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Illustration demonstrating the position of the Prone Press-Up (McKenzie Extension) exercise.

Therapeutic exercise

Prone Press-Up (McKenzie Extension)

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A core movement of the McKenzie method for discogenic lumbar radiculopathy. Promotes centralization of pain by reducing pressure on the nerve root.

How to perform

  1. Starting position. Lie face-down with your elbows under your shoulders.
  2. Step 2. Hold this sphinx position for 2–3 minutes, breathing deeply.
  3. Step 3. Progress by straightening your elbows and lifting your trunk, keeping your hips on the floor.
  4. Return. Return slowly to the floor between repetitions.

When not to perform

  • Pain that radiates more distally with the movement
  • Unstable spondylolisthesis
  • Suspected cauda equina syndrome

Medical disclaimer. These exercises are presented for informational purposes only. Always consult your physician before starting any exercise program, especially in case of acute pain, recent injury, or underlying clinical condition.

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