Explore the relationship between back pain resulting from a motor vehicle accident and long-term health. Find relief and recovery tips.
Back Pain and Motor Vehicle Accidents: A Comprehensive Guide
Introduction
Picture this: you’re cruising down the highway, maybe chuckling at the thought of Herman Munster trying to parallel park his hearse-like Drag-U-La. Suddenly, a car swerves into your lane, and—crash!—you’re in a motor vehicle accident (MVA). The jolt sends a shockwave through your spine, and while you might walk away feeling okay, back pain can sneak up like Herman’s heavy footsteps. Motor vehicle accidents are a leading cause of back injuries, with research showing that up to 50% of drivers report low back pain, often linked to the trauma of a collision (El Paso Back Clinic).
This blog post delves into the connection between back pain and MVAs, examining the types of injuries, their associated symptoms, and the underlying clinical reasons. We’ll also spotlight Dr. Alexander Jimenez, a renowned chiropractor in El Paso, Texas, whose expertise in personal injury cases helps victims recover both physically and legally. With a touch of humor to keep things light, we’ll guide you through this serious topic, ensuring you understand why back pain after an MVA shouldn’t be ignored.
Understanding Motor Vehicle Accidents
Motor vehicle accidents are a global health concern, with over three million injuries reported annually in the United States alone (Novus Spine & Pain Center, 2025). These accidents range from minor fender-benders to high-impact collisions, each capable of causing significant harm to the spine. The spine, a complex structure of bones, muscles, ligaments, and nerves, is particularly vulnerable to the sudden forces of an MVA.
Common MVA Scenarios Leading to Back Injuries:
Rear-end collisions: Cause rapid forward and backward motion, which can strain the spine.
Side-impact crashes: Twist the spine, leading to damage to ligaments and muscles.
Rollover accidents: Expose the spine to multiple forces, increasing injury risk.
Research suggests that exposure to an MVA significantly increases the likelihood of developing low back pain, with 63% of chronic cases traced back to an accident (ScienceDirect, 2019). Understanding the types of injuries and their symptoms is critical for anyone involved in a crash.
Types of Back Injuries from MVAs
The spine’s complexity makes it susceptible to various injuries during an MVA. Here are the most common types, each with its impact on the body:
Injury Type
Description
Common Cause in MVAs
Sprains and Strains
Stretching or tearing of ligaments (sprains) or muscles (strains) in the back.
Sudden forward-backward motion (e.g., whiplash).
Herniated Discs
Bulging or ruptured discs pressing on nerves, causing pain or numbness.
High-impact collisions compress the spine.
Spinal Fractures
Breaks in the vertebrae range from stable to unstable fractures.
Severe crashes with significant force.
Whiplash-Associated Disorders
Strain on neck and upper back muscles and ligaments from rapid head movement.
Rear-end collisions cause rapid neck motion.
Sprains and Strains: These soft tissue injuries occur when the spine is forced beyond its normal range of motion. For example, a rear-end collision can stretch the ligaments connecting the vertebrae, resulting in pain and inflammation (Alexander Orthopaedics, 2025).
Herniated Discs: The discs between vertebrae act as shock absorbers. A sudden impact can cause them to bulge or rupture, pressing on nerves and causing pain that may radiate to the legs (NJ Pain Care Specialists, 2023).
Spinal Fractures: High-impact crashes can break vertebrae, potentially affecting the spinal cord. These injuries require immediate medical attention to prevent long-term disability (Law Office of Eric Beasley).
Whiplash: While often associated with neck pain, whiplash can also affect the upper back, causing muscle strain and discomfort (Novus Spine & Pain Center, 2025).
Humor Break: Imagine Herman Munster’s spine trying to handle a rear-end collision—those creaky bones would be groaning louder than his laugh! But in all seriousness, these injuries can significantly impact your quality of life if not addressed promptly.
Symptoms of MVA-Related Back Injuries
Back injuries from MVAs don’t always cause immediate pain, which can make them tricky to detect. Symptoms may develop over days or weeks, making early evaluation crucial. Common symptoms include:
Localized Pain: Pain concentrated in the lower or upper back, often worsening with movement.
Radiating Pain (Sciatica): Pain that travels down one or both legs, often due to nerve compression from a herniated disc.
Numbness or Tingling: A “pins and needles” sensation in the legs or feet, indicating nerve involvement.
Weakness: Difficulty standing, walking, or lifting objects, which may suggest spinal cord or nerve damage.
Stiffness: Reduced range of motion, making it hard to bend or twist.
Delayed Onset: It’s not uncommon for pain to appear days after an accident. This delay can occur because the body’s adrenaline response masks initial discomfort or because inflammation builds over time (Healthline, 2023).
