A Simple Look at Amosov’s Back Pain Exercise Plan
Low back pain can make everyday life harder. It can affect how you move, exercise, and even how comfortable you feel during basic activities. While many people have never heard of Nikolai Amosov, he created an exercise routine aimed at helping with low back pain and preventing it from getting worse.
Amosov was a well-known heart surgeon in the early 1900s, but his work went beyond medicine. He was also an author and inventor, and he contributed to research related to back pain.

Why This Routine Still Gets Attention
The reason Amosov’s plan still stands out is that it was built around movement. His program focused on exercises and stretches meant to support the body and reduce back discomfort.
That said, not every part of his routine feels equally practical today. Some of the exercises are unusual, and some may be too intense for many people. Still, the core ideas behind the plan remain interesting and, in many cases, reasonable.
Amosov was said to do 100 repetitions of each exercise every day. For most people, that is likely too much to perform safely.

A Safer Way to Approach the Plan
A more manageable way to use this routine is to perform:
- 3 sets of 10 repetitions
- 10-second holds when the movement calls for a hold
- 3 times per week when first starting
This lower-volume approach may be more realistic for most people.
1. Back Hyperextensions
This exercise targets the back and can be easier if you have access to a hyperextension machine. If not, a modified version can still be done.
How to do it
- Lie face down on a chair with your stomach and chest supported by the seat.
- Place your hands behind your head.
- Raise your chest and back upward toward the ceiling.
- Hold at the top of your range for 10 seconds.
- Perform 3 sets of 10 reps.

2. Plow Pose
This is one of the movements that calls for extra care. The plow pose places the body in an extreme position, and some people may feel neck pain while doing it. If needed, use extra pillows or towels to cushion painful areas.
How to do it
- Lie on your back with your legs straight.
- Keep your arms by your sides.
- Lift your legs and lower back off the floor.
- Try to raise your back completely so your weight is mainly on your shoulders and arms.
- Bring your toes to the floor above your head.
- Hold for 10 seconds.
- Repeat for 3 sets of 10 reps.

3. Overhead Triceps Stretch
This stretch is a surprising part of a back routine because it mainly targets the shoulders and triceps rather than the back. Even so, it is still a useful stretch, and loosening the arms can be helpful as part of an overall movement routine.
How to do it
- Stand upright.
- Reach your left arm overhead.
- Bend your left elbow and try to touch the bottom of your right shoulder blade.
- Hold for 10 seconds.
- Perform 3 sets of 10 reps.
- Repeat on the right side.

4. Body Shakes
This is an uncommon exercise, but it may still offer benefits. Shaking the body while on hands and knees can help improve muscle activation and body awareness. Both of these are important for staying free of back pain.
How to do it
- Get into a hands-and-knees position.
- Shake your whole body vigorously for 10 seconds.
- Relax.
- Repeat for 3 sets of 10 reps.
5. Body Rocks
This movement is closer to an abdominal exercise than a stretch. During the first few sessions, you may notice a light pulling feeling in the abdomen, but that usually becomes more familiar over time.
How to do it
- Lie on your back and pull your knees into your chest.
- Wrap your hands around your knees and hug them in tightly.
- Rock forward so your head and shoulders lift off the floor.
- Then rock backward so your legs and lower back lift off the floor.
- Perform 3 sets of 10 reps.

6. Neck Extensions
Amosov’s routine clearly emphasized flexion and extension. This movement focuses on extension in the upper part of the spine, also known as the cervical area.
How to do it
- Lie flat on your stomach.
- Lift your chin off the ground.
- Keep your arms and chest in contact with the floor.
- Hold for 10 seconds.
- Repeat 10 times for 3 sets in one session.

Is This Routine Right for You?
The main problem with many exercise plans is that they can be too difficult, too repetitive, or too aggressive for the average person. That is especially true here, since Amosov reportedly performed very high volumes every day.
The likely cause of concern is the intensity of the original program. Exercises such as the plow pose may also be uncomfortable for some people, especially around the neck.
The best solution is to use the routine in a more moderate way. Lowering the number of repetitions, spacing the sessions out to three times per week, and being cautious with the more demanding movements can make the plan more approachable.
Final Thoughts
Amosov had some very interesting ideas about exercise. Parts of his routine resemble movements used in physical therapy today, while other parts are more unusual.
If you want to try a different approach for low back pain, this routine may be worth exploring carefully to see how it feels for you.
Consult a healthcare professional before making changes.


