Relief from Back Pain

Back pain affects up to 80% of people at some point in their lives and is the leading cause of

disability worldwide, according to the Global Burden of Disease Study. Yet despite its

prevalence, the treatment of back pain remains inconsistent—often driven more by outdated

beliefs or passive interventions than by high-quality research. At our clinic, we adhere strictly to

evidence-based guidelines, offering a structured, individualized approach to back pain rooted in

current science and clinical best practices.

Most acute and chronic low back pain is mechanical in origin and not due to serious pathology.

This means that imaging like MRIs is often unnecessary in the absence of red flags such as

unexplained weight loss or neurological signs. Leading clinical practice guidelines, including

those from the American College of Physicians and the Clinical Practice Guidelines for Low

Back Pain (Delitto et al., 2012), recommend a combination of patient education, active

movement strategies, manual therapy, and progressive exercise over surgery, opioids, or

prolonged rest.

During our initial evaluation, we perform a thorough biomechanical and functional

assessment—examining posture, range of motion, movement coordination, directional

preferences, strength, and pain provocation patterns. For patients with persistent pain, we also

screen for central sensitization and fear-avoidance behaviors, as recommended by the Neuro

Orthopaedic Institute and other pain neuroscience leaders. Our goal is not only to identify

contributing factors but also to determine what movement strategies reduce your symptoms and

restore confidence in your body.

Treatment typically includes a mix of manual therapy to address joint and soft tissue restrictions;

therapeutic exercise targeting trunk control, hip mobility, and load tolerance; and neuromuscular

re-education to retrain movement patterns. Each session is adjusted based on patient response,

and we monitor progress using objective measures such as repeated motion testing and

functional outcome scores (e.g., the Oswestry Disability Index). Education is a core component

as well—helping patients understand what pain does and does not mean, and how to stay active

without harm.

This evidence-based framework allows us to reduce pain efficiently, minimize recurrence, and

avoid unnecessary interventions. Whether you’re a consultant working 12-hour days or someone

managing back pain after years of desk work, the process is the same: precise diagnosis, guided

movement, and gradual return to full function—without fluff or over-medicalization.