Clinical Insight: Dr. Alexander Jimenez emphasizes, “Many patients don’t realize they’re injured until symptoms appear later. That’s why we use advanced diagnostics to catch issues early” (El Paso Back Clinic).
Diagnosing Back Injuries
Accurate diagnosis is the cornerstone of effective treatment for MVA-related back injuries. Dr. Jimenez employs a range of diagnostic tools to assess the extent of damage:
X-rays: To detect fractures or misalignments in the spine.
CT Scans: For detailed images of bone and soft tissue damage.
MRIs: To visualize discs, nerves, and ligaments, identifying issues like herniated discs.
Functional Assessments: To evaluate how the injury affects movement and daily activities.
These tools allow Dr. Jimenez to create a comprehensive picture of the injury, ensuring that treatment targets the root cause. “Advanced imaging is like a roadmap—it shows us exactly where the problem lies,” he explains (El Paso Back Clinic).
Clinical Rationale: Why MVAs Cause Back Pain
The connection between MVAs and back pain lies in the biomechanics of a collision. When a car is involved in an accident, the body experiences rapid forces that can overwhelm the spine’s natural protective mechanisms. Here’s how these forces cause injury:
Compression: The spine is squeezed, potentially damaging discs and vertebrae. This is common in head-on collisions, where the body is thrust forward against the seatbelt.
Shearing: The spine twists, tearing ligaments and muscles. Side-impact crashes often cause this type of force.
Distraction: The spine is pulled apart, which can cause damage to the ligaments. This is less common but can occur in rollover accidents.
These forces can exceed the spine’s tolerance, leading to injuries like sprains, herniated discs, or fractures. Seatbelts, while lifesaving, can also contribute to back injuries by restraining the body and creating additional pressure on the spine (Law Office of Eric Beasley).
Scientific Evidence: A systematic review found that 63% of chronic low back pain cases in MVA victims were directly caused by the accident, highlighting the significant impact of these forces (ScienceDirect, 2019).
Humor Break: Think of your spine as Herman Munster’s creaky old staircase—sturdy but not built for sudden jolts. One wrong step (or crash), and it’s groaning for help!
The Non-Surgical Approach To Wellness With Chiropractic Care- Video
Treatment and Recovery
Treating back pain from MVAs requires a multidisciplinary approach tailored to the specific injury. Dr. Jimenez offers a range of evidence-based treatments at his El Paso clinic:
Treatment
Purpose
Benefits
Chiropractic Adjustments
Realign the spine to reduce pain and improve mobility.
Non-invasive, promotes natural healing.
Physical Therapy
Strengthen muscles and improve flexibility.
Enhances recovery, prevents re-injury.
Acupuncture
Manage pain and promote healing through targeted needle placement.
Reduces inflammation, relieves pain.
Spinal Decompression
Relieve pressure on discs and nerves.
Effective for herniated discs, sciatica.
Nutritional Counseling
Support overall health and recovery through diet.
Boosts healing, reduces inflammation.
Dr. Jimenez’s holistic approach focuses on addressing the root cause of the injury while promoting long-term recovery and overall well-being. “We don’t just treat the pain; we treat the whole person,” he says (El Paso Back Clinic).
Recovery Timeline:
Mild Injuries: Sprains and strains may resolve in a few weeks with conservative care.
Moderate to Severe Injuries: Herniated discs or fractures may require months of treatment and rehabilitation.
Chronic Pain: Ongoing care may be needed to manage long-term symptoms.
Personal Injury Cases in El Paso
In El Paso, personal injury cases involving MVAs are a significant concern, as victims often face medical expenses, lost wages, and pain and suffering. Proper medical documentation is critical for securing compensation, and Dr. Jimenez plays a pivotal role in this process. His expertise in advanced imaging and diagnostic evaluations enables him to provide detailed reports that directly link injuries to the accident, thereby strengthening legal claims (El Paso Back Clinic).
Dr. Jimenez’s Role:
Medical Expertise: Uses X-rays, MRIs, and functional assessments to document injuries.
Legal Liaison: Provides clear, evidence-based reports for attorneys and insurance companies.
Holistic Care: Ensures patients receive comprehensive treatment to support their recovery and achieve optimal legal outcomes.
Why It Matters: In Texas, timely medical evaluation is crucial, as some states have strict deadlines for seeking care to qualify for insurance coverage (Alexander Orthopaedics, 2025). Dr. Jimenez’s work ensures that victims in El Paso receive both the care and compensation they deserve.
Humor Break: Navigating a personal injury case without proper documentation is like Herman Munster trying to dance ballet—awkward and likely to fall flat. Dr. Jimenez helps keep things graceful and effective.
