Back Pain · Movement Strategy

How Do You Know If Your Exercises Are Actually Working?

The test-retest method — a simple way to cut through the noise, stop guessing, and take control of your recovery.

Foundation Physical Therapy · Truckee, CA
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"Just do these 3 exercises and fix your back pain." Sound familiar? The internet is full of this — and it's part of why so many people feel more stuck, not less.

You try a routine for a couple of days, you're not sure if it's actually doing anything, motivation fades, and eventually you stop. Then a new video pops up, the cycle repeats. It can start to feel like you're going to be in this pattern forever — trying things, stopping things, never really knowing if any of it is working.

That feeling of powerlessness is real. The sense that "this is just how it is now" is one of the most common things I hear from patients before they come in. And it makes sense — because most generic exercise content completely ignores one important fact.


Back Pain Doesn't Have One Cause — So It Can't Have One Fix

Your back might be hurting for a completely different reason than your neighbor's, your colleague's, or the person in the video's. Even if the pain is in the same spot, what's driving it can be entirely different. Here are just some of the reasons back pain shows up:

Your back is stiff and could benefit from mobility work
Your back might be a little too mobile and needs some strength — whether it be glutes, abdominals, or back muscles
Your lack of hip range of motion is impacting your low back
You're in a static position all day — sitting at a desk, breastfeeding your baby — and your body needs more blood flow and movement
Inflammation, chronic stress, or poor sleep is keeping your nervous system on high alert
A movement pattern has quietly shifted over time without you noticing

The point isn't to overwhelm you — it's to make clear that the exercise that helped your friend may do nothing for you, or even make things worse. One exercise does not fit all.

One exercise does not fit all — and you deserve to know what actually works for your body.

Enter the Test-Retest Method

Whether you've been given exercises by a physical therapist, or you're working through a list you found online, this simple approach will tell you immediately whether an exercise is helping or hurting — no guessing required.

Here's how it works

1
Test
Find a movement that aggravates your pain

This could be going from sit to stand, bending forward to touch your toes, or picking something up off the floor. Note how it feels — how far you can go, how much it hurts, how stiff it feels.

2
Do
Try just one exercise

Foam rolling, a low back stretch, a glute exercise with a band — whatever is on your list. Do just one. Don't stack a whole routine before retesting.

3
Retest
Repeat that same movement and compare

Go back to your aggravating movement. Be honest with yourself about what you feel. Your body will tell you clearly.


How to Read the Results

Keep it
Things feel better

Less pain, more range, easier movement — fingers closer to the ground, sit-to-stand feels smoother. That exercise is working for you. Keep it.

Drop it
Things feel worse or the same

More pain, more stiffness, no change? That exercise isn't right for your body right now. Cross it off the list without guilt and move on.

This isn't about pushing through or trusting that something will "eventually" kick in. If an exercise is right for you, you should feel a difference — even a small one — almost immediately.

Why This Changes Everything

The two biggest wins

Test-retest cuts your rehab list down to only what actually works for you — and gives you a personal toolkit so that when pain flares up, you know exactly what to do to calm it down fast.

Most people are doing far too many exercises — some helpful, some neutral, some quietly making things worse. By testing and retesting, you strip that list down to the two or three things that genuinely move the needle for your body.

And perhaps more importantly: you stop feeling powerless. You have a method. You have information. When that familiar ache comes back — after a long hike, a day at the desk, a heavy lift — you know what to reach for.

That kind of confidence is half the battle in getting out of pain and staying out of it.


Sophia Delegard is a Doctor of Physical Therapy specializing in orthopedic spine conditions and pelvic floor health at Foundation Physical Therapy in Truckee, California.

One-on-One Care · Truckee & Tahoe

Want to Know What Actually Works for You?

I help people figure out exactly why their back is hurting and what to do about it — no generic protocols, no guessing. Just a clear plan built around your body.

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