Heritage Clinic of Chiropractic  ·  Delaware, Ohio  ·  heritageclinicofchiropractic.com
Heritage Clinic of Chiropractic · Delaware, Ohio

Patient Exercise &
Stretch Guide

Chiropractor-approved movements to support your care, relieve tension, and build lasting strength.

Hips Low Back Upper Back Neck Shoulder Knee Ankle

Why Exercise Matters Between Adjustments

At Heritage Clinic, chiropractic adjustments restore proper alignment and function to your spine and joints — but what you do between visits matters just as much. Tight muscles pull bones out of alignment faster. Weak stabilizers leave your spine vulnerable between adjustments. The right exercises reinforce the work we do together in the office.

This guide covers the seven areas we most commonly address at our clinic. Each section includes five exercises with step-by-step instructions, recommended sets and reps, and a pro tip from our team.

How to use this guide: You don't need to do every exercise listed. Ask your chiropractor which sections are most relevant to your care plan. A good starting point is 3–5 exercises, 4–5 days per week. Stop any movement that causes sharp, shooting, or worsening pain and contact our office.
01

Hip Exercises & Stretches

Hip mobility and strength are foundational to how your entire spine and lower body function. Tight hip flexors — extremely common in adults who sit for long hours — pull your pelvis forward and compress your lumbar spine. Weak glutes and hip stabilizers shift stress onto your knees and lower back. Addressing the hips is often one of the first and most impactful things we can do.

Hip Flexor Stretch (Kneeling Lunge) 3 × 30 sec each side +
How To

Kneel on one knee, step the other foot forward into a lunge. Gently push your hips forward until you feel a stretch in the front of the back hip. Hold and switch sides.

Pro Tip: Keep your torso upright — don't let your front knee go past your toes.
Glute Bridge 3 × 12–15 reps +
How To

Lie on your back, knees bent, feet flat on the floor hip-width apart. Press through your heels and lift your hips toward the ceiling until your body forms a straight line. Lower slowly.

Pro Tip: Squeeze your glutes at the top — avoid arching your lower back.
Pigeon Pose (Figure-4 Stretch) 3 × 30–45 sec each side +
How To

Lie on your back, cross one ankle over the opposite knee, flex your foot. Pull the uncrossed leg toward your chest until you feel a stretch in the crossed-side glute and hip. Hold and switch.

Pro Tip: The closer you pull your leg, the deeper the stretch — go to comfort, not pain.
Clamshell 3 × 15 reps each side +
How To

Lie on your side with hips and knees bent at 90°. Keeping your feet together, open your top knee like a clamshell as high as you can without rotating your pelvis. Lower slowly.

Pro Tip: A resistance band above the knees increases the challenge when this becomes easy.
Standing Hip Circle 2 × 10 circles each direction +
How To

Stand with feet shoulder-width apart. Place hands on hips and make large, slow circles with your hips — 10 clockwise, then 10 counterclockwise.

Pro Tip: Great as a warm-up before longer exercise sessions.
02

Low Back Exercises & Stretches

Low back pain is one of the most common reasons patients visit a chiropractor in Delaware, Ohio and across the country. These exercises target the lumbar spine, pelvis, and the deep stabilizing muscles that protect your discs and joints. The goal is not just to reduce pain — it's to build the endurance and stability that prevent it from returning.

Cat-Cow Stretch 2 × 10 full cycles +
How To

Start on hands and knees, wrists under shoulders. Inhale and drop your belly, lifting your head and tailbone (cow). Exhale and round your spine toward the ceiling, tucking chin and pelvis (cat). Flow smoothly between the two.

Pro Tip: Move slowly and breathe through each position — this is mobility, not a race.
Child's Pose Hold 30–60 sec, 2–3 rounds +
How To

From hands and knees, sit your hips back toward your heels, arms extended forward on the floor. Let your forehead rest down and breathe deeply into your lower back.

Pro Tip: Widen your knees if your hips don't reach your heels comfortably.
Knee-to-Chest Stretch 3 × 20–30 sec each side +
How To

Lie on your back. Pull one or both knees gently toward your chest, holding at the shins. You'll feel a gentle release in the lower back and SI joints.

Pro Tip: Gentle rocking side to side adds a nice massage effect on the lumbar spine.
Bird Dog 3 × 10 reps each side +
How To

Start on hands and knees. Brace your core and slowly extend one arm forward and the opposite leg straight back at the same time. Hold briefly, return, and switch sides.

Pro Tip: Keep your hips level — don't let them rotate or hike up on one side.
Dead Bug 3 × 8 reps each side +
How To

Lie on your back, arms pointing at the ceiling, hips and knees at 90°. Slowly lower one arm overhead and extend the opposite leg toward the floor without touching, keeping your lower back pressed flat. Return and switch.

