How to understand and eliminate low back pain (Part 3)

Part Three of a Three Part Series

In the last blog, we talked about how low back pain in managed in the US. Today, we are going to discuss evidence-based and practice based measures of effective low back treatment. The evidence shows us that there are specific criteria to indicate which treatment is best. 

Why acute low back pain becomes chronic?

As mentioned before in part 1 and part 2 articles of this low back pain series, because most back pain in the US is mismanaged, the time it takes for someone to get the best treatment is prolonged. Imaging is typically unnecessary and prolongs the period of time that you are experiencing pain, which ultimately can contribute to a sense of hopelessness and chronic pain, otherwise known as chronic sensitization of the nervous system.

Once you have acute low back pain, you naturally become fearful of having it again. So, you change your movement, activities and even thoughts and emotions. Pain is simply information. It is a signal. Are you moving well? Too much? Not enough? Eating highly processed foods? Drinking too much alcohol?

Continue reading “How to understand and eliminate low back pain (Part 3)”

How to understand and eliminate low back pain (Part 2)

Part Two of a Three Part Series

In the last blog, we talked about how low back pain in managed in the US. Today, we are going to discuss evidence-based and practice based measures of effective low back treatment. The evidence shows us that there are specific criteria to indicate which treatment is best. 

Appropriate for a manipulation?

For acute low back pain, spinal manipulation is appropriate if :

1.      the duration of the current episode is 16 or less,

2.      there are no below the knee,

3.      the FABQ (Fear avoidance belief questionnaire) is less than 19,

4.      they do not have more than one hypomobile segment in their spine,

5.      and they have adequate hip internal rotation (>35 degrees)

Continue reading “How to understand and eliminate low back pain (Part 2)”

How to understand and eliminate low back pain

Part One of a Three Part Series

I see back pain on a regular basis, actually closer to a daily basis, and I see everything from acute low back pain, SI joint pain, to chronic low back pain and more. I’m sure that if you’re reading this either you or your closest friend, co-worker, or family member has had it before. In fact, one in four people experience back pain in their life.

Continue reading “How to understand and eliminate low back pain”


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