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Lower Back Pain:
Causes, Symptoms,
And Relief Options

From tightness and tension to stiffness that lingers, your
lumbar spine works hard to support your every move. Taking
a proactive approach may help restore movement and support lasting relief from lower back pain.

Find Relief Near You

What Is Lower Back Pain?

Lower back pain, sometimes referred to as lumbar spine pain, refers to discomfort, tightness, or restricted movement in the lumbar spine, which is the section of your back that supports your upper body and absorbs stress from posture, movement, and daily life.

It often begins subtly, like a nagging ache or tension after a long day of sitting. Over time, that discomfort may build, and may affect how you move, sleep, and feel.

How Lower Back Pain Differs From Other Types Of Back Pain

Lower back pain

refers to discomfort in the lumbar spine, more commonly associated with disc herniation, nerve compression, sciatica, or structural instability.

Upper back pain

involves the thoracic spine and is typically felt between the shoulder blades or just below the neck. Pain may be mechanical (muscle strain, joint dysfunction) or referred (from cervical or visceral sources).

Middle back pain

often overlaps with upper back pain but may involve more internal structures, such as the diaphragm or spinal discs.

Recognizing where pain occurs may be an important first step in choosing care that fits your needs.

What Are The Causes Of Lower Back Pain And Lumbar Spine Pain?

Sitting for long periods without support

Prolonged sitting, especially in chairs without proper lumbar support, may increase pressure on spinal discs and tighten surrounding muscles. Over time, this may reduce mobility and contribute to stiffness or pain in the lower back. Regular breaks to stand, stretch, and adjust your posture may help minimize these effects and keep your spine healthier.

Weak core or glute muscles

Your core and glutes help stabilize your spine during movement. When these muscles are weak, your lower back compensates, absorbing more stress with each step, bend, or lift. Over time, this may lead to soreness or injury. Strengthening these muscles through targeted exercises may improve stability, reduce strain, and protect your lumbar spine.

Tight hamstrings or hip flexors

Limited flexibility in your hamstrings or hip flexors may change the way your pelvis tilts and moves, often pulling on your lower back. This imbalance may increase pressure on lumbar joints and limit mobility. Gentle stretching, mobility work, and regular movement may help restore balance and reduce lower back discomfort over time.

Spinal joint restriction

When joints in the lumbar spine lose their normal range of motion, the surrounding muscles and ligaments may become stiff or sore. This restriction may be caused by injury, posture habits, or repetitive strain.

Herniated or bulging discs

Discs act as cushions between the bones of your spine. When one bulges or herniates, it may press on nearby nerves, causing pain, numbness, or tingling that radiates into your legs. Prompt evaluation, targeted treatment, and posture-friendly habits may help manage the symptoms of a herniated or slipped disc and reduce the risk of further injury.

Sciatica

Sciatica occurs when irritation or compression of the sciatic nerve in the lumbar spine causes radiating pain, often extending from the lower back down one leg. It may be triggered by disc issues, muscle tension, or spinal misalignment. Addressing the underlying cause through professional care may help relieve symptoms and prevent recurrence.

Repetitive strain or awkward lifting

Frequent bending, twisting, or lifting, especially with poor form, may put repeated stress on the lower back. Over time, this may lead to muscle fatigue, joint irritation, or injury. Learning proper lifting mechanics, alternating tasks, and strengthening supportive muscles may help reduce risk and keep your back functioning at its best.

Mental and physical fatigue

When you’re tired, whether physically, mentally, or both, your posture and movement patterns may suffer. Fatigue may increase muscle tension, reduce body awareness, and lead to small, repeated stresses on your lower back. Prioritizing rest, maintaining regular activity, and practicing stress-reduction techniques may help break this cycle and support long-term spinal health.

Lower Back Pain By The Numbers

Person

26% of U.S. adults report experiencing low back pain at any given time, while approximately 23% experience it over the course of a month1

Person

16 million adults suffer from chronic low back pain, defined as pain lasting three months or more2

Person

619M worldwide were affected by low back pain in 2020, making it the leading cause of disability. Projections indicate this could climb to 843 million by 20503

Person

30—45% of adults report experiencing lower back pain each year, highlighting how widespread this issue is among working-age populations4

People at risk for upper back pain

Who Is Most At Risk For Lower Back Pain?

Occupations that require frequent lifting, twisting, bending, or working in awkward positions may place significant, repeated stress on the lower back. Over time, these movements may contribute to muscle strain, joint irritation, and even structural changes in the spine, especially if proper body mechanics are not maintained.

Spending hours seated, particularly without adequate lumbar support, may place uneven pressure on the spine and lead to muscle imbalances. Whether at a desk, in a vehicle, or behind a counter, prolonged sitting reduces circulation, shortens certain muscle groups, and increases the risk of stiffness and lower back discomfort.

Consistently slouching or leaning forward shifts the body’s weight distribution, placing extra load on the lumbar spine. Over time, these habits may weaken supporting muscles, alter spinal alignment, and increase the likelihood of persistent pain.

