Is Walking Good For Lower Back Pain? Answers From PTs

When your back hurts, your first thought might not be to get up from your comfy couch, lace up your sneakers, and head out for a walk. But maybe it should be.

Walking is one of the best things you can do for your back, both to help relieve a current flare-up and prevent future pain episodes.

Why is Walking Good for Lower Back Pain?

If movement is medicine, as we like to say at Hinge Health, then walking should be in your daily pill pack. Consider all the benefits that walking, as an exercise, brings to your body (including your back) and mind:

• Muscle strengthening. Walking tones your leg and core muscles, which shifts pressure and weight from your back to these other muscles.

• Improved flexibility. Walking helps you maintain a healthy range of motion around your spine. “As you move surrounding muscles, you allow your spine to rotate, which helps stretch it and reduce risk of injury,” explains Dr. Broach. 

• Weight control. A brisk 30-minute walk burns about 100 to 200 calories depending on factors like your weight and walking pace. Maintaining a healthy weight can help reduce arthritis-related pain, including lower back pain. 

• Bone strengthening. Brisk walking can help improve bone mineral density — a risk factor for osteoporosis and bone fractures, according to a 2022 study published in the journal PLOS One. 

• Mood benefits. Walking releases natural pain-relieving endorphins. This can help you cope better with back pain. 

Should You Count Your Steps?

“When you use steps as a goal, it encourages you to continue to walk,” explains Dr. Broach. Research shows that there are good reasons to count steps every day. A 2019 study published in PLOS Medicine found that people who use pedometers (or step trackers) get about 30 more minutes a week of moderate to vigorous physical activity than those who didn’t use them. They’re also 44% less likely to experience bone fracture and 66% less likely to have a serious cardiovascular event like a heart attack or stroke. 

Start with a reasonable goal. If you find at first that you only walk 1,000 steps a day, don’t try to jump to 5,000 right away. Instead, try to increase your amount of walking by about 500 steps a week until you reach your goal.

Here’s another interesting tidbit. While you may have heard that 10,000 steps a day is ideal, you can reap powerful health benefits with far fewer. A 2022 review of 15 studies published in Lancet Public Health found that the risk of premature death for people under the age of 60 leveled off at about 8,000 steps per day. For older adults, it was even lower — about 6,000. 

In other words, don’t let that “magic number” of 10,000 steps be a deterrent. Walking any amount brings a host of health benefits for you (and your back pain).

Walk to Connect with Nature

Walking is good for you no matter where you do it, whether on a beautiful hiking trail or a dusty basement treadmill. There are some advantages to walking outdoors. A 2020 review published in the journal Environmental Research concluded that being in “greenspace” — natural environments such as gardens, parks, or forests — helps reduce chronic pain. 

It may do this by cultivating mindfulness, which has also been shown to help relieve back pain, notes Dr. Broach. Being in nature may also help:

• Boost your immune system

• Lower blood pressure 

• Reduce stress

• Improve mood

• Increase your ability to focus

• Improve recovery from surgery or illness

• Increase energy levels

• Improve sleep

Walking itself is important for a healthy back, but adding those stretching and strengthening moves to your routine (either before or after you walk) is even better.

The information contained in these videos is intended to be used for educational purposes only and does not constitute medical advice or treatment for any specific condition. Hinge Health is not your healthcare provider and is not responsible for any injury sustained or exacerbated by your use of or participation in these exercises. Please consult with your healthcare provider with any questions you may have about your medical condition or treatment.

PT Tip: Pick the Right Terrain

The right walking environment can make a big difference. Walking up and down hills, for example, may put stress on your back. “If your back bothers you, stick with a flat surface, such as a local track,” advises Broach.

How Hinge Health Can Help You

If you have joint or muscle pain that makes it hard to move, you can get the relief you’ve been looking for with Hinge Health’s online exercise therapy program.

The best part: You don’t have to leave your home because our program is digital. That means you can easily get the care you need through our app, when and where it works for you.

Through our program, you’ll have access to therapeutic exercises and stretches for your condition. Additionally, you’ll have a personal care team to guide, support, and tailor our program to you.

See if you qualify for Hinge Health and confirm free coverage through your employer or benefit plan here.

This article and its contents are provided for educational and informational purposes only and do not constitute medical advice or professional services specific to you or your medical condition.

References:

1. Viollt, A., & Oshman, L. (2018). For adults with chronic low back pain, is a prescribed walking program as effective as formal physical therapy? Evidence-Based Practice, 21(8), 44–44. doi:10.1097/01.ebp.0000545092.83906.f0

2. Robson, E. K., Hodder, R. K., Kamper, S. J., O’Brien, K. M., Williams, A., Lee, H., Wolfenden, L., Yoong, S., Wiggers, J., Barnett, C., & Williams, C. M. (2020). Effectiveness of Weight-Loss Interventions for Reducing Pain and Disability in People With Common Musculoskeletal Disorders: A Systematic Review With Meta-Analysis. The Journal of Orthopaedic and Sports Physical Therapy, 50(6), 319–333. doi:10.2519/jospt.2020.9041

3. Lan, Y. S. & Feng, Y. J. (2022). The volume of brisk walking is the key determinant of BMD improvement in premenopausal women. PLOS One, 17(3): e0265250. doi:10.1371/journal.pone.0265250

4. Paluch, A. E., Bajpai, S., Bassett, D. R., Carnethon, M. R., Ekelund, U., Evenson, K. R., Galuska, D. A., Jefferis, B. J., Kraus, W. E., Lee, I-Min., Matthews, C. E., Omura, J. D., Patel, A. V., Pieper, C. F., Rees-Punia, E., Dallmeier, D., Klenk, J., Whincup, P. H., Dooley, E. E., & Pettee Gabriel, K. (2022). Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts. The Lancet Public Health, 7(3), e219–e228. doi:10.1016/S2468-2667(21)00302-9

5. Stanhope, J., Breed, M. F., & Weinstein, P. (2020). Exposure to greenspaces could reduce the high global burden of pain. Environmental Research, 187, 109641. doi:10.1016/j.envres.2020.109641

6. Immerse Yourself in a Forest for Better Health. (n.d.). New York State Department of Environmental Conservation. Retrieved from https://www.dec.ny.gov/lands/90720.html