The spinal column protects the spinal cord and is made up of vertebrae. Spina bifida occulta is a general term for conditions affecting the spinal column. It rarely causes symptoms, but core and lower body exercises can help prevent back pain. Stretching exercises can relieve lower back pain from spina bifida occulta. Exercises that strengthen the muscles around the spine, like head resistance exercises, are also effective. Using a stability ball for exercises like sit-ups and lifts from the stomach can strengthen core muscles to support the spine. Dr. Novelli recommends performing back exercises in the morning to prevent stiffness and pain during the day.