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🧘 Lower back — Exercises Studied in Research

Real findings from published clinical studies. Not opinions, not ads — just what researchers actually found, with the evidence behind each approach.

Compiled and reviewed by: Milena OrlandićLicensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Nikola OrlandićLicensed Physiotherapist — Specialist in Applied Physiotherapy (Neurorehabilitation) · Bachelor of Pharmaceutical Technology

Evidence last updated:

Does it work? — what research found

Every approach studied for conditions in this area, sorted by where clinical guidelines stand — not by popularity. Open a condition below for its own evidence summary. Full details and dosing are part of the complete review.

ApproachWhat science says
Exercise Therapydone with a specialistStudies: 48 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +4Evidence supports it
General Home Exerciseyou can do this at homeStudies: 59 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +4Evidence supports it
Self-Management Programyou can do this at homeStudies: 9 · WHO 2023, Conservative management for lumbar radiculopathy based on the stage of the disorder +2Evidence supports it
Spinal Manipulationdone with a specialistStudies: 10 · ACP 2017 (Qaseem), WHO 2023 +2Evidence supports it
Advice to Stay Activeyou can do this at homeStudies: 4 · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Evidence supports it
McKenzie Method (Home)you can do this at homeStudies: 9 · McKenzie et al. 2025 (22-CPG synthesis, Spine J), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Evidence supports it
McKenzie Method (MDT)done with a specialistStudies: 11 · McKenzie et al. 2025 (22-CPG synthesis, Spine J), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Evidence supports it
Pain Neuroscience Educationyou can do this at homeStudies: 4 · McKenzie et al. 2025 (22-CPG synthesis, Spine J), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Evidence supports it
Pilates (Home)you can do this at homeStudies: 4 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and management +1Evidence supports it
Qigong (Home Practice)you can do this at homeStudies: 2 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +1Evidence supports it
Strengthening (Home)you can do this at homeStudies: 3 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +1Evidence supports it
Activity Advice / Stay Activedone with a specialistStudies: 2 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementEvidence supports it
Show all 102 approaches
ApproachWhat science says
Back School / Back Educationyou can do this at homeStudies: 12 · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord), Low back pain and sciatica in over 16s: assessment and managementEvidence supports it
Neurodynamic / Nerve Gliding (Home)you can do this at homeStudies: 3 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementEvidence supports it
Neurodynamic Mobilizationdone with a specialistStudies: 5 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementEvidence supports it
Patient Educationyou can do this at homeStudies: 19 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementEvidence supports it
Advice to Stay Activedone with a specialistStudies: 7 RCTs (as listed in Table 2 for Dahm 2010: '1923 (7 RCTs)') · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)Evidence supports it
Postural Exerciseyou can do this at homeStudies: 3 · WHO 2023Evidence supports it
CBT Self-Helpyou can do this at homeStudies: 3 · NICE NG59 (2016), ACP 2017 (Qaseem) +3May help
NSAIDsdone with a specialistStudies: 3 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +2May help
Cognitive Behavioural Therapy (CBT)done with a specialistStudies: 14 · NICE NG59 (2016), ACP 2017 (Qaseem) +1May help
Manual Therapydone with a specialistStudies: 6 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and management +1May help
Multidisciplinary Rehabilitationdone with a specialistStudies: 3 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and management +1May help
Cognitive Behavioral Therapy (CBT)done with a specialistStudies: 2 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementMay help
Dry Needlingdone with a specialistStudies: 4 · McKenzie et al. 2025 (22-CPG synthesis, Spine J), Low back pain and sciatica in over 16s: assessment and managementMay help
Low-Level Laser Therapy (LLLT)done with a specialistStudies: 4 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementMay help