Case Studies and Patient Stories
To illustrate the impact of MVA-related back injuries, consider these hypothetical examples based on common scenarios:
Case 1: Maria’s Herniated Disc
Maria, a 35-year-old teacher, was rear-ended at a stoplight. Initially, she felt only mild discomfort, but a week later, she experienced severe lower back pain and numbness in her leg. Dr. Jimenez used an MRI to diagnose a herniated disc and implemented a treatment plan including spinal decompression and physical therapy. Within three months, Maria was back to teaching without pain.
Case 2: John’s Whiplash
John, a 42-year-old mechanic, suffered whiplash in a side-impact collision. His upper back pain made it difficult for him to work. Dr. Jimenez’s chiropractic adjustments and acupuncture sessions reduced his pain, and a detailed medical report supported his personal injury claim, securing compensation for lost wages.
These stories highlight the importance of early intervention and comprehensive care, as provided by Dr. Jimenez.
Prevention and Safety Tips
While not all MVAs can be avoided, certain measures can reduce the risk of back injuries:
Proper Seatbelt Use: Ensure the seatbelt is snug across the hips and chest to minimize spinal stress.
Correct Seating Position: Adjust the seat to support the lower back and maintain an upright posture.
Vehicle Maintenance: Regularly check brakes and tires to reduce the risk of accidents.
Defensive Driving: Stay alert to avoid sudden stops or collisions.
Dr. Jimenez also recommends regular exercise to strengthen the back muscles, which can provide added protection in the event of an accident (El Paso Back Clinic).
Conclusion
Back pain following a motor vehicle accident is a serious issue that demands prompt attention. The sudden forces of a collision can cause a range of injuries, from sprains to spinal fractures, with symptoms that may not appear immediately. Dr. Alexander Jimenez, a leading chiropractor in El Paso, Texas, offers a holistic approach to treatment, utilizing advanced diagnostics and personalized care plans to help patients achieve optimal recovery. His expertise also supports personal injury cases by providing critical medical documentation for legal proceedings.
If you’ve been in an MVA, don’t wait for pain to appear. Seek professional care to prevent chronic issues and ensure your recovery is on the right track. Your spine deserves better than to be left creaking like Herman Munster’s old staircase.
Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare professional for diagnosis and treatment of any medical condition.
Discover the connection between the nervous system, auto injuries, and long-term health consequences in this informative article.
Introduction: The Sneaky Nature of Whiplash
Picture this: you’re cruising along, maybe singing to your favorite tune, when—BAM!—another car rear-ends you. Your head snaps back and forth like a bobblehead on a bumpy road. That’s whiplash, and it’s not just a pain in the neck (pun intended). Whiplash is a common injury from motor vehicle accidents (MVAs), particularly rear-end collisions, and it can wreak havoc on your nervous system and even cause low back pain. It’s like that one guest at a party who spills punch on your carpet and then rearranges your furniture—disruptive and far-reaching.
In this comprehensive guide, we’ll explore how whiplash affects your nervous system, why it might lead to low back pain, and what symptoms to watch for. We’ll also delve into nonsurgical treatments, with a focus on chiropractic care, and highlight the expertise of Dr. Alexander Jimenez, a leading practitioner in El Paso, Texas, who specializes in helping accident victims recover. With a touch of humor to keep things light (think Uncle Fester from The Addams Family chuckling through the pain), we’ll make this journey informative and engaging. Let’s get started!
Understanding Whiplash: What’s Happening to Your Body?
Whiplash occurs when your neck undergoes a rapid back-and-forth motion, typically resulting from a car accident. This sudden force can stretch or tear muscles, ligaments, and tendons in your neck, like overstretching a rubber band. According to the National Safety Council, over 3 million car accidents happen annually in the U.S., with rear-end collisions being a leading cause of whiplash. The injury doesn’t always scream “I’m here!” right away—symptoms can sneak up days or even weeks later, making it a tricky condition to pin down.
Whiplash isn’t just about sore muscles. It can affect your spine, discs, and nerves, leading to a condition called whiplash-associated disorders (WADs). These disorders can range from mild discomfort to chronic pain, impacting your quality of life. The economic toll is also significant, with whiplash-related costs in the U.S. estimated at $10 billion annually, encompassing medical bills, lost work, and legal fees (Whaangaard et al., 2017).
Whiplash and the Nervous System: A Wiring Mishap
Your nervous system is like the internet of your body, with your brain as the central server and nerves as the cables that transmit signals. Whiplash can cause a “power surge” in this system, leading to issues like central hypersensitivity. This is when your brain and spinal cord become overly sensitive to pain, amplifying even minor sensations. It’s like your body’s alarm system going off for a leaf falling on your lawn instead of an actual intruder.