Pro Tip: The lower back stays pressed to the floor the entire time — that's the whole point.
03

Upper Back & Thoracic Spine

The thoracic spine is built to rotate, extend, and flex — but prolonged sitting, desk posture, and device use cause it to become stiff and restricted. When the thoracic spine loses mobility, the lower back and neck are forced to compensate. Keeping this region mobile is one of the best things you can do for long-term spinal health.

Thoracic Extension over Foam Roller 1–2 min total, 2 rounds +
How To

Place a foam roller horizontally under your mid-back while seated, then gently lean back over it, supporting your head with your hands. Breathe and let gravity open the thoracic spine. Reposition up and down the spine.

Pro Tip: Do NOT roll on the lower back — keep it below the shoulder blades.
Band or Wall Pull-Apart 3 × 15 reps +
How To

Hold a resistance band at chest height with arms straight. Squeeze your shoulder blades together and pull the band apart horizontally until your arms are fully open. Control the return.

Pro Tip: Keep your shoulders down away from your ears throughout.
Prone Y-T-W 2 × 10 reps each position +
How To

Lie face down. Lift arms into a Y shape (thumbs up), then a T shape (arms straight out), then a W shape (elbows bent). Each position targets different upper back stabilizers.

Pro Tip: You don't need weight — just lifting your arms against gravity works well.
Seated Thoracic Rotation 3 × 10 rotations each direction +
How To

Sit tall in a chair with feet flat. Cross arms over your chest. Rotate your upper body slowly to one side as far as comfortable, then the other. Move only your torso — keep hips still.

Pro Tip: Excellent for desk workers and anyone sitting for long periods.
Doorway Chest Stretch 3 × 30 sec +
How To

Stand in a doorway, place forearms on the door frame at shoulder height. Gently step one foot forward and lean through the doorway until you feel a stretch across your chest and fronts of the shoulders.

Pro Tip: Try different arm heights (low, mid, high) to target different portions of the chest.
04

Neck & Cervical Spine Exercises

Neck pain and headaches are increasingly common — and forward head posture is often the root cause. For every inch your head shifts forward from its balanced position, the load on your neck increases dramatically. These exercises improve cervical alignment, restore mobility, and strengthen the deep stabilizers that support your head all day.

Chin Tuck 3 × 10 reps, hold 3 sec each +
How To

Sit or stand tall. Gently pull your chin straight back (like making a double chin) to align your head over your spine. Hold briefly and release. This resets forward head posture.

Pro Tip: Do this hourly if you work at a computer — it counters "tech neck" quickly.
Neck Side Bend Stretch 3 × 20–30 sec each side +
How To

Sit tall. Drop your right ear toward your right shoulder gently until you feel a stretch on the left side of your neck. You can add gentle hand pressure for a deeper stretch. Switch sides.

Pro Tip: Never force or crank your head — let gravity do the work.
Neck Rotation 3 × 5 slow rotations each direction +
How To

Sit tall, eyes forward. Slowly turn your head to look over your right shoulder as far as comfortable. Hold briefly, return to center, and repeat on the left.

Pro Tip: If you feel sharp pain, dizziness, or radiating symptoms, stop and contact our office.
Levator Scapulae Stretch 3 × 30 sec each side +
How To

Sit tall. Turn your head 45° to the right and tuck your chin toward your right armpit. Use your right hand to gently deepen the stretch. This targets the often-tight muscle running from the neck to the shoulder blade.

Pro Tip: Often one of the most relieving stretches for chronic neck tension.
Deep Neck Flexor Strengthening (Head Nod) 3 × 10 reps, hold 5 sec each +
How To

Lie on your back with a small rolled towel under your neck. Make a small chin tuck (head nod) without lifting your head. This activates the deep stabilizer muscles of the cervical spine.

Pro Tip: Less is more — keep the movement tiny and controlled.
05

Shoulder Exercises & Stretches

Shoulder problems — from rotator cuff pain to stiffness and impingement — are heavily influenced by posture and the health of surrounding structures. The shoulder is the most mobile joint in the body, which also makes it one of the most vulnerable. A balanced combination of mobility, rotator cuff strength, and scapular stability is the long-term solution.

Pendulum Swing 1–2 min each direction per arm +
How To

Lean forward with one hand on a table or chair for support. Let the opposite arm hang freely, then gently swing it in small circles — clockwise and counterclockwise — using only momentum, not muscle.

Pro Tip: Especially helpful for shoulder stiffness, impingement, or post-injury recovery.
Shoulder External Rotation (Band) 3 × 15 reps +
How To

Hold a resistance band with elbows bent at 90° and tucked at your sides. Keeping elbows fixed, rotate your hands outward like opening a book. Control the return.

