Back pain affects 80% of people at some point in their lives. It's the most common reason people visit a healthcare practitioner — and one of the most mismanaged. Understanding what's actually happening in your back is the first step to recovering well.
Most back pain is not structural damage
A common fear is that back pain means something is "broken" or "worn out." In reality, the majority of back pain — even severe, debilitating pain — is not caused by serious structural damage. Research consistently shows that MRI findings like disc bulges and degenerative changes are common in people with no pain at all.
The role of the nervous system
Pain is produced by the brain as a protective response — not simply a signal from damaged tissue. This means that stress, sleep, movement patterns, and beliefs about pain all influence how much pain you experience. Addressing these factors is a key part of effective treatment.
Movement is medicine
Bed rest was once recommended for back pain. We now know the opposite is true. Graded, appropriate movement is one of the most effective treatments for back pain. The goal is to restore confidence in movement — not to protect and guard.
When to seek help
- Pain that has persisted for more than 6 weeks without improvement
- Pain accompanied by leg pain, numbness, or weakness
- Pain that is worse at rest or at night
- Pain following a significant trauma or fall
- Any loss of bladder or bowel control (seek urgent care)
A thorough assessment by one of our chiropractors or physiotherapists can identify the specific drivers of your back pain and create a targeted plan. Most patients notice meaningful improvement within a few sessions.