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Back Pain

HOW TO USE A SPIKY BALL FOR LOWER BACK PAIN

Published July 23, 2025

Tightness. Stiffness. A dull, persistent ache. Lower back pain shows up in different ways, but it tends to hang around. It can affect how you move, how you sleep, and how you feel day to day.

Spiky massage balls are one of the simplest tools for managing this kind of muscular pain at home. They’re affordable, easy to use, and when used correctly, can help reduce tension and improve movement.

But before you press into that sore spot, there’s a few things worth knowing.

 

What is a spiky ball?

spiky ball treatment

A spiky ball is a small, firm massage tool covered in short, evenly spaced nodules. It’s designed to target muscle tension, stimulate circulation, and release tight spots in soft tissue. Spiky balls are commonly used for self-massage and trigger point therapy, especially in areas like the lower back, glutes, and feet.

They come in different sizes and levels of firmness, and can be used against the floor, a wall, or even a chair.

How does a spiky ball work?

Spiky balls work by applying focused pressure to tight muscles and connective tissue (similar to how a physio might release a trigger point by hand). This pressure helps increase blood flow, reduce tension in overworked areas, and gently release knots (also known as myofascial trigger points).

For the lower back, it can help free up deep muscle layers that often get tight from sitting too much, poor posture, or general overuse.

Is it safe to use a spiky ball on your lower back?

In most cases, yes it’s safe to use a spiky ball on your lower back as long as you’re working with muscle tissue, not directly over the spine. The key is knowing where to place it and how much pressure to apply.

Aim for the areas just beside your spine or into the glutes, not directly on bone or sensitive structures. If the pain is sharp, shooting, or linked to a known injury (like a disc issue or nerve compression), it’s best to hold off and check in with a physio first.

 

Step-by-step: How to use a spiky ball for lower back pain

Step #1: Choose your surface

  • For beginners, use a wall. It lets you control the pressure more easily.
  • If you’re comfortable with more intensity, use a firm floor like carpet or a yoga mat.
  • Avoid overly soft surfaces like beds or couches as they limit effectiveness.

Step #2: Find the right area on your back

  • Focus on the muscles beside your spine, not directly on the spine itself.
  • Target the upper glutes and lower back where tightness is common.
  • If in doubt, start on one side and compare with the other.

Step #3: Position your body

  • Against a wall: place the ball between your back and the wall and gently lean in.
  • On the floor: lie down and place the ball under one side of your lower back or upper glute.
  • Bend your knees and use your feet to help control how much pressure you’re applying.

Step #4: Apple gentle pressure

  • Slowly lean your body into the ball. Hold that pressure on one spot for about 30 to 90 seconds.
  • It should feel uncomfortable but not painful. If it’s sharp or intense, back off.
  • Let the ball “melt into” the muscle. Stay still and give it time to release.

Step #5: Add small movements

  • After holding a spot, try gently rolling side to side or up and down.
  • Keep the range of motion small (about 3 to 5 centimetres).
  • These movements help release a wider area of tight tissue.
  • You can also try a circular motion if it feels good.

Step #6: Keep breathing

  • Take slow, steady breaths while using the ball.
  • Tension in your breath often means tension in your body—try to let both go.
  • Keep your jaw unclenched and shoulders relaxed.

Step #7: Finish with a gentle stretch

  • A few gentle stretches can help keep the muscle loose after release, such as:
    • Knees-to-chest
    • Lower trunk rotation stretch (lying twist)
    • Standing forward fold with bent knees

 

When and how often should you use it?

Spiky balls are most effective when used regularly, but not excessively. Two to three times per week is a good starting point for most people. It gives your muscles enough time to recover while still making progress.

If you’re not getting sore or aggravated after use, you can gradually increase frequency. As always, quality matters more than quantity.

Good times to use it:

  • After work if you’ve been at a desk all day
  • After light exercise or walking
  • As part of your cooldown or recovery routine
  • On rest days between physio or gym sessions

Again, if you feel worse after using it or your pain changes in any way, it’s best to stop and speak with your physiotherapist before continuing.

 

Tips for getting the most out of your spiky ball routine

Using a spiky ball isn’t just about rolling around on the floor. A few small tweaks to how and when you use it can make a big difference in how effective it feels.

  • Stay hydrated

Releasing tight tissue can trigger small changes in blood flow and muscle tone. Drinking water helps support that recovery.

  • Pair it with light stretching

After using the ball, try gentle stretches to maintain the release and improve flexibility.

  • Use it when muscles are warm

It can be more comfortable and effective after a walk, a shower, or gentle movement.

  • Control the pressure

Remember, more isn’t always better. Too much pressure can cause your body to tense up instead of release.

  • Focus on breathing

A calm, steady breath tells your nervous system that it’s safe to let go of tension.

  • Be consistent (and not aggressive)

It’s better to use it a few times a week with care than to go hard once and end up sore.

Used thoughtfully, the spiky ball can become a useful part of your ongoing recovery or maintenance routine.

 

When to see a physio instead

A spiky ball can help with mild muscle tightness or general postural tension, but it’s not a solution for everything. If you’re not seeing improvement, or if something doesn’t feel quite right, it’s worth checking in with a physio.

Book an appointment if:

  • Your pain is sharp, shooting or gets worse with movement
  • You’re dealing with nerve symptoms like tingling or numbness
  • You’ve had a previous back injury and aren’t sure if this is safe
  • You’re not confident about where or how to use the ball
  • You want a more tailored plan for your back and general mobility

A physiotherapist can assess your movement and help figure out what’s really going on. They’ll guide you through safe, effective strategies and show you if a spiky ball is the right fit for your treatment.

 

Support that moves with you

Spiky balls can be a great tool for relieving tightness and supporting your recovery, but they’re just one piece of the puzzle. If your lower back pain isn’t shifting (or you’re not sure where to start) it might be time for a more tailored approach.

At Integrity Physiotherapy in Como, we offer one-on-one care with experienced lower back pain physios who take the time to understand your body and your goals.

Book an appointment today and let’s work together on a plan that’s right for you.

Leslie Trigg

Director & Senior Physiotherapist at Integrity Physiotherapy Leslie Trigg, has over 18 years of experience in clinical practice. He has graduated with a degree in Human Biology (Anatomy and Physiology) from Curtin University in 2001 and later completed a Masters of Physiotherapy in 2007. He has tremendous experience in musculoskeletal, orthopaedic, neurosurgical and sports physiotherapy. In his spare time he enjoys mountain biking, martial arts, strength training and spending time with his family.