A meta-analysis of 27 trials found strong evidence of central hyperexcitability in chronic whiplash patients, making them more sensitive to pain throughout their body (El Paso Chiropractor Blog, 2016). This hypersensitivity can cause symptoms such as numbness, tingling, or weakness in your arms or hands, as nerves in your neck become irritated or damaged. Research also indicates that whiplash can lead to structural damage in nerves, including nerve root damage or injury to the cervical sympathetic chain, which regulates involuntary functions such as heart rate (ScienceDirect, n.d.).
In rare cases, whiplash can even affect specific nerves, such as the long thoracic or spinal accessory nerves, leading to unique symptoms, including shoulder weakness or pain (PMC, n.d.). These nervous system effects explain why whiplash can feel like more than just a neck injury—it’s a full-body communication breakdown.
The Connection to Low Back Pain: Why Your Back Hurts Too
You might be wondering, “If whiplash is a neck injury, why does my lower back hurt?” It’s a fair question, and the answer lies in the interconnected nature of your spine and nervous system. Here are the main reasons:
Referred Pain: Pain from your neck can “travel” to your lower back through shared nerve pathways. It’s like getting a headache from loud music—you’re not sure how it started, but it’s there. The cervical spine (neck) and lumbar spine (lower back) are linked by nerves, so irritation in one area can be felt in another.
Spinal Hypersensitivity: Whiplash can cause your spinal cord to become overly sensitive, amplifying pain signals throughout your body. This means even if your lower back wasn’t directly injured, it might still hurt because your nervous system is on high alert (Johnson & Davis, 2018).
Whole-Spine Impact: The force of a car accident doesn’t just affect your neck. The jolt can strain muscles and ligaments in your lower back, causing direct injury. Studies show that low back pain is reported in about 35% of whiplash patients, and interscapular (between the shoulder blades) pain is common in 20% (ScienceDirect, n.d.).
This connection highlights why whiplash is often misdiagnosed or undertreated—doctors might focus on the neck and miss the root cause of the back pain.
The Science of Motion- Video
Symptoms of Whiplash: A Symphony of Discomfort
Whiplash can produce a wide range of symptoms, like a band playing out of tune. Here’s a breakdown of the most common ones, affecting both the nervous and musculoskeletal systems:
Symptom
Description
Neck Pain and Stiffness
The hallmark of whiplash ranges from mild aches to severe pain, which can limit movement.
Headaches
Often starting at the skull’s base, linked to muscle tension or nerve irritation.
Dizziness
A spinning sensation, possibly from vestibular or cervical nerve issues.
Shoulder Pain
Pain is spreading from the neck due to shared muscles and nerves.
Low Back Pain
Reported in 35% of cases, either referred from the neck or from direct injury.
Numbness/Tingling
In arms or hands, caused by nerve irritation or compression.
Fatigue
Persistent tiredness, possibly from chronic pain or nervous system stress.
Cognitive Difficulties
Trouble concentrating or experiencing memory issues, sometimes referred to as “brain fog.”
These symptoms can vary in intensity and may not appear immediately, making it crucial to seek medical evaluation after an accident, even if you feel fine initially.
Nonsurgical Treatments: Getting Back to Normal Without a Scalpel
The good news? Most whiplash cases can be treated without surgery, and there are several effective options to help you recover. Here’s a look at the main approaches:
Chiropractic Care
Chiropractors are like the body’s mechanics, tweaking your spine to get everything back in alignment. By performing gentle spinal adjustments, they can reduce nerve pressure and ease pain. A study published in The Spine Journal found that chiropractic care significantly reduced pain and improved function in patients with whiplash (Osmotherly et al., 2012). It’s particularly effective for addressing central hypersensitivity, calming those overactive nerves (El Paso Chiropractor Blog, 2016).
Physical Therapy
Physical therapists design exercise programs to strengthen neck and back muscles, improve flexibility, and restore range of motion. Techniques such as massage, ultrasound, or electrical stimulation can also help reduce pain and inflammation.
Medications
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. In severe cases, doctors may prescribe muscle relaxants or stronger anti-inflammatory drugs.
Electro-acupuncture
This involves placing small needles in specific points and applying a low-level electrical current. It’s thought to reduce nerve compression and improve function, especially for nerve-related pain (El Paso Back Clinic, n.d.).
Functional Medicine
This holistic approach examines underlying factors, such as inflammation or hormonal imbalances, that may exacerbate pain. Practitioners may recommend dietary changes, supplements, or stress management to support recovery (El Paso Back Clinic, n.d.).
These treatments work best when started early, as delaying care can lead to chronic pain or disability.
