Lower back pain is the most common condition affecting adults with nearly four out of five New Zealanders complaining of back pain at some point in their life and is becoming increasingly prevalent due to our sedentary lifestyles. It is characterized by aches or sharp pains which can be brought on by sudden injury or strain, but can also build over time due to poor posture. It is usually felt in the lumbar spine and posterior pelvis, often accompanied by stiffness. In some cases, it may also cause numbness, tingling, or weakness that can travel down the leg to the foot. In some cases, the pain and discomfort may last just a few days, while other times people may experience pain for weeks or months.
If you are in pain or discomfort, it is important to remember that back pain is often a symptom of a deeper underlying issue.
Your back is a complex structure of muscles, vertebrae, ligaments, discs, and nerves working together to provide movement and stability. Muscles control movement and support the spine, while ligaments prevent excessive motion. Discs act as shock absorbers between vertebrae, and nerves pass through openings in the spine, connecting your brain to the rest of your body.
Every movement of your back relies on:
- Precise muscle coordination, with dozens of muscles activating at the right time.
- Smooth function of the facet joints, allowing fluid motion.
- Disc support, absorbing impact and aiding movement.
- Sensorimotor integration, where the brain processes information and coordinates movement.
Prolonged stress, repetitive tasks, and injuries can affect these structures, often due to an inactive lifestyle, poor posture, or obesity. Most lower back pain is mechanical, meaning it results from overuse, injury, or structural imbalances rather than disease. Because pathology is rarely the cause, a functional approach that restores movement and balance is typically the most effective solution.
There can be many causes for lower back pain and these are just some of the most common causes for lower back pain:
The specific condition that you have can be determined by asking a series of questions and performing various tests and exams. The conditions below have very brief descriptions and should not be relied upon for a diagnosis:
Common Causes of Lower Back Pain
Lower back pain can stem from various conditions, ranging from muscle strains to structural abnormalities and degenerative diseases. Below are some of the most common causes:
Muscle and Ligament Injuries
- Lumbar Strain or Sprain – The most common cause of episodic back pain, lasting up to three or four weeks. It occurs when muscle or ligament fibers are overstretched or torn due to heavy lifting, sports injuries, or poor posture. Overuse, improper movement, or fatigue can lead to muscle overstretching or tearing. Excessive loading of the lumbar ligaments, causing stretching or tearing, often accompanied by inflammation of the lumbar facet joints.
- Muscle Spasms – Involuntary contractions of one or more muscles, often occurring with a strain or sprain.
Joint and Structural Conditions
- Sacroiliac (SI) Joint Dysfunction – Dysfunction in the SI joints, leading to pain in the lower back, pelvis, buttocks, and back of the thighs, often involving inflammation.
- SI Joint Syndrome – THe SI joint on one side locks up while the other moves excessively. This imbalance is more common for those with a sudden increase in running or jumping training, pregnant women, or those with a recent sprain to the SI joint.
- Osteoarthritis (OA) Related Back Pain – Degenerative joint disease causing pain and stiffness, particularly in the mornings, due to the breakdown of spinal structures.
- Inflammatory Arthritis – Conditions like rheumatoid arthritis and ankylosing spondylitis that affect the immune system, leading to chronic joint pain, stiffness, and deformity.
- Scoliosis – Sideways curvature of the spine, often developing before puberty, which can contribute to back pain.
Disc-Related Conditions
- Bulging Disc – A tear in the outer layer of an intervertebral disc that may irritate nearby nerves, leading to pain and inflammation.
- Herniated Disc – When the inner gel-like substance of a disc leaks out, potentially causing severe pain and nerve compression that may radiate down the lower limbs.
Nerve and Spinal Cord Conditions
- Spinal Canal Stenosis – The narrowing of the spinal canal, usually due to aging, which can compress the spinal cord and nerves, causing pain, numbness, and weakness in the legs.
- Sciatica – Inflammation of the sciatic nerve, often due to a herniated disc, resulting in sudden, sharp pain, numbness, or tingling that travels from the lower back down the legs.
