Low back pain is one of the most common health complaints in the world and one of
the leading reasons patients seek chiropractic care. For many patients, the first question is,
“What is causing the pain?” The answer is not always simple.
In general, low back pain can be divided into two categories: specific and nonspecific low back pain. Specific low back pain refers to cases where a clear underlying
pathology can be identified. Examples include fractures, infections, tumors, inflammatory
diseases, or disc herniations with significant nerve compression. These conditions are
important to recognize because they may require medical intervention or specialized care.
Fortunately, these more serious causes account for only about 10–15% of low back pain
cases.
That means approximately 85% of cases are considered non-specific. The term nonspecific does not mean the pain is imaginary or that nothing is wrong. It simply means there
is no single obvious structural problem that clearly explains the symptoms. This can
sometimes surprise patients who expect an MRI or X-ray to reveal one identifiable cause.
However, research has shown that many common imaging findings—such as disc bulges,
arthritis, or spinal degeneration—are also frequently found in people with no pain at all.
Today, non-specific low back pain is understood to be multifactorial and may involve
a combination of joint irritation, muscle dysfunction, reduced mobility, physical
deconditioning, repetitive strain, stress, poor sleep, inflammation, and nervous system
sensitization. Sometimes the pain begins after an injury. Other times it develops gradually
with no clear trigger. This complexity is one reason why back pain can vary so much from
person to person and why effective treatment often requires an individualized approach.
Clinical guidelines for non-specific low back pain typically emphasize conservative
care, movement, and an activity plan whenever possible. Chiropractic care can be an
excellent option for many patients with low back pain. Doctors of chiropractic are trained to
evaluate the spine and musculoskeletal system, identify red flags that may require medical
referral, and provide conservative treatment for many common back pain conditions.
Treatment may include spinal manipulation, mobilization, soft tissue therapies, exercise
recommendations, postural guidance, and patient education.
Brent Binder, D.C.
4909 Louise Dr. Suite 102
Mechanicsburg, PA 17055
Pain Relief Chiropractic 
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