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Lower Back Pain

What is Lower Back Pain?

Lower back pain (lumbar pain) is pain or discomfort in the area between the bottom of the ribcage and the top of the legs. It can range from a dull, constant ache to sudden, sharp pain that makes movement difficult. Lower back pain is one of the most common reasons people seek treatment — and one of the conditions we treat most frequently at our clinic.

Symptoms

  • Persistent aching or stiffness along the spine
  • Sharp, localised pain in the lower back
  • Pain that radiates from the back into the buttock or legs
  • Difficulty standing up straight or walking
  • Increased pain after prolonged sitting or standing
  • Morning stiffness that improves with movement
  • Muscle spasms in the lower back

Common Causes

  • Poor posture or prolonged sitting (desk work, driving)
  • Muscle strain from overexertion or improper lifting
  • Herniated or bulging discs pressing on nerves
  • Degenerative disc disease (age-related wear)
  • Spinal stenosis (narrowing of the spinal canal)
  • Sedentary lifestyle with weak core muscles
  • Previous injury or trauma

When to Seek Help

You should seek professional help if your back pain lasts longer than 2–3 weeks, radiates into your legs, is accompanied by numbness or tingling, disrupts your sleep, or limits your daily activities. If you experience sudden severe pain after an injury, or pain combined with fever or unexplained weight loss, seek medical attention promptly.

Understanding Lower Back Pain

Lower back pain affects people of all ages and activity levels, but it’s particularly common among expats on the Costa Blanca who may have:

  • Changed their activity patterns after relocating
  • Taken up new sports like golf, cycling, or hiking
  • Spent long periods sitting during remote work
  • Delayed seeking treatment due to unfamiliarity with local healthcare

The good news: most lower back pain responds well to non-surgical treatment. Our clinic specialises in identifying the root cause and applying targeted therapy to get you moving comfortably again.

Our Approach to Treating Lower Back Pain

We don’t believe in one-size-fits-all solutions. Your treatment plan begins with a thorough assessment:

  1. Detailed history — understanding when the pain started, what makes it better or worse, and how it affects your daily life
  2. Physical examination — testing range of motion, muscle strength, posture, and nerve function
  3. Diagnosis — identifying the specific structure causing your pain (disc, joint, muscle, or nerve)
  4. Personalised treatment plan — combining the most effective therapies for your condition

Treatment Options

Based on your assessment, we may recommend:

  • Spinal Decompression — for disc-related pain, creating space for compressed nerves to heal
  • Sports Massage — to release muscle tension and improve blood flow to the affected area
  • Postural correction — addressing the underlying alignment issues that contribute to recurring pain
  • Exercise prescription — targeted strengthening exercises to support your spine long-term

Prevention: Keeping Your Back Healthy

After treatment, we’ll work with you to prevent recurrence:

  • Core strengthening exercises tailored to your fitness level
  • Ergonomic advice for your home or office setup
  • Stretching routines for daily maintenance
  • Activity modifications for sports and hobbies

Medically reviewed by Dr. James Mitchell, DC

Last reviewed View profile →

Frequently Asked Questions

What is the best treatment for lower back pain?

The most effective treatment depends on the underlying cause — for example, a herniated disc, muscular imbalance, or postural overload each call for a different approach. At our clinic we typically combine spinal decompression, sports massage, and postural correction, tailored to your specific diagnosis. Most patients see significant improvement within 3–6 sessions.

How long does lower back pain take to heal?

Acute lower back pain episodes often improve within 2–6 weeks with proper treatment. Chronic lower back pain — meaning pain lasting longer than 12 weeks — usually requires a longer course of 6–12 weeks of consistent treatment. Early intervention generally leads to faster recovery and reduces the risk of acute pain becoming chronic.

Can lower back pain be caused by sitting too much?

Yes, prolonged sitting is one of the most common causes of lower back pain — especially for expats who work from home or drive long distances along the coast. Sitting increases disc pressure by up to 40% compared to standing, which strains the lumbar discs and surrounding muscles. A postural assessment combined with targeted treatment usually resolves the underlying issue.

Should I rest or stay active with lower back pain?

Staying gently active is generally better than bed rest. That means short walks, light stretching, and continuing daily activities at a reduced intensity — complete rest can actually slow recovery and weaken the muscles that support your spine. We advise you on which specific movements are safe and beneficial, and which to temporarily avoid.

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