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Is Your Back Out Of Whack? These 4 Simple Exercises Will Help You Realign Your Spine

Jill Dailey
Author: Expert reviewer:
January 17, 2020
Jill Dailey
Founder of The Dailey Method
By Jill Dailey
Founder of The Dailey Method
Jill Dailey is a trained kinesiologist and the founder of The Dailey Method, a barre class focusing on micro-movements and stretches to strengthen and condition.
Sarah Kostyukovsky, PT, DPT, OCS
Expert review by
Sarah Kostyukovsky, PT, DPT, OCS
Sarah Kostyukovsky, PT, DPT, OCS, is an orthopedic physical therapist who specializes in treating pelvic floor dysfunction and the perinatal population. She earned her B.S. from the University of Virginia and her Doctorate of Physical Therapy from Columbia University College of Physicians and Surgeons. She is co-founder of Flow Physiotherapy and the owner of Mom in Balance New York, which offers pregnancy and postpartum outdoor fitness classes in Manhattan and Brooklyn.
January 17, 2020

Spinal alignment might not be the sexiest subject, but it is the core of our being. When we find our optimal structural alignment, we have a greater ability for freedom of movement and better muscular engagement. "Neutral spine" is the most direct route to spinal alignment, when the S-curve of the spine is in alignment (read: good posture).

Concentrating on the spine in flexibility, stability, and strength is crucial for a healthy, pain-free back. Read ahead to find your optimal alignment, as well as four exercises that help you maintain neutral spine alignment and move through the world with greater ease:

1.

Achieve a neutral spine (NS) for an optimal seated position.

Illustration by Jenny Chang-Rodriguez

I call this a meditation on posture. During this pose, we'll find your optimal alignment, where it is today, and focus on your breath to guide you to find deeper engagement and support for that alignment.

  1. Sit with your legs in front of you, hips-distance apart, slightly bent. Widen your sitz bones so that your thighs are sitting deep in your hip sockets.
  2. Root your sitz bones downward and reach oppositional energy up through the crown of your head, creating as much length in your spine as possible.
  3. Breathe your ribs and your jawline back so that you have the  skeletal alignment of ears over shoulders, over ribs, over hips. In profile, you would see the three curvatures of your spine.
  4. Focus on your breath. As you inhale, try to create more length. As you exhale, hug muscle to bone and engage a corset effect around your lengthened spine.
  5. Repeat several times.
2.

Turned-out squat for core and knee-joint strength.

Illustration by Jenny Chang-Rodriguez

Turned-out squat is a functional exercise that trains your body to bend and lift in its most supported state. This translates into so many practical ways we use our bodies in our everyday activities. Turned-out squat is also an exercise that provides you with the benefit of strengthening the muscles surrounding your knee joints. This strength can help offset or rehabilitate knee problems, especially the more common ones that are on either side of the joint.

Always prioritize alignment and active muscular engagement over depth and range of motion. Because pelvis and thigh bone anatomy is individual to your body, your neighbor may squat lower, but you're both doing what's ideal for your own body type.

  1. Take your feet slightly wider than your hips and turn your toes out to 2 and 10 o'clock.
  2. Feel your weight distributed evenly through all four corners of your feet; bend your knees as deeply as you can. Your knees will come forward of your ankle joint but must stay behind your toes and be centered with your feet.
  3. Keep your torso as upright as you can while maintaining neutral spine. Maintaining neutral spine position will improve your ability to engage core musculature.
  4. Extend your legs. As you return to the starting position, focus on the energy of pressing upright from your gluteals and the energy of dragging your heels behind you to engage your hamstrings.
  5. On the lowering position, envision the elongation of your quadriceps. This will keep them actively engaged and encourage a longer, stronger muscle.
  6. Bend your knees; keeping them aligned over the centerline of the foot gives your body the support of both the inner thighs and the outer thighs. Pay attention to hugging your inner shins toward each other while pressing your inner thighs away from each other at the same time throughout the bending and lengthening. This action is referred to as "shins in, thighs out" and helps you maintain engagement of both inner and outer thighs so you're hugging muscle to bone and optimizing stability and power—front to back, side to side.
  7. Squat down an inch and up an inch 30 times and then hold down in the squat for 20 seconds.
3.

Flat back on the floor for length.

Illustration by Jenny Chang-Rodriguez

We teach this exercise with a neutral spine and pelvis while trying to find axial elongation. Axial elongation is the proper alignment of the head, spine, and pelvis, with as much length as possible, providing optimum spacing between the spinal joints during movement. When you are in optimal alignment, you have a better capacity to engage your muscles properly. Alignment of your spine is the key to getting the best benefit out of every exercise.

The focus of this exercise is back-body integration into the ground. By energetically connecting your entire back body to the floor, you have a greater ability to fire up all of your trunk stabilizers.

  1. Lie on your back with knees bent and feet flat on the floor. Rock your pelvis back and forth (toward your head and away from your head) to find the middle point, which will be your neutral.
  2. Inhale length to your spine and try to reach sitz bones and the crown of your head as far away from each other as possible. This is what is defined above as axial elongation. You're actively creating more space between each pair of your spinal vertebrae while maintaining optimal alignment.
  3. Press the energy of your back to the ground without changing the position. Feel your sacrum root down, your rib cage and shoulder blades press down, and the sides of your waist connecting into the floor. Your low back will likely still be slightly off of the floor, but you are energizing the musculature of your entire back downward. By activating the muscles of the back-body, you create a corset of support. You'll notice that the action of pressing down with the back-body will naturally create a deeper engagement of the abdominal muscles.
  4. Maintain stability, lift your legs up, and straighten them out over your hips. (If you have tight hamstrings, keep the legs slightly bent.)
  5. Lower one leg toward the floor as far as you can without losing alignment or engagement, and then alternate.
  6. Do this 15 times on each leg.
4.

Upright lunge for neutral spine and glute strengthening.

Image by Jenny Chang-Rodriguez

This is a great exercise to find neutral spine and to get some great gluteal work too! Your gluteals are the base of where your spine sits. Having strong supportive gluteal muscles translates to your overall spinal health.

  1. Hold on to a high surface, like a countertop, and lunge one leg forward and the opposite behind you. Your front knee lines up directly over your ankle, your back knee directly under your hips, and both knee joints are at right angles. Keep your front thigh parallel to the floor.
  2. Draw the outer edge of your front hip back to square your hips forward.
  3. Keep your arms straight and torso upright. Breathe your ribs and jawline back to find the natural cervical, neck, and thoracic/upper back curvatures of your spine. Then hug inward to support this alignment.
  4. Keep your torso stabilized in this position. Bend your back knee closer to the ground, and then lift up a few inches. As you lower, think of lengthening the front quadriceps and your spine. As you lift, drag the front heel energy backward to ignite the base of your seat.
  5. Do this 50 times on each side.

Whether you're exercising, carrying groceries, or playing with children, finding optimal alignment of your spine and maintaining that alignment through your movements will enable you to move more freely, confidently, and energetically throughout your life.

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