Massage Therapydone with a specialistStudies: 1 · ACP 2017 (Qaseem), WHO 2023May help
Pain Neuroscience Education (PNE)done with a specialistStudies: 2 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementMay help
Relaxation Techniquesyou can do this at homeStudies: 3 · ACP 2017 (Qaseem), Low back pain and sciatica in over 16s: assessment and managementMay help
Self-Massage / Foam Rollingyou can do this at homeStudies: 2 · ACP 2017 (Qaseem), WHO 2023May help
Yogadone with a specialistStudies: 6 · ACP 2017 (Qaseem), Low back pain and sciatica in over 16s: assessment and managementMay help
Aerobic Exercise (Home)you can do this at homeStudies: 4 · McKenzie et al. 2025 (22-CPG synthesis, Spine J)May help
Cold / Cryotherapydone with a specialistStudies: 2 · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)May help
Cold Therapy (Self-Applied)you can do this at homeStudies: 3 · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)May help
Cupping Therapydone with a specialistStudies: 2 · Low back pain and sciatica in over 16s: assessment and managementMay help
Epidural Injectionsdone with a specialistStudies: 1 · NICE NG59 (2016)May help
Fear Avoidance Therapydone with a specialistStudies: 2 · McKenzie et al. 2025 (22-CPG synthesis, Spine J)May help
High-Intensity Laser Therapy (HILT)done with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementMay help
Low-Level Laser Therapy (LLLT)done with a specialistStudies: 2 · ACP 2017 (Qaseem)May help
Mindfulness / Meditationyou can do this at homeStudies: 6 · ACP 2017 (Qaseem)May help
Mobility Assistive Productsdone with a specialistStudies: 1 · WHO 2023May help
Operant Therapy / Graded Activitydone with a specialistStudies: 7 · ACP 2017 (Qaseem)May help
Post-Surgical Rehabilitation (Lumbar)done with a specialistStudies: 3 · Low back pain and sciatica in over 16s: assessment and managementMay help
Radiofrequency Denervationdone with a specialistStudies: 23 · NICE NG59 (2016)May help
Return to Work Programdone with a specialistStudies: 2 · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)May help
Spinal Mobilisation (Grade I-IV)done with a specialistStudies: 10 · NICE NG59 (2016)May help
Tai Chidone with a specialistStudies: 4 · ACP 2017 (Qaseem)May help
Tai Chi (Home Practice)you can do this at homeStudies: 2 RCTs · ACP 2017 (Qaseem)May help
Topical Capsaicin (Cayenne Pepper)done with a specialistStudies: 1 · WHO 2023May help
Walking Programyou can do this at homeStudies: 5 · ACP 2017 (Qaseem)May help
Yoga (Home Practice)you can do this at homeStudies: 7 · ACP 2017 (Qaseem)May help
Aquatic Exercise / Hydrotherapydone with a specialistStudies: 5 · not yet reviewedMay help
Core Stabilization (Home)you can do this at homeStudies: 10 · not yet reviewedMay help
Core Stabilization / Motor Control Exercisedone with a specialistStudies: 11 · not yet reviewedMay help
Electroacupuncturedone with a specialistStudies: 2 · not yet reviewedMay help
Heat Therapy (Self-Applied)you can do this at homeStudies: nine studies · not yet reviewedMay help
Interferential Current Plus Therapeutic Ultrasounddone with a specialistStudies: 1 · not yet reviewedMay help
Psychological Therapies (General)done with a specialistStudies: 31 trials · not yet reviewedMay help
Stabilization Plus Mobilizationdone with a specialistStudies: 1 · not yet reviewedMay help
Traction Plus Exercisedone with a specialistStudies: 1 · not yet reviewedMay help
Muscle Relaxantsdone with a specialistStudies: 49 trials included in review, 31 quantitatively analysed · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, ACP 2017 (Qaseem) +1Not enough research yet
EMG Biofeedbackdone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementNot enough research yet
Lumbar Surgery (vs Conservative Care)done with a specialistStudies: 1 · McKenzie et al. 2025 (22-CPG synthesis, Spine J)Not enough research yet
PEMFdone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementNot enough research yet
Pilatesdone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementNot enough research yet
Progressive Relaxationdone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementNot enough research yet
Tuina Massagedone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementNot enough research yet
Acceptance and Commitment Therapy (ACT)done with a specialistStudies: 2 · not yet reviewedNot enough research yet
ACT Self-Helpyou can do this at homeStudies: 4 · not yet reviewedNot enough research yet