Pro Tip: This strengthens the rotator cuff — the most important stabilizers of the shoulder.
Wall Slide 3 × 10 reps +
How To

Stand with your back against a wall, arms in a goalpost position with elbows at 90°. Slowly slide your arms up the wall overhead, keeping contact with the wall throughout. Slide back down.

Pro Tip: It's okay if you lose contact briefly — work toward full contact over time.
Cross-Body Shoulder Stretch 3 × 20–30 sec each arm +
How To

Bring one arm straight across your chest. Use the opposite hand or forearm to press it gently closer to your body. You'll feel a stretch in the back of the shoulder.

Pro Tip: Keep the stretching shoulder down — don't let it shrug up toward your ear.
Shoulder Blade Squeeze 3 × 10 reps, hold 5 sec each +
How To

Sit or stand tall. Pull your shoulder blades back and together as if you're trying to hold a pencil between them. Hold, then release.

Pro Tip: Pair this with your chin tuck for a full posture reset at your desk.
06

Knee Exercises & Stretches

The knee is a hinge joint that depends heavily on the hips above it and the ankle below it for proper function. Most knee pain responds well to strengthening the quads and glutes, improving flexibility in the surrounding muscles, and restoring ankle mobility. These exercises address all of those factors.

Terminal Knee Extension (TKE) 3 × 15 reps each leg +
How To

Anchor a resistance band around something fixed at knee height. Loop it behind one knee and step back so there's tension. From slightly bent, straighten your knee by squeezing your quad. Control the return.

Pro Tip: Isolates the VMO (inner quad) — a key muscle for patellar tracking and knee stability.
Wall Sit 3 × 20–45 sec holds +
How To

Stand with your back against a wall and slide down until your thighs are parallel (or as close as comfortable) to the floor, knees directly over ankles. Hold the position.

Pro Tip: A shallower angle (less bend) is still very effective — don't push into pain.
Step-Up 3 × 10 reps each leg +
How To

Stand in front of a step or stair. Step up with one foot, drive through that heel to bring the other foot up. Step back down controlled. Alternate leading legs.

Pro Tip: The step doesn't need to be high — 6 inches is plenty to start.
Quad Stretch (Standing) 3 × 30 sec each leg +
How To

Stand near a wall for balance if needed. Pull one foot toward your glute, keeping your knees together and hips forward. Feel the stretch along the front of the thigh.

Pro Tip: Tight quads are a common contributor to knee pain — make this a daily habit.
Hamstring Stretch (Supine) 3 × 30 sec each leg +
How To

Lie on your back. Loop a strap, towel, or band around one foot. Keeping the knee as straight as comfortable, gently pull the leg toward your chest until you feel a stretch behind the thigh.

Pro Tip: A slight knee bend is fine — the goal is a pull behind the thigh, not pain.
07

Ankle & Foot Exercises

Ankle mobility and foot strength are often overlooked — but they are the foundation of your entire movement system. Limited ankle dorsiflexion affects how your knees and hips move with every step. Strong foot muscles support your arches and reduce the risk of plantar fasciitis. Balance exercises here also significantly reduce fall risk, especially important for active adults and seniors.

Ankle Alphabet 1–2 rounds each ankle +
How To

Sit in a chair and lift one foot slightly off the floor. Using only your ankle and foot (not your leg), write the letters of the alphabet in the air. Go slowly and make large letters.

Pro Tip: Great for improving ankle mobility and proprioception — especially after sprains.
Calf Raise 3 × 15–20 reps +
How To

Stand near a wall or chair for balance. Rise up onto your toes as high as you can, hold briefly, then lower slowly. To increase difficulty, do single-leg calf raises.

Pro Tip: Lower slowly (3–4 seconds down) — the eccentric phase is where the real benefit is.
Ankle Dorsiflexion Stretch 3 × 30 sec each ankle +
How To

Stand facing a wall, place one foot a few inches from it. Drive your knee forward over your pinky toe toward the wall while keeping your heel on the floor. This stretches the ankle and calf.

Pro Tip: Limited dorsiflexion contributes to knee and hip problems — this one matters more than most people realize.
Single-Leg Balance 3 × 20–30 sec each leg +
How To

Stand on one foot, keep a slight bend in the knee. Hold as still as possible. Progress by closing your eyes, standing on a folded towel, or adding small arm movements.

Pro Tip: Balance training significantly reduces fall risk — especially for seniors. Do this daily.
Towel Toe Curl 2 × 10 reps each foot +
How To

Sit in a chair with a small towel flat on the floor under your foot. Use your toes to scrunch and pull the towel toward you, then spread your toes to push it away.

Pro Tip: Strengthens intrinsic foot muscles — important for arch support and plantar fascia health.

Ready to Feel Better?

Not sure which exercises are right for your stage of care? Our team at Heritage Clinic is here to help you put together a plan that actually works for your body and your goals.

Schedule an Appointment