Pain information and resources for patients seeking the care of a pain medicine professional.

7 Exercises for Reducing Chronic Pain

It’s essential for people who suffer from pain to take ownership of their health. Part of this responsibility is to take the advice of their pain management doctors and do recommended home exercises to relieve discomfort. FSIPP can help patients find pain management doctors nearby to treat and relieve pain. Doctors prescribe exercises to offer lower back pain relief, knee pain relief, and various common pain issues.

Common exercises for reducing chronic pain are:

Cardio exercises

Cardiovascular exercise has several physical and mental benefits and can be particularly helpful for people with chronic pain. Cardio can be done any time of day and often requires little or no equipment. Try these two exercises.

Walking

Walking 30 minutes 3 to 5 times per week can help increase strength, endurance, and heart health. If walking is challenging for you, start slow and work your way up to longer walks as you get stronger. If you use a walker or a cane, make sure to take it with you.

Swimming and water aerobics

This is an excellent alternative to walking for people with mobility issues. This low-impact cardiovascular exercise can help keep you moving without putting added stress on your joints and muscles. Swimming can often be therapeutic, and it’s a great way to clear your mind.

Relaxation exercise

Relaxation exercises are important for many people who live with chronic pain. Visualization requires no equipment and can be done anywhere.

Deep breathing and visualization

Lie on your back or another comfortable position on the bed or floor.
Place your hands on your belly and relax your shoulders and feet.
Close your eyes and take a deep breath in through your nose. Exhale through your mouth, being sure to release all of the air.
Continue breathing in through your nose and out through your mouth, feeling your belly rise under your fingertips with each breath.
Continue this pattern and visualize pain leaving your body with every breath.
Repeat every evening before bed or throughout the day as needed.

Stretching exercises

If you have chronic pain in your low back or neck, stretching can relieve tension and stiffness. Try these equipment-free stretches for the back and neck to improve overall mobility and facilitate proper movement.

Low back and glute stretch

Lie on your back on the floor.
Bring your knees towards your chest, then wrap your arms around your knees and give yourself a gentle hug.
Rock side to side, feeling a stretch through your hips and low back.
Try crossing one leg over the other for an added glute and piriformis stretch.
Stand or sit beside a door.
Raise your elbow above the shoulder on the side you want to stretch.
Rest your elbow against the door jam. This will rotate the outside of the shoulder blade up.
Next, turn your head away from that side and bring your head to look down.
Gently deepen the stretch by placing your free hand on top of your head and applying slight pressure.

Levator scapula and neck stretch

Sit up straight with both hands at the sides.
Raise the right arm forwards and reach over the back with the hand grasping the right shoulder blade and applying downward pressure. (This step rotates the shoulder blade downward, which helps lengthen the levator scapulae muscle even more before it is stretched. If raising the elbow above the shoulder is too complicated at first, this step can be skipped.)
While keeping everything else still, rotate the head to the left about 45 degrees (which is about halfway toward the shoulder).
Tilt the chin downward until a good stretch is felt on the back right side of the neck.
To increase the stretch further, the left hand can be brought up to the back of the head to gently pull down a little more.
Hold for 30 to 60 seconds, or as tolerated.
Repeat on other side.

Strengthening exercises

Relaxation exercises are important for many people who live with chronic pain. Visualization requires no equipment and can be done anywhere.

Building strength is important for stabilizing the joints and preventing future injuries.

For people living with chronic pain, adequate core strength is especially important. It helps you maintain proper posture and balance and reduces the risk of injuries that could lead to more pain.

Working the muscles of the abdomen, hips, and back can help improve core strength and stability. Try the exercises below.

Dead bug

Begin by lying on your back with your arms extended above you, like you’re reaching for the ceiling.
Lift your feet into the air and bend your knees to 90 degrees. Engage your core by relaxing your ribcage and drawing your bellybutton down towards the floor.
Exhale, then extend your left leg down towards the floor without letting it touch. At the same time, extend your right arm towards the floor above your head. Hold this position for 1 second. Return to starting position.
Repeat on the other side. Do 10 repetitions on each side.
Start by kneeling on all fours with your wrists under your shoulders and knees under your hips.
Create a flat back. Draw your shoulder blades down your back and engage your core by pulling your bellybutton up towards your spine. Do not let your back arch throughout this movement.
Extend one leg straight out behind you. Lower the leg, tapping your toe on the floor, then lift. Do not lift the leg above hip level. Repeat 10 times, keeping your core activated throughout the exercise and moving nothing but your leg.
Repeat on the other side.
You can increase the intensity of this exercise by kneeling on a small stability ball or foam roller.

Leg lifts on all fours

Start on all fours with right leg extended long on mat.
Squeeze right glute and hamstring to lift right leg up towards the ceiling. Slowly lower and repeat for desired number of reps. Make sure to keep abs tight and back straight.
Repeat with left leg extended

Warnings

Always consult your doctor before starting an exercise program. Specific exercises may vary depending on the origin of your chronic pain. It’s always best to consult a physical therapist for a personalized exercise routine. Certain conditions, such as fibromyalgia, may lead to increased pain with exercise, so start slow and monitor your symptoms.

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FSIPP is the largest pain society in the state of Florida. With over 250+ active members, our mission is to promote the development and practice of safe, high-quality, cost-effective interventional pain management techniques. We are the Voice of Pain Medicine in Florida.