Personal Injury Cases in El Paso: Dr. Alexander Jimenez’s Expertise
In El Paso, Texas, personal injury cases from MVAs are a significant concern, and Dr. Alexander Jimenez is a standout figure in helping victims recover. As a Doctor of Chiropractic, Advanced Practice Registered Nurse, and Board-Certified Family Nurse Practitioner, Dr. Jimenez brings a unique blend of skills to the table. His clinic, El Paso Back Clinic, offers comprehensive care for whiplash and other accident-related injuries.
Dr. Jimenez excels at using advanced imaging techniques, such as MRI and CT scans, and diagnostic evaluations to pinpoint the extent of injuries. This is crucial not only for treatment but also for legal documentation in personal injury cases. He acts as a liaison between medical care and legal proceedings, ensuring that injuries are accurately documented for insurance claims or lawsuits. His multidisciplinary team, including therapists, integrative doctors, nutritionists, and exercise specialists, provides holistic care that addresses both physical and systemic issues.
For example, a patient named Jane (name changed for privacy) shared: “After my car accident, I couldn’t turn my head without pain, and my lower back was killing me. Dr. Jimenez’s team used imaging to find the problem and created a plan that got me moving again. They also helped with my insurance claim, which took so much stress off my plate.” Stories like Jane’s highlight why Dr. Jimenez is a trusted name in El Paso.
The Importance of Early Intervention
Time is critical when it comes to whiplash. The sooner you seek treatment, the better your chances of avoiding chronic pain. Left untreated, whiplash can lead to long-term issues like persistent neck or back pain, headaches, or even psychological effects like anxiety. In places like Florida, you have only 14 days after an accident to seek care to qualify for certain insurance coverage, so acting fast is key (Alexander Orthopaedics, n.d.).
Dr. Jimenez emphasizes the importance of early evaluation, utilizing tools such as the Living Matrix to assess systemic factors that may contribute to pain. This proactive approach can make all the difference in your recovery.
The Bigger Picture: Whiplash’s Impact on Society
Whiplash isn’t just a personal issue—it’s a public health concern. With millions of car accidents annually, the prevalence of whiplash is staggering. Proper headrest adjustment can reduce the risk of neck pain by 24%, yet many drivers fail to use this simple precaution (PubMed, n.d.). The economic burden, including medical costs and lost productivity, underscores the need for effective treatment and prevention strategies.
Conclusion: Taking Whiplash Seriously
Whiplash from motor vehicle accidents can disrupt your nervous system, leading to symptoms like neck pain, headaches, and even low back pain. While it might seem like a minor injury, its effects can be far-reaching, especially if left untreated. Nonsurgical treatments, such as chiropractic care, physical therapy, and functional medicine, offer hope for recovery, and early intervention is crucial in preventing chronic issues.
In El Paso, Dr. Alexander Jimenez stands out as a leader in personal injury care. His expertise in advanced diagnostics and his role as a bridge between medical and legal needs make him an invaluable resource for accident victims. If you’ve been in a car accident, don’t wait—seek professional help to get back to your best self.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for diagnosis and treatment.
For individuals experiencing back pain, can lying in the supine position help bring relief?
Supine Position
The supine position describes the body’s position when lying on your back with your face up. The individual is flat on their back with no incline, arms at their sides or bent at a 90-degree angle. It’s commonly used in medical settings for examinations, surgeries, and procedures, particularly when access to the anterior/front of the body is needed. It can benefit certain conditions, like helping relieve pain, but exacerbate others, like acid reflux. The term is also used as a modifier for exercises and stretches that begin with the individual on their back. (ScienceDirect Topics, 2009)
Medical Uses
Examinations
Healthcare providers often use the supine position for physical examinations, including vital signs, palpation of the abdomen, and chest inspection. (Nurse.com, 2024)
Procedures
It’s also used for various procedures, such as lumbar punctures and injections. (Steris Healthcare, 2025)
Surgery
Due to its accessibility to the front of the body, the supine position is frequently used for surgeries such as cardiac, abdominal, thoracic, and cranial procedures.
It allows for easy access to the airway, facilitates anesthesia choices, and can be readily converted to an open procedure if necessary. ScienceDirect Topics, 2009)
Overall Health
Natural Position
Many individuals naturally fall asleep in the supine position, finding it comfortable and conducive to spinal alignment.
Back Pain Relief
Sometimes, lying supine with proper support can relieve back pain, particularly in individuals with lumbar spinal issues. (MedicalNewsToday, 2022)
Acid Reflux
However, the supine position can exacerbate acid reflux, as gravity allows stomach acid to travel up the esophagus. (MedicalNewsToday, 2022)
Sleep Apnea
The supine position can worsen sleep apnea in some individuals.
Clinical Uses
A physical therapist, trainer, or clinician may use supine to describe positions used for manual therapy or when having the patient do stretching and back exercises as part of a home exercise program.
