causes numbness or tingling, or radiates pain down your leg. These exercises are a general guide and are not a substitute for professional chiropractic evaluation. If you are experiencing acute or severe symptoms, call Palmer Chiropractic in Kent, WA at (253) 854-7700 before beginning this program.
The most evidence-supported exercises include the Bird Dog, Dead Bug, Glute Bridge, Pelvic Tilt, and Knee-to-Chest Stretch. These target the deep lumbar stabilizers — multifidus and transverse abdominis — while minimizing compressive load on the affected disc. Brian J. Bussard DC at Palmer Chiropractic in Kent, WA designs individualized programs based on your specific level of herniation and symptoms.
Perform each exercise 2–3 sets of 8–15 reps, 3–4 times per week. Consistency over 6–8 weeks typically produces measurable improvement in pain and function. Call (253) 854-7700 to build a personalized program with Brian J. Bussard DC.
Yes. Chiropractic care combined with supervised rehabilitation exercise is one of the most researched first-line treatments for lumbar disc herniation. At Palmer Chiropractic in Kent, WA, Brian J. Bussard DC combines spinal adjustments, cold laser therapy, spinal decompression, and prescribed therapeutic exercise to address the root cause. Call (253) 854-7700 to schedule a new patient evaluation.
Most patients begin noticing reduced pain and improved mobility within 2–4 weeks of consistent exercise. Significant functional improvement is typically seen at 6–8 weeks. The SPORT trial (Weinstein et al., JAMA 2006) found patients with structured conservative care achieved outcomes comparable to surgical intervention at 2-year follow-up.
Several exercises here — particularly the Bird Dog, Dead Bug, Pelvic Tilt, and Glute Bridge — are considered safe and beneficial for many sciatica patients. However, exercises involving lumbar flexion may aggravate symptoms in some individuals. Always consult Brian J. Bussard DC before starting if you have confirmed sciatica or radiating leg pain.
  • Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21(23):2763–2769. PubMed
  • McGill SM. Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics. 2007. View Book
  • Weinstein JN, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT). JAMA. 2006;296(20):2441–2450. PubMed
  • Distefano LJ, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532–540. PubMed
  • Rubinstein SM, et al. Spinal manipulative therapy for chronic low-back pain. Cochrane Database Syst Rev. 2011. PubMed

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