What is back pain?
Low back pain is discomfort, stiffness, or aching anywhere from the bottom of the rib cage to the top of the legs. Most cases are mechanical, meaning the pain comes from the muscles, ligaments, joints, or discs of the spine itself rather than a nerve or organ problem. It can show up suddenly after a specific movement or lift, or build gradually over weeks of poor posture and reduced activity.
Common symptoms
- Dull ache or stiffness across the low back
- Sharp pain with bending, twisting, or standing up from sitting
- Muscle spasm or tightness
- Pain that improves with rest and worsens with prolonged sitting or standing
- Localized soreness to the touch
- Mild soreness into the buttock, without pain running down the leg (leg pain points toward sciatica instead)
Common causes
- Lifting or twisting strain: a specific movement that overloads the muscles or joints
- Prolonged sitting or poor posture: especially desk work without regular movement
- Facet joint irritation: the small joints connecting each vertebra
- Early disc problems: before they've progressed to affect a nerve
- Muscle deconditioning or a previous injury that never fully resolved
Does this sound like you?
If you have any of these, it may be time to get evaluated
This isn't a diagnosis, an exam is the only way to know what's actually driving your pain. If you have loss of bladder or bowel control, progressive leg weakness, or numbness in the groin area, seek emergency care right away.
Our approach
We start by figuring out whether your pain is coming primarily from a joint, a muscle, or a disc, because that changes the plan. Joint dysfunction often responds to chiropractic adjustment, restoring normal motion to a restricted segment. Muscle-driven pain often benefits from massage therapy alongside adjustment. If the exam and your history suggest a disc problem with early nerve involvement, we evaluate whether spinal decompression is worth considering. We take in-house X-rays the same visit when they're indicated, so there's no separate imaging trip before we can get started.
What to expect at your first visit
Your first visit starts with a conversation about your symptoms, how they started, and what makes them better or worse, followed by a physical exam checking movement, strength, and specific orthopedic signs. If X-rays are indicated, we take and read them the same day. From there we explain what we found in plain language and lay out a specific plan built around what's actually driving your pain.
Why early, local care matters
Back pain that's left alone tends to change how you move, and those compensation patterns can create new problems on top of the original one. Getting evaluated early, before guarding and avoidance set in, generally gives conservative care more to work with. Same-day appointments and in-house X-rays mean less time between "something's wrong" and an actual plan.
Frequently asked questions
Is back pain always from the spine?
How long should I wait before getting checked?
Will I need imaging for back pain?
What's the difference between back pain and sciatica?
Can chiropractic care help chronic back pain?
Key takeaway: Most back pain is mechanical, coming from muscle, joint, or an early disc issue. An exam identifies the source, and the treatment plan, whether adjustment, massage, or decompression, follows from that.
