Session 77

Some soreness during exercise is normal. Sharp, escalating pain is not.

1. 

   Exercise 1

   Bird Dog

   1-2 × 3/side, light holds

   Keep the groove, don't push. Brace gently

   How to do it

   1. 1Start on hands and knees with your knees directly below your hips and hands below shoulders.
   2. 2Breathe in and brace your core, then slowly extend one arm forward and the opposite leg back without letting your low back sag or twist (the raised arm and leg should be parallel with the floor). Hold for the prescribed time in the extended position, then return and switch sides.

   Why this exercise

   Life is basically 'keep your trunk stable while a limb does something.' Bird dogs trains that skill. Another favourite of Dr. Stuart McGill's and the final exercise of his 'big 3'.

   Make it easier

   • Arm-only reach
   • Leg-only reach (toe slide back)
   • Shorter holds

   Make it harder

   • Longer holds and more repetitions
   • Slower tempo (3-5 seconds out, 3-5 back)
   • Increase the width of your hands and knees on the floor (the width of your base)
2. 

   Exercise 2

   Curl-up

   1-2 sets, light

   How to do it

   1. 1Lie on your back with one knee bent and the other leg straight, hands gently under your low back to keep a small natural arch.
   2. 2Breathe in to expand your belly and brace your core lightly as if someone is about to poke your belly, then lift your head, shoulders, and upper back just a few centimetres off the floor without curling all the way up.
   3. 3Hold the curl-up for the prescribed time, then slowly lower and repeat as directed.

   Why this exercise

   This modified curl-up was popularized by Dr. Stuart McGill. It teaches you to brace and create support around your low back while the hands tucked underneath stop your spine from flexing.

   Make it easier

   • Shorten the range of your curl-up (barely lift your shoulders from the floor)
   • Shorter holds/fewer reps
   • Rest longer between reps

   Make it harder

   • Longer holds
   • Increase the range of motion of your curl-up (lift shoulders a little further) without performing a full sit-up
   • Graduate to the front plank (start on your knees if needed)
3. 

   Exercise 3

   Side Plank (from feet)

   1-2 holds/side, light

   How to do it

   1. 1Lie on your side with your legs straight, elbow under your shoulder, and body in a straight line from elbow to shoulders.
   2. 2Lightly brace, then lift your hips so your body forms a straight line; hold for the prescribed time, breathing steadily, then lower with control and repeat on both sides.

   Why this exercise

   Same idea as the knees version, just more difficult due to the longer lever from being on your feet instead of your knees! This is the middle rung of the side-plank ladder.

   Make it easier

   • Back to knees version
   • Stagger feet for a wider base
   • Shorter holds with perfect alignment

   Make it harder

   • Longer holds
   • Lift your top leg a few inches and hold it (abduction) while you brace
   • Add resistance (a weight or object) onto your side while you hold
4. 

   Exercise 4

   Gentle mid-range cat-cow

   1 × 5-8 reps

   Explore a fuller range if tolerated

   How to do it

   1. 1Start on your hands and knees with your hands under your shoulders and knees under your hips.
   2. 2Gently round your back up toward the ceiling (like an angry cat), staying in a comfortable mid-range rather than pushing into strong end-range. Only extend until you feel mild stiffening and then do not pass that range.
   3. 3Then slowly let your back sag slightly toward the floor (cow position), again staying in a mild, comfortable range.
   4. 4Move smoothly between these two positions for the prescribed number of repetitions, keeping your breathing relaxed and easy.
   5. 5Slow and controlled. Do not extend and arch aggressively and do not continue through painful motion.

   Why this exercise

   Motion can be medicine. Mid-range cat-cow helps reduce stiffness and reintroduce comfortable movement without cranking into end-range, which is where a lot of people get into trouble. This gentle exercise is intended to decrease stiffness and liberate motion - not to test how far you can round your back in each direction. In fact, that's the opposite of what we want to do. This exercise should be performed carefully and not immediately after waking up. Performing this exercise to the 'end range' in either flexion or extension can elicit pain for those suffering from back pain.