Adapted and summarized from the American Academy of Orthopaedic Surgeons (AAOS).
Spine Conditioning Program
Download the full PDFBegin with 5–10 minutes of gentle, low-impact activity such as walking or a stationary bike. Stretch before strengthening, then repeat the stretches to finish.
Stretching
Head rollsGentle neck and upper-back mobility
- Sit tall or stand with your weight balanced evenly.
- Lower your chin toward your chest, roll toward one shoulder, and pause for 5 seconds.
- Return through center and repeat toward the other shoulder.
- Complete three slow circles in each direction without lifting your shoulders.
Kneeling back extensionRock forward and back with control
- Start on hands and knees with shoulders above hands.
- Shift forward onto your arms, gently round the shoulders, and let the low back settle for 5 seconds.
- Rock back toward your heels with arms long and hold another 5 seconds.
- Keep your gaze down so the neck stays in line with the spine.
Sitting rotation stretchControlled trunk rotation
- Sit on the floor with both legs forward, then cross one leg over the other.
- Turn toward the bent knee and place one hand behind you for support.
- Use the opposite arm against the bent thigh to deepen the turn gently.
- Look over the shoulder, hold 30 seconds, return to center, and switch sides.
Knee to chestLow-back and hip mobility
- Lie on your back with your spine resting evenly on the floor.
- Bring one knee toward the chest and hold the knee or shin.
- Brace your abdomen, keep the back grounded, and hold for 5 seconds.
- Switch legs, then draw both knees in together to complete the sequence.
Strengthening
Bird dogOpposite arm and leg reach
- Begin on hands and knees with shoulders and hips stacked over the joints below.
- Brace your abdomen and extend one arm to shoulder height.
- Reach the opposite leg straight back, keeping shoulders and pelvis level.
- Hold 15 seconds, return slowly, and change sides.
PlankFull-core endurance
- Lie face down and place forearms on the floor with elbows under shoulders.
- Brace the abdomen and gluteal muscles, then lift hips and knees.
- Hold a straight line from shoulders through heels for up to 30 seconds; use the knees for support if needed.
- Lower with control and rest 30 seconds before repeating.
Hip bridgePosterior-chain strength
- Lie on your back with knees bent, feet flat, and arms at your sides.
- Tighten the abdomen and gluteal muscles.
- Lift the pelvis until shoulders, hips, and knees form one line.
- Hold 15 seconds, then lower slowly without tensing the neck.
Abdominal bracingDeep-core control
- Lie on your back with knees bent and arms relaxed at your sides.
- Draw the abdominal wall inward while flattening the low back gently toward the floor.
- Keep breathing while you hold the contraction for 15 seconds.
- Release fully before the next repetition.