Vertebral Issues and Fractures
- Spondylolisthesis – A vertebra slips forward over the one below it, typically in the lower spine, leading to lower back pain. This may or may not involve a stress fracture.
- Spinal Fracture – A break in a spinal bone due to direct trauma or significant injury. In individuals with osteoporosis, vertebral bodies can collapse, causing pain and instability.
Other Medical Causes
- Organic Causes – Lower back pain can also result from infections, kidney stones, abdominal aortic aneurysms, or tumors, though these are less common.
Understanding the root cause of lower back pain is crucial for effective treatment. While many cases are mechanical and resolve with proper care, persistent or severe symptoms should be evaluated by a healthcare professional.
How can Chiropractic care provide relief for lower back pain?
Painkillers and anti-inflammatory medications can temporarily reduce discomfort, but they do not address the root cause of lower back pain. Pain is often just the tip of the iceberg—an indicator of an underlying issue. While reducing inflammation may provide short-term relief, it can also interfere with the body’s natural healing process.
What does the current research say?
Chiropractic care takes a functional approach, focusing on diagnosing and addressing the source of the problem rather than masking symptoms. Chiropractors specialize in spinal conditions and use evidence-based techniques, such as spinal manipulative therapy (SMT), which research has shown to be effective for acute, sub-acute, and chronic lower back pain. A study by the EMGO Institute for Health and Care Research found that SMT provides significant short-term pain relief for lower back issues.
- **can we make the research paper a clickable link to take people to the research study
- Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial.
- Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis.
- https://chiropractic.org.nz/wp-content/uploads/2022/01/LBP-and-neck-pain-systematic-review.pdf
Beyond Temporary Relief: A Long-Term Solution
Whether back pain lasts a day or a month, it can significantly impact daily life. While massage can provide short-term relief, lasting recovery requires a comprehensive approach. Chiropractic adjustments help address areas of vertebral dysfunction the spine, improve posture, and restore proper movement patterns, reducing the risk of recurring pain.
Up to 80% of people will experience lower back pain at some point in their lives, often without other health complications. While symptoms may resolve on their own in a few days, nearly half of these individuals will experience recurrent pain due to poor posture, an unhealthy lifestyle, or muscular imbalances. Addressing these underlying causes is essential for preventing future pain.
At Waitaki Chiropractic, we don’t believe in quick fixes—we focus on creating a healthier you by addressing the root causes of pain, restoring movement, and helping you maintain an active, pain-free lifestyle.
Self-Care
Maintaining and Rehabilitating Spinal Health
The same practices that maintain a healthy spine are also key to rehabilitating it after an injury. However, these should always be done under the guidance of a chiropractor, as every case is unique.
Stretching In most cases, keeping your spine mobile is essential. This can range from simple daily stretches to yoga classes. However, it’s important to listen to your body—never push a joint beyond your pain threshold, as this can cause more harm than good.
Think of stretching like flossing your teeth—just as you work to clean between each tooth, stretching helps you move all the joints in your body that might be missed throughout the day. It’s a way to keep your spine and muscles moving and functioning properly, just as flossing keeps your teeth healthy by getting into those hard-to-reach spots. Regular stretching helps maintain flexibility and mobility, ensuring that your spine stays in good shape and prevents stiffness or discomfort.
Strengthening While strengthening exercises may not be necessary in the initial stages of recovery, they become crucial as you regain mobility. Your chiropractor will guide you through appropriate exercises to support your spine. Squats and deadlifts can be beneficial but must be performed with proper technique and gradual progression to prevent further injury.
Sports & Dance Motion is lotion! Frequent movement of your body is key, particularly when engaging in activities like sports or dance is an excellent way to keep your spine and body moving while improving spinal stability. These activities work multiple joints and muscles in the lower back, enhancing overall function and resilience.
Rest While movement is encouraged, rest is also required, particularly in cases of significant disc herniation or severe inflammation. However, for most conditions, prolonged rest is not recommended, as staying active promotes faster recovery and better long-term spinal health.
If you’re looking for expert guidance on rehabilitating or maintaining your spinal health, we’d love to help! Click below to book an appointment, and let’s get you moving pain-free