The approach a chiropractor will take to manage low back pain does differ. It depends on if the injury is new (acute), recent (subacute), or has persisted for three months or longer (chronic). Though some management tools overlap between each group, each stage of injury includes unique challenges that require specific interventions.

ACUTE LOW BACK PAIN

In this stage, it’s important to address inflammation and avoid aggravating the injury, which can hinder recovery. Chiropractic pain management strategies include a multi-modal care approach. This approach can include manual therapies, tools to reduce inflammation, muscle relaxing techniques, at-home exercise, and nutrition/diet recommendations. Importantly, the patient must receive reassurance that they can get better.

SUB-ACUTE LOW BACK PAIN

The management strategy and treatment goals at this stage are similar to the acute stage. The intensity of care may increase. The patient may also receive instruction on muscle strengthening exercises specific to their case. They should maintain normal activities as much as possible so that the condition does not become chronic and more challenging.

CHRONIC LOW BACK PAIN

In the chronic phase, the patient may have changed their movement patterns to avoid pain, which may place adjacent tissues and other areas of the body at risk for injury. They may also be hesitant to return to their previous lifestyle out of fear of making their pain worse, causing them to give up a hobby or even change careers. This can lead to depression and anxiety, which may need to be co-managed with an allied healthcare provider. At this stage, the key is to restore normal joint motion, address faulty mechanics, strengthen muscles that have atrophied, and encourage the patient to resume their normal lifestyle and activities.

Following the conclusion of care, the patient may also find that routine visits to their chiropractor can help them reduce their risk for a future episode.