Core training can form part of an approach to lower back pain. However, back pain does not automatically mean your core is weak.
Often, no single clear cause can be identified. Training demands, recovery and psychosocial factors may also play a role.
A Cochrane review of chronic lower back pain concluded that exercise therapy probably reduces pain compared with no treatment, usual care or placebo. Another Cochrane review found no clinically important advantage of motor control exercise over other forms of exercise.
Targeted trunk training can therefore be a useful option, while other forms of movement and exercise can also be valuable.
The WHO guideline for chronic primary lower back pain emphasises an individual approach that may combine exercise, education and other appropriate care.
The exercises below are intended for general training. If you have persistent back pain or are unsure which demands are appropriate for you, speak to a physiotherapist or GP.
5 exercises to improve core stability
Choose a variation that allows controlled movement and comfortable breathing. Brace your trunk sufficiently for the exercise without straining maximally.
Start with an easier variation. You do not need to perform all five exercises immediately.
1. Dead bug: trunk control while your arms and legs move
- Lie on your back. Reach your arms upwards and bend your hips and knees to approximately 90 degrees.
- Gently engage your abdominal muscles and keep your pelvis steady.
- Slowly move one arm overhead and extend the opposite leg forwards.
- Stop before your lower back noticeably arches further. Return to the starting position and switch sides.
Starting point: 6–8 repetitions per side at a controlled pace.
Easier variation: keep your arms still and alternately tap one heel towards the floor. Reduce the movement range if needed.
Technique tip: reaching the floor is not the goal. Choose a range you can control.
2. Bird dog: controlling rotation and excessive arching
- Start on your hands and knees, with your hands beneath your shoulders and knees beneath your hips.
- Reach one arm forwards and the opposite leg backwards.
- Keep your pelvis as steady as possible and look towards the floor.
- Pause for 2–3 seconds, return and switch sides.
Starting point: 6 repetitions per side.
Easier variation: move only an arm, or slide one foot backwards while keeping your toes on the floor.
Technique tip: reach out rather than up. Lifting your leg high can encourage extra movement through your lower back.
3. Pallof press: resisting rotation
- Secure a resistance band at chest height, or use a cable machine.
- Stand side-on to the anchor point. Hold the band or handle with both hands in front of your chest.
- Slowly press your hands forwards while keeping your chest and pelvis facing ahead.
- Pause briefly, then bring your hands back. Repeat on the other side.
Starting point: 8–10 repetitions per side.
Easier variation: reduce the resistance or keep your hands closer to your chest.
Technique tip: your arms move while your trunk resists the sideways pull. Reduce the resistance if you repeatedly rotate towards the anchor point.
4. Side plank: training the side of your trunk
- Lie on your side, supporting yourself on your forearm with your elbow beneath your shoulder.
- Bend your knees and lift your hips off the floor.
- Keep your shoulders, hips and knees approximately in line.
- Continue breathing comfortably, then lower your hips with control.
Starting point: 15–25 seconds per side. Start with a shorter hold if needed.
Harder variation: straighten your legs and support yourself on your feet once the bent-knee version feels manageable.
Technique tip: finish the set when your position changes noticeably. You do not need to chase a several-minute plank record.
5. Suitcase carry: trunk control while walking
- Hold a light dumbbell or kettlebell beside your body in one hand.
- Stand upright and look ahead.
- Walk with controlled steps, avoiding a pronounced lean to either side.
- Put the weight down with control and switch hands.
Starting point: 20–30 seconds per side.
Easier variation: use a lighter weight or begin by standing still.
Technique tip: leave enough space to walk freely. The weight should be challenging without substantially changing your walking pattern.