Between the ages of 30 and 50, early signs of disc degeneration, reduced flexibility, and muscle imbalances often become more noticeable. Years of repetitive strain or cumulative wear on the spine may start to surface, making preventative care and healthy movement habits especially important.

During pregnancy, rapid changes in weight, shifting posture, and hormonal effects that loosen ligaments may all contribute to lower back discomfort. As the center of gravity moves forward, the spine and supporting muscles work harder to maintain balance, sometimes leading to new or worsening pain.

Previous injuries, whether from sports, accidents, or heavy lifting, may leave residual weakness or scar tissue in the muscles and ligaments. This history may make the lower back more susceptible to flare-ups and ongoing discomfort, even years after the original injury.

What Are Some Lower Back Pain Symptoms?

Lower back pain symptoms may develop gradually or show up suddenly after a movement or position shift.

What are the common symptoms of lower back pain?

  • Dull ache across the lower back
  • Morning tightness or stiffness
  • Sharp pain while bending or lifting
  • Radiating discomfort down one leg
  • Muscle spasms or tenderness to touch
  • Reduced flexibility or upright posture difficulty
  • Interrupted sleep from back discomfort

Left untreated, these lower back pain symptoms may limit mobility, disrupt sleep, and affect daily life. Recognizing them early and addressing the underlying cause is key to helping restore comfort, preventing recurrence, and protecting long-term spinal health.

People at risk for upper back pain
NATURAL RELIEF FROM UPPER BACK PAIN

How Chiropractic Care May Help Lumbar Spine Pain

Many people choose chiropractic care for lower back pain relief and its broader health benefits, using it as a proactive, movement-based way to improve spinal function. When joints in the lumbar spine become restricted, they may affect nearby muscles, nerves, and movement patterns. Chiropractic care aims to restore proper motion so it may help you feel more aligned, supported, and in control of your health.

Licensed doctors of chiropractic assess the source of your lower back discomfort and lumbar spine pain, and may perform targeted adjustments aimed to help reduce tension and improve mobility.

Step 1: Understanding the source of lower back pain

Rather than targeting pain as a symptom, chiropractic care helps to address:

  • Vertebral subluxation or hypomobility occurs when one or more joints in the spine are not moving properly. The vertebrae may shift slightly out of position or become “stuck,” which may irritate nearby nerves, reduce flexibility, and cause discomfort.
  • Soft tissue imbalances
  • Poor neuromuscular control
  • Postural compensation

Step 2: How chiropractic may help

  • Spinal adjustments that may help restore joint motion and aim to reduce neural interference
  • Instrument-assisted adjustments for gentle, precise corrections in sensitive or osteoporotic areas
  • Myofascial release and trigger point therapy that may address soft tissue dysfunction
  • Guidance on corrective exercises designed to support scapular stabilization and thoracic mobility
  • Education on ergonomics and lifestyle habits that aim to encourage long-term improvement

Step 3: Potential benefits of care

  • Better range of motion in the lumbar spine
  • Reduced muscle tension and lower back tightness
  • Fewer recurring flare-ups
  • More confidence in your movement
  • Less reliance on medication or passive treatment

Care plans are tailored to your needs and comfort level. There’s no one-size-fits-all approach. You get consistent support designed to help you stay in motion.

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Frequently Asked Questions About Lower Back Pain

Thirty-nine percent of Americans report that lower back pain disrupted their routine or limited movement in the past three months.

Lower back pain often signals tension or structural issues in the lumbar spine and may interfere with how people move or carry out daily tasks.

Causes of lower back pain may include arthritis, affecting the spine, tight hamstrings pulling on the lower back, or misaligned vertebrae affecting spinal joints.

Tight hamstrings, which pull on lower-back ligaments, may lead to back tightness and resulting discomfort.

Potential red flags may include severe or worsening pain, pain accompanied by fever, loss of bladder or bowel control, unexplained weight loss, or numbness and tingling in the legs. If you experience these, seek medical attention promptly.

Applying ice or heat, gentle stretching, avoiding prolonged sitting, and short walks may help ease symptoms. Professional care is recommended for persistent or severe pain.

Treating lower back pain often involves a combination of strategies. Gentle movement, stretching, and strengthening exercises may help improve mobility and support the spine. Applying heat or cold can ease discomfort, while maintaining good posture reduces strain. For targeted, professional support, chiropractic care offers spinal adjustments, movement guidance, and personalized assessments that aim to address the root cause and promote long-term relief.

Gentle stretches and exercises, such as those offered in The Joint’s “7 Gentle Exercises for Lower Back Pain,” may help ease tightness.

Lower back pain may be managed in many ways, depending on its cause and severity. Common approaches include gentle stretching, targeted exercise, heat or ice therapy, over-the-counter pain relievers, and lifestyle changes like improving posture or workstation setup. Some people explore physical therapy or massage. Chiropractic care is a preferred choice for many because it’s non-invasive and drug-free, focusing on improving spinal alignment and mobility to help reduce discomfort and support long-term function.

