Back & Neck Pain Exercise How to Ease Your Backache With One-Legged Balance Challenges By Anne Asher, CPT Anne Asher, CPT Facebook LinkedIn Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. Learn about our editorial process Updated on July 26, 2022 Medically reviewed by Cara Beth Lee, MD Medically reviewed by Cara Beth Lee, MD LinkedIn Cara Beth Lee, MD, is a board-certified Orthopedic Surgeon with over 20 years of practice experience and subspecialty expertise in hip preservation surgery, focusing on patients with pre-arthritic hip disorders. Learn about our Medical Expert Board Fact checked by Angela Underwood Fact checked by Angela Underwood LinkedIn Angela Underwood's extensive local, state, and federal healthcare and environmental news coverage includes 911 first-responder compensation policy to the Ciba-Geigy water contamination case in Toms River, NJ. Her additional health-related coverage includes death and dying, skin care, and autism spectrum disorder. Learn about our editorial process Print A great strategy for managing backache is to work on strengthening and stretching your hips. One-legged balance challenges improve power and coordination of the hip muscles. Lateral (outer) hip muscles, in particular, are key for spinal support. Keeping them strong and flexible is part of most therapeutic back exercise programs. 1 Start on Two Legs fizkes / Getty Images You may not be able to fully stand on one leg for long enough periods of time, but no matter what your fitness level, there's a lateral hip strengthening exercise for you. In the image above, the model is demonstrating a hip-strengthening exercise called a lateral lunge by using both legs to support her standing body. By bending one leg (at the hip, knee, and ankle joints) and extending the other out to the side, she is challenging her lower extremity muscles. Her outer hip muscles on the bent leg are doing the lion's share of the work, providing stability and balance for the position. And the extended leg is likely getting some extra contraction in places that are key for pain-free upright body posture and back fitness, as well. Hip Flexor Muscles and Injuries 2 Balance While Kneeling dusanpetkovic / Getty Images Consider going one-legged while kneeling, provided you can move into and out of this position in a safe and comfortable way. If you are a beginner or have an ongoing back condition, start by simply "standing" on one knee, and extending the other leg out to the side, period. It's okay to put your leg somewhere between front and side, depending on comfort and your ability to stay stable in this position. Keep your arms down by your sides and don't try to tilt your torso. When your balance improves while in this basic kneeling position, you can begin to add in one or more trunk, leg, or arm variations. As you progress, you can: Raise your arms Add a trunk tilt Move the extended leg more towards the side and less towards the front 3 Kneel, Lean, and Purposely Destabilize gilaxia / Getty Images Place an exercise ball to one side and hold onto it lightly with your hand. Bend over at your hip joint, keeping your spine straight and remembering to breathe. Stay there for up to 10 seconds—but stop if you begin to lose your form or experience pain. A few variations: If you're a super-beginner, use a stationary object instead of a ball. If you're up for a challenge, you can roll the ball either in and out sideways, or forward and back. This will engage your hip and core muscles as you work to remain in position. 4 Take the Stairs Sideways. Artu Nepomuceno / EyeEm / Getty Images Stairs provide a convenient way to weave physical challenges that have therapeutic benefits into your daily routine. Consider climbing and/or descending a few stairs sideways to help strengthen your hip muscles and build balance. 5 Easy Standing Balance Challenge Verywell / Ben Goldstein An old classic balance challenge is to stand on one leg with the other bent at the knee and hip. Hold onto something if you need steadying, and stay there for up to 15 seconds. Repeat this about 5-10 times per day for each leg. To start, keep your arms by your side, but once staying put in this position becomes easy (and it should always be pain-free, of course), take 'em out to the side. 6 Challenging Standing Balance Move Prasit photo / Getty Images This one-legged balance challenge, referred to as the Romanian deadlift, relies heavily on your hip muscles, especially your outer hips, for support. This challenge is advanced, so it's not for everyone. The idea is to bend at the hips until you are parallel to the floor. Keep a nice long line from the top of your head to the bottom of your foot (of the extended leg). At first, you may only be able to stay for a couple of seconds, and/or you may not fully reach parallel, but that's okay. With practice, you may be able to build up your ability and the amount of time you spend. A good goal could be 5 or even 10 seconds at a time. Don't forget to do this on the other side. 5 Types of Hip Stretches for Back Pain Relief 2 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. The Centers for Disease Control and Prevention. Physical Activity Prevents Chronic Disease. Published May, 2020. Penney T, Ploughman M, Austin MW, Behm DG, Byrne JM. Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain. Arch Phys Med Rehabil. 2014 Oct;95(10):1969-76. doi:10.1016/j.apmr.2014.06.009 By Anne Asher, CPT Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit