Lower Back Pain

The lower back accounts for nearly a third of what walks through the door of a small clinic in any given week. These thirty notes cover the patterns I see most often — the discogenic ones, the joint-mediated ones, the muscular ones, the ones that started with a single lift and the ones that crept in over five years at a desk. None of it replaces an in-person examination, but the patterns repeat and the conservative care that helps repeats with them.

• 07 Aug 2026 The best exercises for lumbar pain: Causes and Care A practice note on the best exercises for lumbar pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 06 Aug 2026 How to relieve lumbar pain: What I Tell Patients A practice note on how to relieve lumbar pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 02 Aug 2026 The best exercises for morning back pain A practice note on the best exercises for morning back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 28 Jul 2026 Back pain after lifting stretches: From the Practice A practice note on back pain after lifting stretches — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 26 Jul 2026 Low back stiffness stretches: Causes and Care A practice note on low back stiffness stretches — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 25 Jul 2026 Back pain after lifting relief at home: What Helps A practice note on back pain after lifting relief at home — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 24 Jul 2026 What causes back pain when sitting: Causes and Care A practice note on what causes back pain when sitting — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 20 Jul 2026 How to relieve back pain when sitting: A Practical Guide A practice note on how to relieve back pain when sitting — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 16 Jul 2026 Low back stiffness exercises: What I Tell Patients A practice note on low back stiffness exercises — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 02 Jul 2026 Back pain after lifting exercises: A Practical Guide A practice note on back pain after lifting exercises — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 30 Jun 2026 How to relieve morning back pain: What Helps A practice note on how to relieve morning back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 28 Jun 2026 Lower back pain exercises A practice note on lower back pain exercises — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 27 Jun 2026 The best exercises for back pain when sitting: From the Practice A practice note on the best exercises for back pain when sitting — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 25 Jun 2026 Lower back pain relief at home: What I Tell Patients A practice note on lower back pain relief at home — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 10 Jun 2026 Lower back pain stretches: A Clinical Note A practice note on lower back pain stretches — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 07 Jun 2026 What causes lumbar pain: A Clinical Note A practice note on what causes lumbar pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 11 May 2026 Bulging Disc vs Herniation: How the Care Differs A practice note on bulging disc — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 10 Apr 2026 When Chiropractic Is Not the Right Tool for Low Back Pain A practice note on chiropractic contraindications low back — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 26 Feb 2026 Chronic Lumbar Pain: A Practitioner's Working Approach A practice note on chronic lumbar pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 21 Feb 2026 Coccyx (Tailbone) Pain: Sitting Relief and Recovery A practice note on tailbone pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 16 Feb 2026 Core Strengthening for Lower Back Pain: A Progressive Plan A practice note on core strengthening for low back — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 28 Jan 2026 Lumbar Degenerative Disc Disease: A Conservative Plan A practice note on degenerative disc disease — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 12 Jan 2026 Driving and Lower Back Pain: Seat Setup and Relief A practice note on driving lower back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 31 Dec 2025 Evening Back Fatigue: Why the Back Hurts Most at Night A practice note on evening back fatigue — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 21 Dec 2025 Lumbar Facet Joint Syndrome: Identifying the Local Pattern A practice note on facet joint syndrome — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 27 Nov 2025 Gluteus Medius Pain: The Side-Hip Pattern Patients Mislabel A practice note on gluteus medius pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 13 Nov 2025 Hamstring-Related Lower Back Pain: A Chain Pattern A practice note on hamstring-related back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 06 Nov 2025 Heat vs Ice for Lower Back Pain: When to Use Each A practice note on heat vs ice lower back — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 29 Oct 2025 Herniated Lumbar Disc: What the First Six Weeks Look Like A practice note on herniated lumbar disc — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 10 Oct 2025 Lifting Injuries: What Happens and What Comes Next A practice note on lifting back injuries — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 06 Oct 2025 Specific Exercises for Lower Back: What I Actually Prescribe A practice note on exercises for lower back — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 01 Oct 2025 Lumbar Spondylosis: Living Well With Wear-and-Tear A practice note on lumbar spondylosis — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 28 Sep 2025 Lumbar Sprain: A Two-Week Recovery Plan A practice note on lumbar sprain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 26 Sep 2025 Lumbar Spinal Stenosis: The Walking-Limited Patient A practice note on lumbar spinal stenosis — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 09 Sep 2025 McKenzie Method Basics: The Centralization Idea Explained A practice note on McKenzie protocol — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 24 Aug 2025 Morning Back Stiffness: When It Means More Than a Bad Mattress A practice note on morning back stiffness — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 02 Jul 2025 Piriformis Muscle Pain: Release Strategies That Work A practice note on piriformis muscle pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 22 Jun 2025 Postpartum Back Recovery: The First Six Months A practice note on postpartum back recovery — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 18 Jun 2025 Pregnancy-Related Lower Back Pain: Conservative Care Notes A practice note on pregnancy lower back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 10 Jun 2025 Prone Press-Ups: A Step-by-Step Practitioner Guide A practice note on prone press-ups — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 08 Jun 2025 Psoas Trigger Points: Why So Many Backs Hurt From the Front A practice note on psoas trigger points — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 06 Jun 2025 Quadratus Lumborum Tightness: The Hidden Low-Back Driver A practice note on quadratus lumborum tightness — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 27 May 2025 Returning to Running After a Lower Back Injury A practice note on returning to running after back injury — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 08 May 2025 Sacroiliac Joint Dysfunction: The Pattern Most Often Missed A practice note on sacroiliac joint dysfunction — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 12 Apr 2025 Sciatica from L4-L5: A Clinical Note on the Common Pattern A practice note on sciatica from L4-L5 — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 24 Mar 2025 Sitting-Related Lumbar Pain: A Desk Worker's Recovery A practice note on sitting-related lumbar pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 09 Mar 2025 Spondylolisthesis: Conservative Management Notes A practice note on spondylolisthesis — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 02 Mar 2025 Stabilization Training for the Low Back: The Foundational Drills A practice note on stabilization training low back — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 28 Feb 2025 Standing-Desk Lower Back Relief: Getting the Setup Right A practice note on standing desk lower back pain — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 13 Feb 2025 Swimming for Back Rehab: A Note on When It Helps A practice note on swimming for back rehab — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.
• 23 Dec 2024 A Walking Program for Lower Back Recovery A practice note on walking program back recovery — assessment patterns, conservative care, the self-care that helps between visits, and the signs that mean it is time to involve a clinician.