If the therapist or personal trainer is training the individual on core stabilization exercises for the first time, the individual will most likely start in the supine position.
This is because when the body is supine, the muscles have the least work to do to maintain correct posture and position against the force of gravity.
Many bed exercises begin in this position for rehabilitation.
Back Care
Here are a few recommendations to relieve low back pain using the supine position.
First, individuals can release the tension in the back by assuming the hook-lying position, a modification of the supine position in which the knees are bent and the feet are resting flat on the floor (Aurora BayCare Medical Center, N.D.).
Start breathing and relaxing, allowing the tension to drain out of the muscles.
In a hook-lying position with the fingertips on the lower belly, inhale deeply, then exhale naturally and puff out the remaining air.
At that point, the fingertips should feel the transverse abdominal muscle engage.
Release and repeat 10 times.
After the body is warmed up, move on to actual exercise. For example, beginners may be given hip stretches to help relieve back pain. These might be done to maintain or prevent back pain. Individuals can do yoga for their back while in the supine position. As with any exercise program, not all yoga poses involve lying on the back, but many beginners and restorative ones do.
For example, the supine spinal twist involves lying on the back, bending the knees, and gently placing them to one side. The idea is to stay in that position for a few moments—and breathe—to allow the oblique abdominal and back muscles to release.
Variations
Lawn Chair Position
This variation involves slightly bending the hips and knees and elevating them above the heart, which can help relieve lower back pain.
Frog-Leg Position
The frog-leg position involves lying on the back with bent knees pushed out to the sides, providing access to the groin and perineum. (Steris Healthcare, 2025)
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Thoracic Spine Pain
References
ScienceDirect. (2009). Supine Position. Morrey’s The Elbow and Its Disorders (Fourth Edition), 567-577. https://doi.org/https://doi.org/10.1016/B978-1-4160-2902-1.50042-5
Nurse.com. (2024). What Is Supine Position? https://www.nurse.com/nursing-resources/definitions/what-is-supine-position/#:~:text=During%20routine%20physical%20examinations%2C%20the,easier%20to%20perform%20comprehensive%20assessments.
STERIS. (2025). The Complete Guide to Patient Positioning. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/complete-guide-to-patient-positioning#:~:text=The%20most%20common%20position%20used,and%20elevating%20the%20sternal%20notch.
MedicalNewsToday. (2022). What is the supine position? https://www.medicalnewstoday.com/articles/supine-position
Aurora BayCare Medical Center. (N.D.). Lumbar stabilization hooklying position. https://ahc.aurorahealthcare.org/fywb/baycare/x06913bc.pdf
For individuals with lower back pain when walking, could they have injured a muscle or have an underlying condition affecting the joints, ligaments, or nerves?
Back Pain When Walking
Lower back pain when walking can occur for a variety of reasons. It can result from poor posture, injuries, muscle fatigue, or an underlying condition. Specific injuries, like muscle strains, can affect the ligaments in the spine and cause pain. Muscles that have not been used often can result in fatigue and pain. Specific health conditions, such as degenerative disc disease, spinal stenosis, herniated discs, sciatica, or even sacroiliac joint dysfunction, can cause lower back pain. Factors like overexertion or improper gait can exacerbate it.
Muscle Issues
Muscle strains, ligament sprains, or fatigue can cause lower back pain when walking. Pain can occur after walking or come on gradually from wear and tear without an apparent cause, as follows (American Association of Neurological Surgeons, 2024)
Strains
Occur when the fibers in the back are overstretched or torn.
Pain from muscle strains is usually worse during activity and better when resting.
Sprains
It occurs when the ligaments that connect bone to bone become detached.
If the muscles do not adequately support the spine, the spinal joints absorb more pressure, which can lead to injury to the spinal ligaments.
Fatigue
It can happen from overexertion and lead to lower back pain when walking.
It could occur when walking longer than the body is used to, on uneven surfaces that make the muscles work harder to help maintain balance, or climbing hills that cause you to lean forward while walking.
Degenerative Disc Disease
Between each vertebra is a disc that provides cushioning between the bones.
As the disc wears down, surrounding muscles, ligaments, joints, and nerves in the spine absorb more pressure, causing damage.
Degenerative disc disease is a wear-and-tear condition that becomes more common as individuals age and is a common cause of lower back pain.
Healthcare providers recommend walking as a low-impact activity for individuals with the disease. However, if the condition is more severe, individuals could experience pain from this exercise, especially when walking on hard surfaces. (Hospital for Special Surgery, 2024)
Sciatica
Sciatica pain occurs when a nerve exiting the spine in the lower back becomes compressed or pinched. It is a common symptom of a herniated disc, in which a disc moves out of place and puts pressure on nearby nerves. In addition to lower back pain, sciatica can cause pain in the hip, the back of the thigh, and down the leg. Sciatica can also cause: (American Academy of Orthopaedic Surgeons, 2021)
Numbness
Tingling
Muscle cramps
Leg muscle weakness
Healthcare providers often recommend walking as a safe form of physical activity for individuals with sciatica. However, individuals should avoid twisting or bending forward. (American Academy of Orthopaedic Surgeons, 2021) To decrease pain, avoid walking on uneven surfaces or uphill.
