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The lower back may ache when you get up, bend over, carry a heavy load, exercise or simply after spending too long sitting down.

Sometimes it only started three days ago.

Others have been affecting the way you move for months.

Not all lower back pain indicates damage

Lower back pain is very common and usually requires a more comprehensive clinical assessment than simply ‘something is out of place’.

In cases of persistent pain, factors such as movement, weight-bearing, sleep, activity, fear and context are important, as well as the tissues themselves.

When the condition is recent

If there is clear evidence of strain, we can work on:

  • lumbar mobility
  • pelvis
  • hip
  • muscles
  • fascia.

When it’s been going on for a while

When a condition has been present for some time, I am particularly interested in observing:

  • which movements should you avoid?
  • what activities have you stopped doing?
  • which treatments have helped you and for how long?
  • how the pelvis and hip respond
  • how much weight can you bear at the moment?
  • what other changes occur alongside the pain?

What if I have a disc protrusion or herniation?

So the image is important, but it does not speak for itself.

Disc-related findings may also be present in people who have no symptoms.

See disc protrusion and herniated disc

What if the pain radiates down into the buttock or leg?

The pain may be related to a disc, but it may also be linked to other structures in the deep gluteal region.

See sacrum, gluteal region and false sciatica

Abdomen and breathing: only when symptoms arise

If you also notice any changes in your abdomen, digestion or breathing, we will take these into account.

How I work

Depending on what is found, we can work on:

  • joint mobility
  • muscles
  • fascia
  • pelvis and hip
  • simple exercises to do at home when needed.

The aim

To reduce pain, restore movement and help you use your back again with less protection and greater confidence.

Your lower back is designed to support movement, not to be constantly protected.

To find out more

References that expand on the points discussed.

View sources
  1. WHO. Guideline for the non-surgical management of chronic primary low back pain, 2023 · View source
  2. Brinjikji W et al · View source

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