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Home » Articles » Low Back Pain » Is Walking Good For Lower Back Pain?

Is Walking Good For Lower Back Pain?

By: Courtney Livingston, PT, DPT and Leon Turetsky (NASM-CPT, NASM-CES), Last Updated: February 28, 2023

Walking for Back Pain - Back Intelligence

Often low back pain is caused by lifestyle choices like sitting too long, lack of consistent exercise, or bending and lifting improperly rather than any specific pathology.[1]

It is important to recognize that movement early in your recovery process will improve your pain, not make it worse.[1]

Exercise, mobility work, bracing, core strength have all shown to be effective at reducing Low Back Pain,[2] but what about walking?.

Incorporating walking into your daily routine is one way to increase physical activity and improve low back pain.[6]

What does the research say?

Walking has been shown to be just as effective as exercise at reducing Low back pain. In one study, researchers compared the effectiveness of walking with other forms of physical exercise. They found that low back pain, disability, and quality of life improved the same amount whether someone was walking or performing other forms of exercise. However, walking didn’t show to be superior to other physical modalities.[3]

In another study, walking proved to be effective at reducing chronic pain, as well as increasing muscle endurance (aka strength) in the low back.[2]

And this study found: “Low- to moderate-quality evidence suggests that walking intervention in patients with chronic LBP was as effective as other non-pharmacological interventions on pain and disability reduction in both short- and intermediate-term follow-ups.”[5]

This means that walking can be a great, inexpensive alternative to physical exercise when addressing low back pain.

Benefits of Walking:

  • Increases muscle endurance[2]
  • Decreases low back pain[3][4]
  • Decreases stress
  • Improves quality of life
  • Less expensive alternative to physical therapy[3]
  • Decreased risk of tissue damage or other injuries[11]
  • Improves mood and work status[10]
  • Decreases the need for pain medication

The question then becomes, how much walking is enough to improve your pain?

A study published in The Spine Journal in 2019 attempted to understand the relationship between weekly walking duration and low back pain in the Korean general population. Based on questionnaires, 482 participants over the age of 50 years old provided information about how much they walk and answered questions about their medical history including history of back pain.  They were classified into two categories of walking: 30 minutes per day, and 1 hour per day. The results showed that the risk of low back pain decreased as the walking days and duration increased. Therefore, the results showed that walking 3 days a week for more than 30 minutes is significantly associated with a lower risk of LBP for those over 50 years old.[4]

Recommendation for walking duration to improve low back pain: 30 minutes to 1 hour of walking at least 3 days a week[4]

What if you have to sit or stand for a long time at work?

Static positions like sitting or standing for a long time can aggravate low backs and lead to achiness and pain. One study showed that taking short, 5-minute walking breaks every 25 minutes decreased the percentage of people who developed low back pain.[7]

This suggests that inserting short walks throughout your day may provide essential movement that your back needs to prevent the onset of low back pain.

Recommendation for walking breaks: 5-minute walking break every 25 minutes of prolonged standing or sitting

Contraindications for walking:[12]

  • Anyone who is at an increased risk for arrhythmias, cardiovascular collapse, or respiratory distress with walking at a usual pace.
  • Anyone who has had a myocardial infarction or unstable angina in the prior month should wait to begin a walking program on their own and consult a medical professional first.
  • Make sure to stop walking and see a medical professional if you start experiencing excessive fatigue, chest pain that gets worse with increased effort, or any other symptom that does not subside at rest.

Walking Program:

  1. Start with two 10min walks each day.
  2. Work up to walking 20-30 min per day. Try to do it around the same time each day to begin building a habit.
  3. Once you can walk for more than 30 min at a time, add “long days” into your week. This means 2-3 days a week walk up to an hour then go lighter the following day. Your body needs longer periods of recovery as the duration and intensity of walking increases.

Below is a weekly schedule that you can work up to. You can add light 1-3 lb weights in your arms as you walk and increase your speed to progress your walking workouts.

Monday: 1-hour walk
Tuesday: 30 min walk plus stretches
Wednesdays: 1-hour walk
Thursday: 30 min walk plus stretches
Friday: 30 min walk plus stretches
Saturday: 1-2 hour walk (LONG DAY)
Sunday: Recovery light walking throughout the day

Shoe Tips:

  • MAKE SURE YOU HAVE GOOD WALKING SHOES. TAKE CARE OF YOUR FEET!
  • You should replace your shoes every 6-12 months and rotate among different pairs.
  • By re-distributing your weight in different shoes, it can give some structures of your feet rest and strengthen others.

Walking Tips:

  • Imagine a balloon attached to your head and pulling you straight up. You want to walk tall rather than sinking into your hips.
  • Slightly lean forward from your hips and propel yourself forward with your buttocks.
  • Brace your core as you walk (Contract your abs)
  • Step onto a bent knee, not with a locked knee.
  • Swing the opposite arm to the leg stepping forward.
  • Walk at the pace that feels right for you (pain-free)
  • Let your arms swing somewhat freely (with relaxed shoulders)
  • Breathe normally as you walk.