Acupressuredone with a specialistStudies: 1 (secondary analysis of an RCT) · not yet reviewedNot enough research yet
Behavioural Therapydone with a specialistStudies: 8 · not yet reviewedNot enough research yet
Biofeedbackdone with a specialistStudies: 21 eligible studies including 23 treatment conditions · not yet reviewedNot enough research yet
Cannabis-Based Medicinesdone with a specialistStudies: 24 research-controlled trials · not yet reviewedNot enough research yet
Cognitive Functional Therapydone with a specialistStudies: 2 · not yet reviewedNot enough research yet
High Intensity Laser Therapy (HILT)done with a specialistStudies: 7 · not yet reviewedNot enough research yet
Intramuscular Electrical Stimulation (IMES)done with a specialistStudies: 1 · not yet reviewedNot enough research yet
Neuromuscular Electrical Stimulation (NMES)done with a specialistStudies: 2 · not yet reviewedNot enough research yet
Perturbation Trainingdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Shockwave Therapy (ESWT)done with a specialistStudies: 6 randomized clinical trials (RCTs) · not yet reviewedNot enough research yet
Stretching / Flexibility Exercisedone with a specialistStudies: 4 · not yet reviewedNot enough research yet
Telerehabilitationdone with a specialistStudies: 6 · not yet reviewedNot enough research yet
Traction Plus Stabilizationdone with a specialistStudies: 1 · not yet reviewedNot enough research yet
Virtual Reality Rehabilitationdone with a specialistStudies: 4 · not yet reviewedNot enough research yet
Acupuncturedone with a specialistStudies: 3 · NICE NG59 (2016), ACP 2017 (Qaseem) +3Science does not support itdepends on the stage of recovery
TENSdone with a specialistStudies: 5 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +3Science does not support it
Opioidsdone with a specialistStudies: 3 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +2Science does not support it
Therapeutic Ultrasounddone with a specialistStudies: 4 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016) +2Science does not support it
Interferential Current Therapydone with a specialistStudies: 5 · NICE NG59 (2016), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Science does not support it
Paracetamol / Acetaminophendone with a specialistStudies: 4 · NICE NG59 (2016), ACP 2017 (Qaseem) +1Science does not support it
Percutaneous Electrical Nerve Stimulation (PENS)done with a specialistStudies: 1 · NICE NG59 (2016), Conservative management for lumbar radiculopathy based on the stage of the disorder +1Science does not support it
Foot Orthotics / Insolesdone with a specialistStudies: 1 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016)Science does not support it
Lumbar Supports / Bracesdone with a specialistStudies: Sixteen randomized controlled trials (RCTs) were included in the systematic review, with eight studies analyzed in the meta-analysis · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016)Science does not support it
Lumbar Tractiondone with a specialistStudies: 1 · Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain, NICE NG59 (2016)Science does not support it
Lumbar Tractiondone with a specialistStudies: 6 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementScience does not support it
Spinal Mobilizationdone with a specialistStudies: 1 · Conservative management for lumbar radiculopathy based on the stage of the disorder, Low back pain and sciatica in over 16s: assessment and managementScience does not support it
Bed Rest (NOT RECOMMENDED)done with a specialistStudies: 3 studies · Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)Science does not support it
Benzodiazepinesdone with a specialistStudies: Four trials · McKenzie et al. 2025 (22-CPG synthesis, Spine J)Science does not support it
Electrical Stimulationdone with a specialistStudies: 1 · Low back pain and sciatica in over 16s: assessment and managementScience does not support it
Kinesiotapingdone with a specialistStudies: 2 · Low back pain and sciatica in over 16s: assessment and managementScience does not support it
Rocker Sole Shoesdone with a specialistStudies: 1 · NICE NG59 (2016)Science does not support it
Spinal Fusion (NOT RECOMMENDED)done with a specialistStudies: Four randomized controlled trials · NICE NG59 (2016)Science does not support it
Systemic Corticosteroidsdone with a specialistStudies: Thirteen trials · ACP 2017 (Qaseem)Science does not support it

