Low back pain is one of the leading causes of disability worldwide, particularly in Western Europe. A variety of factors can trigger episodes of pain, many of which are modifiable. Recognizing these triggers can help prevent recurrence and improve recovery.
Common Triggers of Low Back Pain
- Physical triggers: Heavy lifting, awkward positioning, and intense physical activity.
- Psychosocial triggers: Fatigue, distraction, or stress while performing tasks.
- Lifestyle factors: Being overweight or smoking.
- Work-related factors: High job demands, low colleague support, or work dissatisfaction.
Evidence-Based Recommendations
The NICE Guideline Development Group has issued evidence-based recommendations for treating low back pain, including when it occurs with or without sciatica. These guidelines emphasize safe and effective approaches to reduce pain and improve function.
Manual Therapy & Exercise
Clinical studies show that combining manual therapy — including spinal manipulation, mobilisation, and soft tissue techniques — with guided exercise improves quality of life and function. While mobilisation and soft tissue therapy can be offered by many healthcare practitioners, spinal manipulation is typically performed by trained chiropractors or osteopaths.
Safety & Side Effects
Manual therapy is generally safe. Most reported effects are minor and short-lived, such as temporary muscle soreness lasting a few days.
Next Steps
If you experience low back pain, with or without sciatica, consulting a chiropractor or osteopath can help improve your health, reduce discomfort, and restore function. Early intervention and a structured plan often lead to the best outcomes.