Integrated Health

Lower back pain

June 12, 2026

Lower back pain is common. That does not mean you have to live with it.

If your lower back has been aching for a while, you have probably already tried resting it, stretching it, or pushing through. You may have had a scan that showed nothing obvious, and yet it keeps coming back. That is because lower back pain is almost never just about the lower back.

Why does my lower back keep hurting?

In most cases, lower back pain keeps returning because the cause sits somewhere other than where you feel it. The lower back is at the centre of everything you do. It connects your upper body to your lower half, absorbs load from the hips and pelvis, and compensates when something above or below it is not moving as it should.

When the hips are tight from hours of sitting, the lower back fills in. When the mid-back is stiff and cannot rotate freely, the lower back rotates in its place. When the deep abdominal muscles are not working well, other muscles brace around the spine to make up for it. The pain is real, and it is in the lower back, but it is usually the result of something happening elsewhere. This is why treating the lower back on its own rarely resolves the problem.

What makes lower back pain worse?

Your body is not built to hold the same posture for long stretches. It is designed to move, shift, and change position throughout the day, and problems tend to build when that movement is taken away.

Sitting is one of the most consistent contributors. It compresses the lower spine and holds the hips in a shortened position for hours at a time. Over months and years, the body adapts to this, and those adaptations become the pattern it defaults to even when you are not at your desk.

Carrying children, long commutes, and sleeping in positions that do not let the spine decompress all add to the picture. Lower back pain rarely has a single cause. It builds from several smaller loads over time.

When should I get my lower back pain assessed?

It is worth getting assessed if your lower back pain keeps returning after rest, if there is stiffness in the morning that would not ease, if discomfort spreads into the glutes, hips, or down one leg, or if the back feels as though it might give way with the wrong movement.

None of these are reasons to worry, but they are signs that the underlying pattern needs attention rather than ongoing management.

How can City Osteopathy Integrated Health treat lower back pain?

We start by assessing how the ankles, legs, hips, pelvis, and mid-back are moving, where load is building up, and what the lower back has been compensating for. This tells us what is driving the pain rather than simply where it is showing up.

Treatment then addresses the contributing factors. The goal is not short-term relief. It is understanding what is driving the problem and changing it. 

When should I see someone about ongoing lower back pain?

If your lower back has become something you manage rather than something that resolves, that is a good point to get a proper assessment. The longer a pattern is in place, the more the body builds around it, and the more structures tend to get involved.

Book a consultation and we will give you a clear picture of what is going on and what a realistic path forward looks like.

Osteopathic treatment at City Osteopathy showing practitioner performing hands-on spinal manipulation therapy on patient, demonstrating the clinic's manual therapy approach for back pain and postural issues
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