Hormonal changes, weight gain, and shifts in posture during pregnancy may contribute to lower back discomfort.

Some cases of lower back pain may improve on their own with time and self-care, like gentle stretching, movement, or heat/ice therapy. However, if pain persists or worsens, it’s worth getting checked by your neighborhood chiropractor. Chiropractic care focuses on improving spinal alignment and mobility, which may help reduce discomfort, support healing, and prevent future flare-ups.

If lower back pain is severe, lasts more than a few weeks, occurs after an injury, or is accompanied by symptoms like numbness, weakness, or loss of bladder control, you should seek medical attention.

Muscle-related back pain often feels like a dull ache, tightness, or stiffness that stays in one spot and may ease with rest, stretching, or heat. Nerve-related pain, such as sciatica, is different. It may cause sharp, burning, or tingling sensations that radiate from the lower back into the hips, legs, or feet. If your pain travels beyond your back or doesn’t improve within a couple of weeks, it may involve nerve irritation rather than just muscle strain.

Chiropractic care may reduce tension, improve mobility, and help your body manage symptoms more effectively.

If experiencing structural or movement-related pain like sciatica, or to explore a chiropractic adjustment for your lower back.

Chiropractic adjustments may be a safe, non-invasive option for addressing lumbar spine herniated discs. One study found that 60 percent of patients who sought chiropractic care for a herniated disc avoided surgery and achieved significant pain relief without invasive procedures.5

Chiropractic care may be a helpful, complementary approach for people with arthritis when thoughtfully tailored to each person's condition.


For osteoarthritis, the deterioration of cartilage and bone may restrict joint motion. Chiropractors focus on restoring spinal alignment and joint motion over time. Consistent joint support may help slow its progression and maintain function.


In the case of rheumatoid arthritis (RA), a chronic autoimmune condition, chiropractic adjustments may help improve joint alignment and mobility. These methods are designed to reduce stiffness and ease discomfort without aggravating inflamed areas.

Lower back pain is a broad term for discomfort in the lumbar region of the spine. It may feel like stiffness, aching, or soreness and is often caused by strained muscles, tight ligaments, joint restrictions, or everyday stress on the spine.


Sciatica, on the other hand, is a specific type of nerve-related pain. It happens when the sciatic nerve, which runs from your lower back down the back of each leg, is irritated or compressed, often by a herniated disc or vertebral misalignment. Unlike general lower back pain, sciatica typically causes sharp, shooting pain, tingling, or numbness that radiates down the leg, sometimes all the way to the foot.

A strong core supports spinal alignment and stability, which may reduce strain on the lower back and lower the risk of discomfort.

Stress may cause muscle tension, particularly in the neck and back, which may contribute to pain or discomfort.

Poor posture often places uneven strain on muscles and joints, leading to discomfort that builds over time. Fortunately, improving posture isn’t fixed. It’s dynamic and trainable.The Joint recommends establishing one intentional, five-minute daily posture reset (like the "30‑Day Posture Challenge") to retrain your alignment and support your spine.


Pairing this practice with regular chiropractic adjustments creates a powerful synergy. Chiropractic care aims to help restore proper joint motion, reduce muscular tension, and give your body the structure it needs to move more comfortably and confidently.

Lumbar spine pain is another way to describe lower back discomfort, since the lumbar region supports much of your upper body and absorbs stress from posture, movement, and daily activities.

HEALTH ARTICLES

Related Reads About Lower Back Pain

Testimonial

From Soccer Star To Peak Performance

For Angela, soccer wasn’t just a game, it was a lifelong passion that pushed her body to the limit. Years of competitive play and a fused vertebrae left her facing a choice: invasive surgery, or learning to live with the pain. Determined to stay in the game, she turned to chiropractic care at The Joint. With targeted adjustments, her mobility returned, her pain eased, and her performance soared. Today, she moves, sleeps, and competes better than ever, without getting the surgery that could have sidelined her career.

1 Martin, B. I., Tosteson, A. N. A., Lurie, J. D., Mirza, S. K., Goodney, P. R., Dzebisashvili, N., Goodman, D. C., & Bronner, K. K. (2014, October 28). Variation in the care of surgical conditions: Spinal stenosis: A Dartmouth Atlas of Health Care Series [Internet edition]. The Dartmouth Institute for Health Policy and Clinical Practice. https://www.ncbi.nlm.nih.gov/books/NBK586768/

2 Healthy Policy Institute. Chronic Back Pain. Found on the internet at https://hpi.georgetown.edu/backpain

3 World Health Organization (WHO). Low back pain. June 19, 2023. Found on the internet at https://www.who.int/news-room/fact-sheets/detail/low-back-pain

4 See, Q. Y., Tan, J.-N. B., & Kumar, D. S. (2021, June). Acute low back pain: Diagnosis and management. Singapore Medical Journal, 62(6), 271–275. https://doi.org/10.11622/smedj.2021086

5 McMorland, G., Suter, E., Casha, S., du Plessis, S. J., & Hurlbert, R. J. (2010). Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics, 33 (8), 576-584

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