Jay is a 42-year-old male who came to the clinic with recent onset of low back pain. Low back pain wasn’t something new to him as he had done a lot of squats growing up and had worked in construction ever since graduating college. 

In the past, when he would irritate his back the pain would go away within a week or so. However, in this instance, he said the pain had been persistent for about a month, and it was getting to the point where it was having a negative affect on his ability to work.

Oftentimes I hear people say pain isn’t “normal.” However, with more than 80% of the adult population experiencing low back pain at some point, I argue that having some back pain at some point in life is pretty normal. I always assure people that often it is nothing to worry about as long as we are smart about it. What I do think is abnormal is long-lasting, persistent pain that doesn’t seem to be helped with normal “home remedies.”

It was my opinion that in Jay’s case it was time to start digging a little deeper, and it was smart for him to make an appointment.

One of my mentors would always say that he has never seen a case of low back pain without dysfunctional hips. I couldn’t agree more. My evaluation of Jay — which included squats, lunges and active and passive ranges of motion — led me to the obvious conclusion of hip dysfunction.

Jay’s treatment consisted of:

  1. Hip mobility exercises to address tightness
  2. Decompression therapy of the lumbar spine to open up the spine and benefit the health of intervertebral disc
  3. Body awareness exercises, so he could feel when he was in good positions versus bad positions while doing physical labor

Thankfully, Jay’s case was not a difficult one, and it was easily resolved in a few sessions. 

When evaluated correctly, a majority of low back pain cases can be resolved much like Jay’s — quickly and with minimal care.



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