What science does not support

These approaches are widely offered, but published research found they do not help for at least one condition in this area. Listed so you know — not as advice about any individual case.

  • TENSNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016) · Conservative management for lumbar radiculopathy based on the stage of the disorder · Low back pain and sciatica in over 16s: assessment and management · Belgian Guideline 2020 (Nielens)

  • OpioidsNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016) · ACP 2017 (Qaseem) · WHO 2023

  • Therapeutic UltrasoundNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016) · Low back pain and sciatica in over 16s: assessment and management · Belgian Guideline 2020 (Nielens)

  • Interferential Current TherapyNot supported by research

    NICE NG59 (2016) · Conservative management for lumbar radiculopathy based on the stage of the disorder · Low back pain and sciatica in over 16s: assessment and management

  • Paracetamol / AcetaminophenNot supported by research

    NICE NG59 (2016) · ACP 2017 (Qaseem) · WHO 2023

  • Percutaneous Electrical Nerve Stimulation (PENS)Not supported by research

    NICE NG59 (2016) · Conservative management for lumbar radiculopathy based on the stage of the disorder · Low back pain and sciatica in over 16s: assessment and management

  • Foot Orthotics / InsolesNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016)

  • Lumbar Supports / BracesNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016)

  • Lumbar TractionNot supported by research

    Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain · NICE NG59 (2016)

  • Lumbar TractionNot supported by research

    Conservative management for lumbar radiculopathy based on the stage of the disorder · Low back pain and sciatica in over 16s: assessment and management

  • Spinal MobilizationNot supported by research

    Conservative management for lumbar radiculopathy based on the stage of the disorder · Low back pain and sciatica in over 16s: assessment and management

  • Bed Rest (NOT RECOMMENDED)Not supported by research

    Zhou et al. 2024 (22-CPG synthesis, BMC Musculoskelet Disord)

  • BenzodiazepinesNot supported by research

    McKenzie et al. 2025 (22-CPG synthesis, Spine J)

  • Electrical StimulationNot supported by research

    Low back pain and sciatica in over 16s: assessment and management

  • KinesiotapingNot supported by research

    Low back pain and sciatica in over 16s: assessment and management

  • Rocker Sole ShoesNot supported by research

    NICE NG59 (2016)

  • Spinal Fusion (NOT RECOMMENDED)Not supported by research

    NICE NG59 (2016)

  • Systemic CorticosteroidsNot supported by research

    ACP 2017 (Qaseem)

Whether any of this applies to your situation is something your physiotherapist or doctor can assess after examining you.

Frequently asked

What works for Lower back according to research?

Research supports: Exercise Therapy, General Home Exercise, Self-Management Program, Spinal Manipulation, Advice to Stay Active, McKenzie Method (Home). Based on Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain; NICE NG59 (2016); ACP 2017 (Qaseem).

What does not work for Lower back according to research?

Research found no benefit from routine use of: TENS, Opioids, Therapeutic Ultrasound, Interferential Current Therapy, Paracetamol / Acetaminophen, Percutaneous Electrical Nerve Stimulation (PENS). Based on Belgian KCE 2020 (Van Wambeke) — LBP and Radicular Pain; NICE NG59 (2016); Conservative management for lumbar radiculopathy based on the stage of the disorder.

How much research is this based on?

For Lower back, 102 approaches were evaluated, of which 77 have been reviewed by research bodies. Every data point traces to a published source.

Educational InformationPhysioSense is an educational reference tool based on published research. It does NOT replace a medical examination or physiotherapy assessment. If you have severe pain, new symptoms, or are unsure — see a doctor or physiotherapist. You always make the final decision about your exercise. Pain is a signal to stop.