Understanding Low Back Pain

Low back pain refers to discomfort or symptoms felt in the lower portion of the spine and surrounding tissues. It is one of the most common musculoskeletal complaints and can affect people of all ages and activity levels. Symptoms may range from stiffness or aching to sharper pain or movement-related discomfort, and they don’t always point to a single underlying cause.

In many cases, low back pain develops due to a combination of factors rather than one specific injury. Movement habits, physical workload, previous injuries, periods of inactivity, and tissue sensitivity can all play a role. Because different structures in the lower back can refer pain to similar areas, symptoms alone don’t always clearly identify what’s contributing to the issue.

For this reason, understanding low back pain often requires looking at how the body moves and responds to load, rather than focusing on one specific diagnosis. A thorough assessment helps clarify which factors are most relevant and guides appropriate next steps for management and recovery.

Common Causes & Contributing Factors

Low back pain can be influenced by a variety of factors, often in combination rather than isolation.

  • Movement habits and posture

  • Prolonged sitting or inactivity

  • Repetitive or sustained loading

  • Sudden increases in physical activity

  • Previous injuries or flare-ups

  • Work or sport-related demands

  • Poor recovery between activities

  • Tissue sensitivity or irritation

How Low Back Pain Is Assessed

When assessing low back pain, the first step typically involves a detailed discussion about symptoms, medical history, and how the issue has developed over time. This helps identify patterns, aggravating factors, and relevant background information that may be contributing to symptoms.

A physical assessment often follows, looking at movement, strength, mobility, and how the body responds to different positions or tasks. This provides insight into how the lower back and surrounding areas are functioning during everyday activities.

Assessment also considers contributing factors such as work demands, activity levels, previous injuries, and overall movement habits. Imaging is not always required and is typically only considered when appropriate, based on individual findings and clinical presentation.

Sports therapy Burlington clinician assessing mid back alignment during seated posture evaluation

Treatment Approach for Low Back Pain

Individualized, Goal-Focused Care

Management of low back pain is typically guided by the findings of a thorough assessment and tailored to the individual. Because contributing factors can vary from person to person, treatment approaches focus on addressing movement patterns, workload, and functional limitations rather than targeting a single structure.

Care commonly emphasizes restoring comfortable movement and improving how the body tolerates daily activities over time, work demands, or sport-related tasks. This may involve a combination of hands-on care, guided exercise, and activity modification, depending on individual needs and goals.

Education is an important component of management, helping individuals better understand their symptoms, contributing factors, and strategies for self-management. When appropriate, care may also involve collaboration across disciplines to support recovery and long-term function and reduce the risk of recurrence.

Care Options for Low Back Pain

Care for low back pain often involves a combination of services, selected based on individual needs, symptoms, and goals identified during assessment.

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Chiropractic Treatment

Chiropractic care may help improve spinal and joint mobility and address movement patterns that contribute to low back pain.

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Physiotherapy

Physiotherapy often focuses on restoring movement, strength, and tolerance to daily activities through guided exercise and education.

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Massage Therapy

Massage therapy may help reduce muscle tension and discomfort that can accompany low back pain.

What to Expect From Care

Care is guided by assessment findings and evolves based on individual progress and goals.

Initial Focus

Restoring comfortable movement and reducing sensitivity through individualized care.

Progressive Care

Gradually building tolerance to daily activities, work demands, or sport through guided progression over time.

Active Involvement

Incorporating movement strategies, exercises, and education to support long-term improvement.

Ongoing Reassessment

Regularly reviewing progress and adjusting care based on how symptoms and function evolve.

Frequently Asked Questions About Low Back Pain

These are some of the most common questions we hear from people dealing with low back pain.

Helping Burlington patients move better since 2005.

Many people notice improvement in low back pain with appropriate assessment and individualized care. Because contributing factors vary, the best next steps depend on your symptoms, goals, and how your body responds over time.

If you’re unsure what applies to your situation, an assessment can help clarify next steps.

Many people notice improvement in low back pain with appropriate assessment and individualized care. Because contributing factors vary, the best next steps depend on your symptoms, goals, and how your body responds over time.

Timelines vary based on how long symptoms have been present, activity demands, and how your body responds to care. Some episodes improve within days to weeks, while longer-standing or recurring symptoms can take longer and often benefit from a progressive plan.

In many cases, staying active with appropriate modifications is encouraged. The goal is usually to keep you moving while adjusting activity volume, positions, and loading to stay within tolerance and reduce unnecessary flare-ups.

Meet Our Practitioners

Our clinicians work collaboratively to support recovery across a wide range of conditions.

Dr. Kevin McIntyre

Dr. Kevin McIntyre B.Kin, DC

Clinic Director

Dr. Leslie McDowall

Dr. Leslie McDowall B.Sc, DC

Clinic Director

Beth Slack

Elisabeth (Beth) Slack

Registered Physiotherapist

Samantha Costabile

Samantha Costabile

Registered Physiotherapist

Deanna St. Clair

Deanna St. Clair

Registered Physiotherapist

Valerie Morris

Valerie Morris

Registered Massage Therapist

Ryan Smith

Ryan Smith

Registered Massage Therapist

Michael DeCiantis

Michael DeCiantis

Registered Massage Therapist

Maraisa (Mara) Ockenden

Allie Hoegl

Registered Physiotherapist