Builds awareness and control of lumbar spine and pelvic movement, and gently mobilizes the lower back — often used as a foundational exercise before progressing to more demanding core work.
This exercise library provides general, educational information based on published clinical guidelines. It does not replace an individualized assessment or prescription from your own doctor or physical therapist. Stop immediately and seek medical evaluation if you experience severe pain, neurological symptoms (numbness, weakness, loss of bladder/bowel control), chest pain, dizziness, or any symptom that feels seriously wrong.
Duration
3-5 minutes
Calories
5-8 kcal
Reps × Sets
10-15 reps × 2 sets
Rest
30 seconds between sets
Benefits
Low back pain (non-specific) Postpartum recovery Early-stage core rehabilitation
1Lie on your back with knees bent, feet flat on the floor.
2Gently flatten your lower back into the floor by tightening your lower abdominal muscles and tilting your pelvis (posterior tilt).
3Hold for 2-3 seconds, then release, allowing a small natural arch to return.
4Repeat rhythmically.
Breathing: Exhale gently as you flatten your back, inhale as you release.
Common Mistakes
Using the legs or feet to push rather than the abdominal muscles to create the tilt
Holding the breath during the hold
Safety Tips
This should be a small, gentle motion — a large or forceful movement isn't the goal
Contraindications — Do Not Do This Exercise If
Active cauda equina red flags
Recent lumbar spine surgery, before surgeon clearance for this specific movement
Stop Immediately If
Sharp pain during the movement
New leg symptoms
Progressions
Harder (Progression)
Progress to bridge or dead bug once pelvic control feels confident.
Easier (Regression)
Perform with a smaller range of motion, or with a pillow under the knees for comfort.
Scientific Evidence
Pelvic tilts are a foundational exercise in core stabilization programs, widely used in postpartum and general low back rehabilitation as a first step in restoring pelvic and lumbar movement control.⁴
I use this as the real starting point for almost every postpartum and early back-pain rehabilitation program — simple, safe, and it teaches genuine body awareness. — Dr. Vishal Nigam
1. North American Spine Society Section on Interdisciplinary Spine. Therapeutic exercise following lumbar spine surgery: a narrative review.
2. American College of Obstetricians and Gynecologists. Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period.
3. American Physical Therapy Association. Clinical Practice Guidelines: Neck Pain (2017); Patient Education: Core Strengthening for Spine Health; Shoulder Impingement and Postural Exercise.
4. American Academy of Orthopaedic Surgeons. Clinical Practice Guideline: Management of Osteoarthritis of the Knee; OrthoInfo: Thoracic Spine Conditions, Hip Impingement.
5. World Health Organization. 2020 Guidelines on Physical Activity and Sedentary Behaviour.
6. American College of Sports Medicine. Position Stand: Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults (2026); Guidelines for Exercise Testing and Prescription — Flexibility Recommendations.
7. North American Spine Society. Patient Education: Understanding Sciatica; Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis.
8. World Health Organization. 2020 Guidelines on Physical Activity and Sedentary Behaviour — Older Adult Recommendations.