The Best Exercise Machines for Lower Back Pain

​Lower back pain is one of the most common injuries I see in my clinic. Around 80% of people report suffering from back pain at some point of their lives.. quite a lot. Depending on the mechanism of the injury itself and what caused it, if you're suffering from lower back pain, you might benefit from strengthening the muscles around it. There are thousands of options of how you can do this, but if you have access to a gym, some exercise machines can be a safe option for anyone looking to reduce the pain in the lower back.

Exercise has long been touted as a way to alleviate lower back pain, but not all exercises are created equal. In fact, some can exacerbate the problem if not done correctly. That's where exercise machines come into play. These specially designed pieces of equipment can provide targeted workouts that strengthen and support your lower back while minimising strain.

In this blog post, I'll explore the options you have when it comes to exercise machines and discover the best ones for addressing lower back pain. Whether you're a fitness enthusiast looking to prevent discomfort or someone who's been side lined by aches and pains, this guide will help you make informed choices about which exercise machines can be your allies in the battle against lower back pain. Say goodbye to that persistent ache and hello to a healthier, happier you.

Firstly, before we move ahead, it's important to have your lower back pain assessed by a medical professional to rule out anything serious. The most common causes of lower back problems can be as minor as tightness of the lower back muscles such as the erector spinae, but it can sometimes be caused by a herniated disc or some other more serious back condition. Once you have some sort of diagnosis you can then work with them or alongside a personal trainer to follow a structured, safe and progressing exercise programme to ensure you progress at the correct pace.


Cardiovascular machines for lower back pain

For those who suffer from back pain, the idea of engaging in cardiovascular exercise might seem daunting. After all, many high-impact activities can exacerbate discomfort and strain on the back. However, the relationship between cardiovascular exercise and back pain is more nuanced than it might appear. When approached correctly, cardiovascular exercise can not only improve overall health but also offer a no/low impact approach in providing relief from back pain. In this exploration of cardiovascular exercise machines tailored to individuals with lower back pain, I'll discuss the best options for a safe and effective workout regimen. Get ready to discover how these machines can be your ticket to a healthier heart and a more resilient, pain-free back.

Excess body weight, especially around the midsection, places additional stress on the spine and can contribute to chronic back pain issues. Shedding those extra pounds not only reduces the load on the spine but also helps to alleviate inflammation in the body, a common culprit in various types of back pain. Furthermore, weight loss can improve overall physical fitness and flexibility, making it easier to engage in activities that support back health, such as core-strengthening exercises and low-impact aerobic workouts. Therefore, for individuals struggling with back pain, embarking on a weight loss journey, coupled with proper exercise and nutrition, can be a transformative and holistic approach to finding lasting relief. This is where cardio machines can help. Reducing any excess body fat can reduce the load that's put on your lower back.


Elliptical Trainer (Cross Trainer)

Using an elliptical trainer can be a game-changer for those seeking relief from lower back pain. This low-impact exercise machine offers a gentle yet effective way to engage in cardiovascular workouts without putting excessive strain on the back. The elliptical's smooth, gliding motion allows users to engage their lower body, including the legs and buttocks, while minimizing the jarring impact that running or walking on hard surfaces can have on the spine. Additionally, most elliptical trainers come equipped with handlebars, providing an opportunity to work the upper body and engage the core muscles, which are crucial for supporting the lower back. By incorporating regular sessions on an elliptical trainer into your fitness routine, you can strengthen the muscles surrounding your spine, increase blood flow to the affected area, and gradually reduce lower back pain while improving overall physical fitness. It's an exercise option that not only promotes recovery but also serves as an excellent preventive measure against future discomfort.


Recumbent Bike

Utilizing a recumbent bike can be a smart and comfortable choice for individuals dealing with lower back pain. These stationary bikes offer a supportive and ergonomic design that can help alleviate discomfort while providing an effective cardiovascular workout.

The key advantage of a recumbent bike lies in its reclined seating position. This design helps distribute body weight evenly, reducing the stress on the lower back and minimizing the risk of exacerbating pain. Riders can maintain a natural lumbar curve and enjoy a gentle, low-impact pedalling motion, which is easier on the joints and spine compared to upright bikes or treadmills.

Regular sessions on a recumbent bike can promote better blood circulation throughout the body, including the lower back area, aiding in the healing process and reducing inflammation. The engagement of leg muscles also helps in strengthening the muscles that support the lower back, providing stability and potentially reducing pain over time.

