Back pain: Why exercise can provide relief – and how to do it safely

Although exercise and physical activity are widely recommended for people in pain, researchers are still examining how and why it works, and what dose is best for pain relief.

The traditional view of how exercise helps relieve pain has focused on how exercise impacts the structures surrounding the spine – for example, by of the muscles in the spine and abdomen. While these ideas are supported in part by research, they don’t explain fully why exercise can relieve back pain. in the nervous system, including in the brain. Essentially, exercise directly influences how we experience pain by decreasing our sensitivity to potentially damaging stimuli. This phenomenon is known as exercise-induced hypoalgesia.

In research on pain-free adults, a single bout of high-intensity aerobic exercise is able to trigger these pain relief effects for approximately These pain-relieving effects are underpinned by several interacting mechanisms – most notably the release of the body’s , such as endocannabinoids, adrenaline, noradrenaline, endorphins and serotonin – within the nervous system and via the circulatory system.

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