In summary, walking can be a great way to prevent or improve low back pain. Try walking for short periods first, and then progress gradually.

If you are worried that your low back pain will not improve, talk to your physical therapist, chiropractor, or another licensed medical practitioner about how you can recover faster (Also check out our programs). If your low back pain becomes chronic you may benefit from exercises that are more intense than walking.

Your physical therapist can help develop an individualized exercise program that will improve your endurance and strength and decrease your pain. Low back pain is not to be feared! Walking is a great place to start.

Recommended Program:
The Complete Posture Fix (With Dr. Oliver)
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Sources:


[1] Delitto A, George SZ, Van Dillen L, et al. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1-A57. doi:10.2519/jospt.2012.42.4.A1


[2] Suh, JM, Kim, Hayoung BS, Jung GP, Ko JY, Ryu JS. The effect of lumbar stabilization and walking exercises on chronic low back pain. Medicine. 2019;98(26): e16173. doi: 10.1097/MD.0000000000016173

[3] Vanti C, Andreatta S, Borghi S, Guccione AA, Pillastrini P, Bertozzi L. The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials. Disabil Rehabil. 2019;41(6):622-632. doi:10.1080/09638288.2017.1410730

[4] Park S, Kim G, Kim H et al. Walking more than 90minutes/week was associated with a lower risk of self-reported low back pain in persons over 50years of age: a cross-sectional study using the Korean National Health and Nutrition Examination Surveys. The Spine Journal. 2019;19(5):846-852. doi:10.1016/j.spinee.2018.11.007

[5] Sitthipornvorakul E, Klinsophon T, Sihawong R, Janwantanakul P. The effects of walking intervention in patients with chronic low back pain: A meta-analysis of randomized controlled trials. Musculoskelet Sci Pract. 2018;34:38-46. doi:10.1016/j.msksp.2017.12.003

[6] O’Connor SR, Tully MA, Ryan B, et al. Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis [published correction appears in Arch Phys Med Rehabil. 2015 Jun;96(6):1182]. Arch Phys Med Rehabil. 2015;96(4):724-734.e3. doi:10.1016/j.apmr.2014.12.003

[7] Gallagher KM, Payne M, Daniels B, Caldwell AR, Ganio MS. Walking breaks can reduce prolonged standing induced low back pain [published online ahead of print, 2019 Mar 22]. Hum Mov Sci. 2019;66:31-37. doi:10.1016/j.humov.2019.03.012



[8] Hendrick P, Te Wake AM, Tikkisetty AS, Wulff L, Yap C, Milosavljevic S. The effectiveness of walking as an intervention for low back pain: a systematic review. Eur Spine J. 2010;19(10):1613-1620. doi:10.1007/s00586-010-1412-z

[9] Kim H, Min TJ, Kang SH, Kim DK, Seo KM, Lee SY. Association between walking and low back pain in the Korean population: A cross-sectional study. Ann Rehabil Med. 2017;41(5):786-792. doi:10.5535/arm.2017.41.5.786


[10] Sculco AD, Paup DC, Fernhall B, Sculco MJ. Effects of aerobic exercise on low back pain patients in treatment. Spine J. 2001;1(2):95-101. doi:10.1016/s1529-9430(01)00026-2


[11] Callaghan JP, Patla AE, McGill SM. Low back three-dimensional joint forces, kinematics, and kinetics during walking. Clin Biomech (Bristol, Avon). 1999;14(3):203-216. doi:10.1016/s0268-0033(98)00069-2


[12] Bittner V, Singh S. The 6 minute walk test. The Cardiology Advisor. https://www.thecardiologyadvisor.com/home/decision-support-in-medicine/cardiology/the-6-minute-walk-test/. Published 2020. Accessed October 24, 2020.


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Dr. Courtney Livingston
Courtney Livingston, PT, DPT

Dr. Courtney Livingston is a Doctor of Physical Therapy and certified Strength and Conditioning Specialist. She graduated from the MGH Institute of Health Professions and is currently working as an orthopedic physical therapist in the Dance Medicine Program at Spaulding Rehabilitation Hospital outside of Boston, Massachusetts.  She treats all ages and backgrounds and particularly enjoys working with Salsa, Bachata and Ballroom dancers.

Co Authors :

Leon Turetsky CEO of Back Intelligence
Leon Turetsky (NASM-CPT, NASM-CES)

Corrective Exercise Specialist (NASM-CES), Certified Personal Trainer (NASM-CPT), Professional Dancer

As a long time back sufferer Leon found unique methods to alleviate his pain using natural methods including self massage, exercise/stretching and postural habits. He founded Backintelligence.com to empower others to fix their postures and ease their back pain from home.

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