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Lower Back Pain

Comprehensive treatment guide for non-specific lower back pain affecting daily activities and mobility.

Severity

Mild to Severe

Prevalence

Very Common

Recovery

2-6 weeks

Category

Mechanical

Overview

Lower back pain is one of the most common musculoskeletal complaints, affecting up to 80% of adults at some point in their lives. Non-specific lower back pain refers to pain in the lumbar region without a clear underlying pathological cause.

Most cases of acute lower back pain resolve within 2-6 weeks with appropriate conservative treatment. The key is early mobilization, proper exercise, and gradual return to normal activities while avoiding prolonged bed rest.

Treatment Phases

Acute Phase (0-72 hours)

Reduce pain and inflammation

  • Rest and avoid aggravating activities
  • Apply ice for 15-20 minutes every 2-3 hours
  • Gentle walking as tolerated
  • Over-the-counter pain medication as directed

Subacute Phase (3 days - 6 weeks)

Restore mobility and begin strengthening

  • Begin gentle stretching exercises
  • Gradually increase activity level
  • Start core strengthening exercises
  • Apply heat before exercises, ice after

Recovery Phase (6+ weeks)

Return to full function and prevent recurrence

  • Progressive strengthening exercises
  • Return to normal activities gradually
  • Focus on proper body mechanics
  • Maintain regular exercise routine
Exercise Program

Start with beginner exercises and progress gradually. Perform 2-3 times daily during acute phase, then daily during recovery phase.

Cat-Cow Stretch
Beginner

10-15 reps

Gentle spinal mobility exercise that helps reduce stiffness and improve flexibility.

Instructions:

  1. Start on hands and knees in tabletop position
  2. Arch your back and look up (Cow pose)
  3. Round your spine and tuck chin to chest (Cat pose)
  4. Move slowly between positions
Knee-to-Chest Stretch
Beginner

30 seconds each leg

Helps stretch lower back muscles and reduce tension.

Instructions:

  1. Lie on your back with knees bent
  2. Pull one knee toward your chest
  3. Hold the stretch feeling it in your lower back
  4. Switch legs and repeat
Pelvic Tilts
Beginner

10-15 reps

Strengthens core muscles and improves pelvic alignment.

Instructions:

  1. Lie on back with knees bent, feet flat
  2. Tighten abdominal muscles
  3. Tilt pelvis to flatten lower back against floor
  4. Hold for 5 seconds, then relax
Bird Dog
Intermediate

10 reps each side

Strengthens core and improves spinal stability.

Instructions:

  1. Start in tabletop position
  2. Extend opposite arm and leg simultaneously
  3. Hold for 5 seconds maintaining balance
  4. Return to start and switch sides
Dead Bug
Intermediate

10 reps each side

Core strengthening exercise that teaches proper spinal alignment.

Instructions:

  1. Lie on back, arms up, knees bent at 90°
  2. Lower opposite arm and leg slowly
  3. Keep lower back pressed to floor
  4. Return to start and switch sides
Wall Sits
Intermediate

30-60 seconds

Strengthens legs and core while promoting proper posture.

Instructions:

  1. Stand with back against wall
  2. Slide down until thighs are parallel to floor
  3. Keep back flat against wall
  4. Hold position, breathing normally
When to Seek Immediate Medical Attention
  • Severe pain following trauma or injury
  • Loss of bladder or bowel control
  • Progressive weakness in legs
  • Numbness in groin or genital area
  • Fever with back pain
  • Pain that worsens despite rest and treatment

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