Moreover, recumbent bikes are user-friendly, making them suitable for individuals of various fitness levels and ages. Whether you're seeking relief from existing lower back pain or aiming to prevent it, incorporating a recumbent bike into your exercise routine can be a comfortable and effective way to improve your overall fitness while caring for your back health. Always consult with a healthcare professional before starting any new exercise program, especially if you have pre-existing medical conditions or severe back pain.


Step Machines

Incorporating a step machine into your fitness routine can be a thoughtful strategy for managing lower back pain. While it may seem counterintuitive to use a step machine when dealing with back discomfort, this type of exercise equipment can actually offer several benefits:

  1. Low-Impact Cardiovascular Workout: Step machines provide a low-impact cardiovascular workout that is gentle on the joints and spine. The rhythmic stepping motion engages the leg muscles without causing excessive jarring or compression of the lower back, making it suitable for those with back pain.

  2. Core Strengthening: Using a step machine requires balance and stability, which can help strengthen the core muscles, including those that support the lower back. A strong core is essential for maintaining proper posture and reducing the risk of future back pain.

  3. Improved Circulation: Engaging in regular step machine workouts can enhance blood circulation throughout the body, including the lower back. This increased blood flow can promote the healing of injured or inflamed tissues.

  4. Endorphin Release: Exercise, including step machine workouts, triggers the release of endorphins, the body's natural painkillers. This can lead to a reduction in the perception of pain and an improved mood.

  5. Gradual Progression: Most step machines allow you to adjust the intensity and resistance, so you can start at a comfortable level and gradually increase the challenge as your fitness improves. This adaptability ensures that you can tailor your workout to your specific needs and limitations.

However, it's essential to use proper form while using a step machine to avoid exacerbating your back pain. Maintain an upright posture, engage your core muscles, and use the handrails for support if necessary. Consult with a healthcare professional or a fitness trainer to ensure that a step machine is an appropriate choice for your specific condition, and they can provide guidance on a safe and effective exercise plan tailored to your needs.



Using a treadmill can be a beneficial exercise option for individuals with lower back pain when done correctly and with the appropriate precautions. Here are some considerations and tips for using a treadmill to manage lower back pain:

  1. Warm-Up and Stretch: Always start your treadmill session with a proper warm-up. Gentle dynamic stretches and movements can help prepare your muscles and joints for the workout. Pay particular attention to stretching the muscles in your lower back, hips, and legs.

  2. Low Impact Walking: Walking on a treadmill at a moderate pace is generally a low-impact exercise that places less stress on the lower back compared to running or jogging. This can be an excellent way to get your cardiovascular exercise without causing additional discomfort.

  3. Proper Posture: Maintain proper posture while walking on the treadmill. Stand upright, engage your core muscles, and avoid leaning forward on the handrails, which can strain your lower back.

  4. Gradual Progression: Start with a slow and manageable pace and incline level. As your fitness improves, you can gradually increase the intensity. Avoid overexertion, as this can lead to muscle fatigue and worsen your back pain.

  5. Use the Incline: A slight incline on the treadmill can engage your glutes and hamstrings more, which can help support your lower back. However, don't set the incline too high, as excessive incline can strain your back.

  6. Listen to Your Body: Pay attention to your body's signals. If you experience increased pain or discomfort during or after your treadmill workout, stop and reassess. It's essential to find a balance between staying active and avoiding activities that exacerbate your back pain.

  7. Consult a Professional: Before starting any piece of equipment or exercise program, especially if you have a history of lower back pain or other medical conditions, consult with a healthcare professional or physical therapist. They can provide personalized guidance and exercises that target your specific needs.

  8. Alternative Options: If treadmill walking still causes discomfort, consider alternative low-impact cardio exercises like using an elliptical trainer, swimming, or stationary cycling. These options may be more comfortable for individuals with chronic lower back pain.

Incorporating cardiovascular exercise into your routine, such as treadmill walking, can contribute to better overall health and may help alleviate lower back pain over time. However, always prioritize safety and proper technique, and seek professional guidance to ensure you're choosing the right exercise approach for your specific condition.



Strength Machines for Lower Back Pain

Free Weights

Not exactly an "exercise machine". I know.. but often the best place to start when it comes to exercises for lower back pain is free weights or even body weight exercises. Exercises such as bird-dog, fire hydrants, planks and offer a great way of improving your core strength and play an important role in strengthening your lumbar spine.

