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Your Guide to Effective Physiotherapy Exercises for Back and Knee Pain

  • Writer: Normie Lou Nudalo
    Normie Lou Nudalo
  • 5 days ago
  • 5 min read

Do you find yourself among the countless individual afflicted by the constant annoyance of back or knee pain? These common ailments can definitely hold you back from even the simplest of daily activities, making them feel like gargantuan efforts. Fortunately, physiotherapy is one phenomenal method to provide relief and rehabilitate from such pain. In this guide, we will outline the principles and a few effective physiotherapy exercises you can utilize to relieve back and knee pain management. Please consult an accredited healthcare professional before embarking on any new exercise regimen.


physiotherapy exercises

Understanding Back and Knee Pain


To effectively address your pain, it's beneficial to understand some of the common culprits behind it.


Common Causes of Back Pain:

  • Muscle Strain or Sprains: Usually caused by sudden movements or heavy lifting.

  • Intervertebral Disc Problems: Herniation or bulging of a disc can press on a nerve.

  • Sciatica: Pain radiating down the leg due to irritation of the sciatic nerve.

  • Poor Posture: Maintaining an unnatural alignment for a prolonged period could stress the back.

  • Arthritis: Degenerative conditions affecting the joints in the spine.


Common Causes of Knee Pain:

  • Osteoarthritis: Degeneration of the cartilage in the knee joint due to wear and tear. 

  • Ligamentous Injuries: Injury to or sprain of the anterior cruciate ligament (ACL), medial collateral ligament (MCL), posterior cruciate ligament (PCL), or lateral collateral ligament (LCL). 

  • Meniscal Tears: Injury to the shock-absorbing cartilage in the knee joint. 

  • Patellofemoral Pain Syndrome: Pain around the kneecap due to imbalance of muscle strength. 

  • Tendinitis: Inflammation of the tendons surrounding the knee joint.


The Indispensable Role of Effective Physiotherapy Exercises

Physiotherapy works very well for the treatment of both knee and back pains, and those exercises help in active management of the problem. These targeted movements are aimed at:


  • Strengthening Supporting Muscles: Stronger muscles around the spine and knees enhance stability and reduce stress loads. 

  • Increasing Flexibility and Range of Motion: Greater freedom in movement equates to greater ease in daily functions and decreased stiffness. 

  • Reducing Pain and Inflammation: At the right intensity, exercises may serve to increase circulation and decrease inflammation. 

  • Promoting Healing of Tissue: Controlled movement may facilitate the healing of damaged tissues. 

  • Preventing Future Reoccurrence: Good strength and flexibility will help to prevent further injuries.


It is important to note that the proper form and technique in performing these exercises should be stressed. This allows for maximum therapeutic gain and the least risk of aggravation of your condition.


Effective Physiotherapy Exercises for Back Pain


Here are some exercises commonly recommended by physiotherapists for back pain:


  • Core Strengthening Exercises:

    • Pelvic Tilts: Subtle rocking of the pelvis forward and backward while lying supine. 

    • Bird-Dog: Extending the opposite arm and leg while on all fours, keeping the spine neutral. 

    • Plank (Beginners' modifications apply): Sustaining a straight line from head to heels while balancing on the forearms and toes (substituting knees where necessary). 

    • Side Plank: Supporting the body by one forearm and the side of the foot, lifting the hips off the floor.


  • Flexibility and Mobility Exercises:

    • Knee-to-Chest Stretch: Gently bring one knee toward your chest while lying on your back. 

    • Piriformis Stretch: Bring your knees up so that they are bent, one of them having an ankle on the other knee, and draw the thigh toward your chest.

    • Cat-Cow: Transition from an arched back to a rounded back while on hands and knees. 

    • Lower Back Rotational Stretch: Lie on your back with knees bent and let both knees fall off towards one side. 

    • Lower Back Rotational Stretch: Lying flat on your back with bent knees, gently allow both knees to fall toward one side while keeping the shoulders on the ground.


  • Low-Impact Aerobic Exercises (to be incorporated gradually):

    • Gentle walking

    • Swimming

    • Stationary cycling


Effective Physiotherapy Exercises for Knee Pain


The following exercises are often prescribed by physiotherapists to address knee pain:


  • Quadriceps Strengthening Exercises:

    • Quadriceps Sets: The muscle in front of your thigh is contracted while sitting or lying down with a straight leg. 

    • Straight Leg Raises: Lifting a straight leg upwards, while on your back, or face down. 

    • Wall Squats (partial range): With feet apart, slide down along a wall, descending only as far as comfortable. 

    • Step-Ups: Stepping onto a low platform, one foot at a time.


  • Hamstring Strengthening Exercises:

    • Lying Hamstring Curls (or Standing Hamstring Curls): Bend your knee up until your heel goes towards your buttocks.

    • Glute Bridges: While lying upright with knees bent and feet flat on the ground, lift your hips off the ground.


  • Flexibility and Mobility Exercises:

    • Heel Slides: Lying supine, slide the heel along the floor toward the buttocks. 

    • Calf Stretching (gastrocnemius and soleus): Stretching the upper and lower calf muscles against a wall or step.

    • Hamstring Stretching (various types): Stretching the back muscles of your thigh while standing or sitting.


  • Balance Exercises (important for overall knee health):

    • Single leg stands (holding onto a support if needed initially).

    • Tandem stance (standing with one foot directly in front of the other).


Important Considerations When Performing Exercises


When undertaking these exercises, please bear the following in mind:


  • Your Body is Your Boss: Stop any practice invasions that waste your energy time and gain until a certain movement stops causing sharp or progressive pain. Mild discomfort should be expected, but sharp, severe pain will most definitely signal stopping.

  • Gradual Start: Start with less repetitions and low intensity exercise so that eventually you can increase these as your strength improves, and so does your ability to tolerate pain.

  • Correct Form First: A correct form should be focused on under maximum intensity with teaching one how to make proper movement. If unsure about how to do it, contact an available physiotherapist for guidance.

  • Ensure Repetition: These intense workouts should be repeatedly performed so that you can care and maintain good results.

  • Include Variations: Tailor make the exercises to suit your physical capabilities and pain threshold currently. A physiotherapist can offer the tailored variations.


When Professional Physiotherapy Intervention is Necessary


While these exercises can be beneficial, certain situations warrant the expertise of a qualified physiotherapist:


  • Persistent or severe pain that does not improve with home exercises.

  • Pain that keeps getting worse despite your hard effort.

  • Pain with a neurological accompaniment, such as numbness, tingling, or weakness.

  • Pain associated with a certain injury.


Physiotherapy assessments are thorough and include a diagnosis of one's specific case and development of an effective exercise program tailored to individual needs and goals.



For instance, effective physiotherapy exercises provide an empowering, efficient avenue by which one can learn to manage or alleviate debilitating back and knee pain. If one understands the real cause of the problem and consistently puts these exercises to work (with a guiding physiotherapy professional), one can take proactive steps toward alleviating it in the long run while improving one's quality of life. We encourage you to consult a physiotherapist and obtain an individual assessment, followed by an appropriately tailored exercise program to address your needs specifically. Take charge of your pain and begin the journey to a more comfortable and active lifestyle.


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