Low back pain is one of the most common reasons people visit a chiropractor, and one of the most common reasons adults miss work. If your lower back has been sore after yard work, a long drive or simply waking up, you may be wondering whether to wait it out, call your doctor or book with a chiropractor.
This article explains when a chiropractor for lower back pain may be a sensible next step, when you should see a medical doctor first, and what you can do at home in the meantime.
How common low back pain is
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), back pain is a common problem that affects most people at some point in their lives. Much of it is short-lived and improves within a few weeks, though for some people it returns or lingers.
Common everyday causes
- Lifting, twisting or bending awkwardly
- Long periods of sitting, especially without breaks
- Sudden increases in activity, such as the first big weekend of yard work
- Muscle strain or ligament sprain
- Age-related changes in the spine
In many cases, there is no single dramatic cause. Stiff joints, tired muscles and daily habits often add up.
Signs it is time to get it checked
- The pain has not improved after a week or two of sensible self-care
- It keeps coming back
- It is limiting your sleep, work or favorite activities
- You are unsure what is causing it and want a clear explanation
These are good reasons to have a professional take a look. A chiropractor can assess how your back moves and explain what may be contributing to your discomfort.
Red flags that need urgent medical care
Some symptoms point to problems that need a medical doctor or emergency care, not a chiropractor. Seek medical help right away if back pain comes with numbness in the groin or inner thighs, loss of bladder or bowel control, new weakness in your legs, fever, a recent significant fall or accident, or a history of cancer with new back pain. The checklist at the end of this article summarizes these warning signs.
How a chiropractor assesses back pain
At a first visit, your chiropractor will ask about your symptoms and health history, then examine how you move: bending, twisting, walking and sometimes simple strength or reflex checks. The goal is to understand what is involved and whether chiropractic care is likely to help. If something suggests you need imaging or another kind of provider, they should tell you. Our guide to your first chiropractic visit walks through the process.
What care may involve
Depending on your assessment, care may include chiropractic adjustments to help joints move more freely, soft-tissue work such as Active Release Technique, in-office therapies, and simple stretches or movement advice. The National Center for Complementary and Integrative Health notes that spinal manipulation is one of several approaches that may help some people with low back pain.
What you can do at home meanwhile
- Keep gently moving. Short walks are usually better than long bed rest.
- Change positions often. Get up from your chair every 30 to 45 minutes.
- Lift smart. Bend your knees, keep loads close and avoid twisting while lifting.
- Try heat or cold for comfort, following the product directions.
If you are not sure whether something is safe for your situation, ask before you try it.
When to see a professional
Get prompt medical attention if you notice any of the following:
- Numbness, tingling or weakness in your arms or legs
- Loss of bladder or bowel control
- Pain after a fall, car accident or other injury
- Fever, or pain with unexplained weight loss
- Pain that is severe, getting worse or keeps you awake at night
Contact your doctor, or call 911 or go to an emergency room if symptoms are severe or sudden.
How we can help
Our chiropractors take time to understand your back pain, explain what they find and recommend only the care they believe will help. Learn more about chiropractic care in Omaha or contact our office.
This article is for general educational purposes only and isn’t a substitute for professional medical advice, diagnosis or treatment. If you have a specific health concern, please consult a qualified healthcare provider. In an emergency, call 911.
Sources
- Featured photo: Ivan Radic, CC BY 2.0
- Back Pain, National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Low-Back Pain and Complementary Health Approaches, National Center for Complementary and Integrative Health
- Back Pain, MedlinePlus
Have a question about your situation?
Articles can only go so far. If you’d like a professional opinion about what you’re feeling, our chiropractors are happy to help. Call us or schedule a visit.