How Do I Keep My Back Healthy as I Get Older?
Bianca Clayton | MAR 1
One of the most common things I hear in clinic is, “My back never used to feel like this.” Many people assume that back problems only arrive in their 70s or 80s, but the reality is that changes begin much earlier — often between 45 and 55.
This doesn’t mean something is “wrong” or that your spine is suddenly fragile. What’s happening is more subtle.
The spinal discs — the cushions between the vertebrae — naturally lose some hydration with age. They become a little less plump and a little less springy. At the same time, joint lubrication can reduce, and the tissues that support the spine (ligaments, tendons, fascia) gradually change in their elasticity and collagen structure.
What does that mean in real life?
It means that movements you’ve done for years can start to feel different. Old injuries you barely noticed in your 30s may feel more sensitive. It’s not that they’ve “come back” — it’s that the body’s tolerance to load and repetition has changed.
Hormones also play a role, particularly for women. Declining oestrogen during perimenopause and menopause is associated with changes in connective tissue, joint stiffness, and sometimes increased perception of pain. This isn’t universal, but it’s common enough that many people notice their bodies respond differently to exercise and recovery.
Rather than seeing this as a negative, it can be viewed as a useful stocktake.
Your back at 45+ is often a reflection of:
Your movement habits over time
Your current activity levels
How much variability you have in your daily movement
Your strength and stability strategies
Your recovery, sleep, and stress levels
The good news is that the spine is highly adaptable. Research consistently shows that strength, motor control, and movement quality can improve at any age. A “different” back does not have to mean a worse back — it often just means a back that needs a smarter approach.
Most people have heard that they need a “strong core” to protect their back. The problem is how that has been interpreted.
For years, the message was to brace your abdominals, suck your stomach in, and do endless crunches. While this can create a sense of tightness around the spine, it often comes at a cost.
Chronic bracing:
Restricts the diaphragm
Pushes breathing into the upper chest
Increases tension through the neck and shoulders
Reduces movement variability
Can turn the spine into a hinge point instead of sharing load through the hips and rib cage
It may make you feel stable in the short term, but it doesn’t create adaptable, functional stability.
True stability is not stiffness. It’s the ability to create appropriate support for the task you’re doing — no more, no less.
This comes from what we can think of as a pressure system:
The diaphragm at the top
The pelvic floor at the bottom
The deep abdominals wrapping around the sides
The small spinal stabilisers at the back
When these work together, they create a gentle, responsive cylinder of support. You’re not gripping. You’re not sucking in. You’re breathing.
This breath-driven pressure:
Supports the lumbar spine
Allows the hips and shoulders to move freely
Improves coordination and timing
Reduces unnecessary load on passive structures like discs and ligaments
It also changes depending on what you’re doing. Walking requires a low level of support. Lifting a weight requires more. The key is that the system adapts rather than staying locked on all the time.
Without this central stability, the body will find it somewhere else — often by overusing the upper traps, hip flexors, or compressing through the lower back. That’s when we start to see the familiar pattern of “tightness,” “niggles,” and recurring flare-ups.
Your back health is shaped far more by what you do every day than by what you do for one hour at the gym.
Protective movements share a few common features:
You organise your body before you move
You move from your hips and shoulders rather than your spine
You keep load close to your body
You can breathe while you move
You feel effort in the right places, not strain in one joint
Aggravating movements are usually the opposite — and they’re often repetitive.
Think about:
Vacuuming with a rounded back and twisted torso
Gardening while bent and reaching away from your body
Lifting grandchildren from the floor without using your legs
Sitting for long periods in a slumped position
Driving for hours without movement breaks
None of these are “bad” in isolation. The issue is repetition combined with fatigue and lack of preparation.
As we get older, we often spend more time on these kinds of tasks, and if our bodies aren’t conditioned for them, they become common triggers for back pain.
The goal isn’t to avoid these activities — it’s to prepare for them.
That might mean:
Learning to hip hinge instead of bending through the spine
Using a split stance when reaching into low cupboards
Taking brief movement breaks when sitting
Doing short, regular sessions that reinforce good movement patterns
It also means being more discerning about exercise instruction.
A good class or program should:
Prioritise movement quality over intensity
Offer clear technique guidance
Help you feel more stable week to week
Leave you feeling worked but not aggravated
If you’re constantly sore in the same spot after exercise, that’s useful information. It suggests a movement strategy that needs refining.
There isn’t a single number that works for everyone. The right amount of exercise depends on what the rest of your day looks like.
If you’re largely sedentary — sitting for work, driving often, relaxing in the evening — then your structured movement becomes more important.
General research for adults over 45 suggests:
150–300 minutes of moderate activity per week (this can include walking)
Strength or load-bearing work at least twice per week
Regular mobility and motor control work
That sounds like a lot, but it doesn’t need to happen in long sessions.
For many people, a very effective minimum looks like:
20 minutes of functional movement, 3–5 times per week
Daily walking
Gradual introduction of load-bearing exercises
Shorter, more frequent sessions are often better tolerated than one long, intense session. They improve motor control, reduce flare-ups, and fit more easily into real life.
Consistency matters far more than duration.
It’s also important to match your exercise with your recovery capacity. As we age, tissues take slightly longer to adapt to new loads. That doesn’t mean you should do less — it means you should progress more gradually and pay attention to how your body responds.
More is not always better. Enough — done well — is what builds resilience.
A strong, healthy back isn’t built from one type of exercise. It comes from movement literacy — understanding how to move well and how it should feel in your body.
This includes:
Knowing what a neutral, supported position feels like for you
Recognising when you’re moving past your optimal range
Being able to generate support before you lift, twist, or reach
Feeling work in the hips and trunk rather than strain in the spine
It’s also about internal awareness. Over time, you can develop a sense of when something feels efficient and when it doesn’t.
Long-term back health is supported by:
Functional strength
Good breathing mechanics
Load tolerance built gradually
Variety in movement
Adequate recovery
Exercise that you can sustain for years, not weeks
One of the most overlooked factors is alignment between short-term goals and long-term outcomes.
An exercise program that makes you feel exhausted and accomplished today but leaves you flared up tomorrow is not building longevity.
A program that feels controlled, progressive, and leaves you feeling more capable week to week is.
The aim is not to avoid effort. It’s to direct effort intelligently.
Research consistently shows that people who combine strength, motor control, and aerobic activity — and who progress gradually — have better outcomes for back pain and function than those who rely on intensity alone.
Your back doesn’t need punishment.
It needs preparation, variability, and smart loading.
Back health after 40 isn’t about doing less. It’s about doing things better — with more awareness, better sequencing, and the right amount of challenge.
When you build stability, move with intention, and train consistently at an appropriate level, your back becomes something you can rely on rather than something you have to manage.
If you’d like guidance on building stability, improving movement quality, and creating a sustainable routine, the Banksia Movement platform offers structured, progressive sessions designed for long-term function and joint health.
Bianca Clayton | MAR 1
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