Lumbar Spinal Stenosis
Spinal stenosis is a wear-and-tear condition that often affects the lumbar spine/five vertebrae in the lower back.
It causes the space surrounding the spinal cord to narrow.
Lumbar spinal stenosis typically causes pain when standing upright, including when walking.
Many with this condition find that leaning slightly forward helps to reduce the pain by opening up the compressed areas.
Hyperlordosis
Lordosis describes the normal curve in the spine in the lower back. However, when this curve is exaggerated, it causes hyperlordosis or swayback. (American Academy of Orthopaedic Surgeons, 2020) Hyperlordosis affects the range of motion, putting abnormal pressure on the muscles, ligaments, and joints. It also reduces the spine’s ability to absorb shock correctly when walking, leading to pain. (Cedars-Sinai, 2025)
Prevention Strategies
Individuals can take steps to reduce their risk of lower back pain when walking, even if they’ve been diagnosed with a condition that can potentially cause this symptom. Walking can decrease chronic low back pain for some. (Suh J. H. et al., 2019) As with any new exercise program, check with a healthcare provider to ensure that walking for exercise is appropriate for the injury, condition, or disease and is safe. Recommended tips: (Harvard Health Publishing, 2015)
Wear shoes made for walking.
Perform gentle lower back stretches before walking.
Start slowly by walking for a few minutes, then gradually increase the time.
Walk on a smooth surface, such as a sidewalk or athletic track, or indoors, such as in a shopping center or mall.
Warm up and cool down by walking slowly at the beginning and end of the walk.
This allows the back and leg muscles to warm up before exercise and recover afterward.
Walk at a slow to moderate pace/speed that allows one to converse.
Standing up straight while walking or standing upright reduces pressure on the lower back.
Alternative Exercise
If there is still back pain when walking, it might not be an appropriate exercise for the individual and/or how their condition presents symptoms. Alternate activities can include: (Hospital for Special Surgery, 2023)
Elliptical Trainer
This exercise keeps the feet in contact with the pedals, putting less shock-absorbing pressure on the spine than walking.
Recumbent Biking
will keep the back upright, which is recommended if there is more pain when bending forward.
Upright Stationary Biking
This is recommended if the back pain improves when bending forward.
Walking In A Pool
This activity provides benefits while reducing pressure on the spine.
To target different muscles, try walking laps in waist-deep water in multiple directions (forward, backward, and side to side).
Water Aerobics
This activity provides cardiovascular health benefits with decreased pressure on the back.
Injury Medical Chiropractic & Functional Medicine Clinic
See a physical therapist for a personalized exercise program to reduce back pain and appropriate for your condition. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Beyond Adjustments: Chiropractic and Integrative Healthcare
References
American Association of Neurological Surgeons. (2024). Low back strain and sprain. https://www.aans.org/patients/conditions-treatments/low-back-strain-and-sprain/
Hospital for Special Surgery. (2024). Degenerative disc disease. https://www.hss.edu/condition-list_degenerative-disc-disease.asp
American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases–conditions/sciatica
American Academy of Orthpaedic Surgeons. (2021). Lumbar spinal stenosis. https://orthoinfo.aaos.org/en/diseases–conditions/lumbar-spinal-stenosis/
American Academy of Orthopaedic Surgeons. (2020). Spine basics. https://orthoinfo.aaos.org/en/diseases–conditions/spine-basics/
Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173
Harvard Health Publishing. (2015). 5 tips for getting started with a walking program. https://www.health.harvard.edu/exercise-and-fitness/get-started
Hospital for Special Surgery. (2023). Best types of exercise for back pain. https://www.hss.edu/article_best-exercise-lower-back-pain.asp
For individuals experiencing lower back pain and sciatica symptoms, can using a lidocaine patch help?