Using free weights can be an effective and versatile approach for managing lower back pain, provided it is done with proper form and precautions. Incorporating exercises like light dumbbell or kettlebell movements into your routine can help strengthen the muscles in your core, back, and lower body, ultimately providing greater support for your spine. These exercises can target specific muscle groups, improving stability and posture. However, it's crucial to start with low weights and focus on controlled, pain-free movements. Always prioritize maintaining a neutral spine position and avoid any exercises that put excessive strain on your lower back. Consulting with a fitness professional or physical therapist to create a customized free-weight routine tailored to your specific needs and limitations is advisable to ensure safe and effective lower back pain management.


Seated Row Machine

The seated row exercise can be an effective way to strengthen the muscles in your upper back, including the rhomboids, trapezius, and latissimus dorsi, which can help alleviate back pain, particularly in the upper and mid-back region. Here's how to perform the seated row exercise for back pain:

  1. Equipment: You'll need access to a seated row machine at a gym or a resistance band with handles that you can attach to a sturdy anchor point.

  2. Set Up: Sit down at the seated row machine or position yourself in front of the anchor point for resistance bands. Ensure your feet are flat on the ground, knees slightly bent, and your back is straight.

  3. Grip: Grasp the handles with an overhand grip (palms facing down) and make sure your hands are shoulder-width apart.

  4. Initiate the Movement: Begin with your arms fully extended in front of you. Exhale and pull the handles (or bands) toward your lower ribs by squeezing your shoulder blades together. Keep your elbows close to your body throughout the movement.

  5. Squeeze and Hold: At the peak of the movement, squeeze your shoulder blades together and hold for a brief moment to maximize muscle engagement.

  6. Return to Starting Position: Inhale and slowly extend your arms back to the starting position, fully straightening them but not locking your elbows.

  7. Repeat: Perform the desired number of repetitions, typically 10-15, depending on your fitness level.

Here are some additional tips for performing the seated row exercise safely and effectively to alleviate back pain:

  • Start with light resistance or weight and gradually increase as your strength improves.
  • Maintain proper posture throughout the exercise, keeping your back straight and your core engaged.
  • Focus on controlled, smooth movements to avoid jerking or using momentum.
  • If you experience any pain or discomfort during the exercise, stop immediately and consult with a fitness professional or physical therapist.

Incorporating seated rows into your workout routine, along with a balanced program that addresses overall back strength, flexibility, and posture, can be a valuable part of managing and preventing back pain. However, it's essential to perform this exercise correctly and seek professional guidance if you have any concerns or pre-existing back issues.


Hyperextension Bench

The hyperextension bench, also known as the back extension bench, is a valuable tool for strengthening the lower back and addressing lower back pain. This exercise involves lying face down on the bench with your hips and ankles secured and then lifting your upper body against resistance. It specifically targets the erector spinae muscles along the spine, which play a crucial role in providing support and stability to the lower back. When performed correctly and with proper form, hyperextension exercises can help build strength in the lower back, improve posture, and reduce the risk of future pain or discomfort. However, it's vital to start with low resistance or bodyweight only and gradually progress to avoid straining the lower back. Consulting with a fitness professional or physical therapist can ensure that you are using the hyperextension bench safely and effectively as part of a comprehensive strategy to manage lower back pain.


Which piece for exercise equipment you choose for lower back pain heavily depends on your type of back pain and different types of exercise help to improve your strength and range of motion in different ways. The "best back machines" differ between people which is why it is important to get a programme tailored to you and your needs. Aerobic exercise always offers health benefits way beyond pain relief and having a strong back is the best way to avoid low back pain coming on. Other tips such as improving your flexibility and maintaining a good posture throughout the day will also help keep your spine healthy, even into your senior years!

Back to blog

1 comment

Mujhe agni takleef Jo peeth dard hai bone dislocate ho gayee hai par Mei chal sakti hoo dard me bhi over weight hai gym Jaana chatting hoo chore hue 6 month ho Gaye hai 5 kilo Kam Kiya Tha pain Kyada hone kw Karan chorea para ab Mei Kaun si machine use Kar sakti hoon

Lekha kharbanda

Leave a comment

Arun Gray sports therapist strength and conditioning coach skegness

The author

Arun Gray is a sports therapist and strength & conditioning coach with over 15 years experience in the industry. He also has a personal history with chronic shoulder and back pain along with a range of other sporting injuries.

Arun writes about common injuries and aims to help people understand and manage their pain to prevent having to rely on national healthcare.

Read more about Arun