Lidocaine Patch
Lidocaine patches are in a drug class called local anesthetics (MedlinePlus, 2025) (Food and Drug Administration, 2022). They relieve pain in small body areas by blocking the nerves from sending pain signals. The Food and Drug Administration approved lidocaine 5% or 1.8% patches for relieving postherpetic neuralgia (PHN) pain. These lidocaine patches are prescription-only (Food and Drug Administration, 2022). They are available either by prescription or over the counter and are commonly used for back pain and other areas. Over-the-counter lidocaine, 4% patches, can be used to relieve minor aches and pains, including back pain. However, further research is needed to recommend the use of lidocaine patches as an effective method of pain relief. (Department of Veterans Affairs/Department of Defense, 2022) (North American Spine Society, 2020)
The Patch
They are available in prescription and over-the-counter forms. Over-the-counter forms come as a 4% patch in various brands, such as (MedlinePlus, 2025)
Aspercreme
Lidocare
Salonpas
Prescription-only patches come in 5% or 1.8% patches and are approved to relieve long-term nerve pain from shingles in adults. Zlido is a brand name for a 1.8% lidocaine patch. Five percent lidocaine patches are available generically. (DailyMed, 2018) (Food and Drug Administration, 2021) The safety and effectiveness in children are unknown. (Food and Drug Administration, 2022)
Other Lidocaine Forms
As a local anesthetic, it is available in several other forms, including:
Spray
Topical cream
Lotion
Liquid
Ear drops
Eye gel
Injection
It is also available as a short-term intravenous infusion for abnormal heart rhythm. (DailyMed, 2025)
Effectiveness
Clinical trials have shown that the patches effectively relieve chronic low back pain. However, these studies were nonrandomized and did not include a control group to compare against the treatment group. (Santana J. A., Klass S., & Felix E. R. 2020) The results may be subject to potential biases. For this reason, further evidence is needed to support lidocaine patches’ effectiveness in reducing low back pain. (North American Spine Society, 2020) High-quality randomized and controlled clinical trials are necessary to study the effectiveness. (North American Spine Society, 2020) (Santana J. A., Klass S., & Felix E. R. 2020)
Clean and dry the affected area before placing the patch.
Apply to the affected body area as directed.
Wash your hands after touching the patch.
Remove the patch after what is usually recommended after eight hours.
How Quickly Does It Work?
The amount of medication absorbed into the blood depends on how long the patch is placed on the body and how much is covered with the patch. In a study, healthy participants wore three lidocaine patches on their backs for 12 hours on and 12 hours off during 24 hours. Lidocaine levels were highest at 11 hours. At the end of the 24 hours, there was still some lidocaine left in the bloodstream. (Food and Drug Administration, 2022)
Individuals with PHN may notice a difference in pain intensity after four hours of using the patch. (Rowbotham, M. C. et al., 1996) (Food and Drug Administration, 2022) Experts may suggest using patches for four weeks for those who experience pain after their shingles rash disappears. However, if there is still pain after these four weeks, it is recommended to see a pain specialist. (Gross, G. E. et al., 2020)
Side Effects
Common side effects are typically mild skin reactions where the patch is. These reactions are usually temporary and will disappear within a few minutes or hours. Examples include: (Food and Drug Administration, 2022)
Severe allergic reactions are rare, but it is possible.
Symptoms include breathing problems, itchiness, and rash.
Methemoglobinemia
Methemoglobinemia is a condition that makes it hard for red blood cells to carry oxygen.
Individuals may experience symptoms of blue-looking skin, headache, lightheadedness, shortness of breath, abnormal heart rhythm, or seizures.
Using too many lidocaine patches to cover large parts of the body or using the patches longer than 12 hours within 24 hours may cause side effects that may include heart-related effects, such as a slow heart rate and low blood pressure. Individuals may also experience the following side effects (Food and Drug Administration, 2022)
Hot or cold sensation
Numbness
Dizziness
Ringing ears
Lightheadedness
Mood changes
Drowsiness to unconsciousness
Vision changes
Seizures
Tremors
Vomiting
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Sciatica Causes and Treatments
References
National Library of Medicine. MedlinePlus. (2025). Lidocaine transdermal patch. Retrieved from https://medlineplus.gov/druginfo/meds/a603026.html
Food and Drug Administration. (2022). Lidoderm label. Retrieved from https://www.accessdata.fda.gov/spl/data/eedfe43b-1019-19a0-e053-2995a90a7696/eedfe43b-1019-19a0-e053-2995a90a7696.xml
Department of Veterans Affairs/Department of Defense. (2022). VA/DoD clinical practice guideline for the diagnosis and treatment of low back pain. Retrieved from https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPGFinal508.pdf
North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: diagnosis and treatment of low back pain. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf
National Library of Medicine. DailyMed. (2018). Label: lidocaine patch. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154
Food and Drug Administration. (2021). Ztlido label. Retrieved from https://www.ztlido.com/wp-content/uploads/2022/12/ZTlido-LABEL.pdf
National Library of Medicine. DailyMed. (2025). Lidocaine-lidocaine hydrochloride injection, solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f1b26274-a55e-4321-b96c-ce0df830f205
Santana, J. A., Klass, S., & Felix, E. R. (2020). The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. PM & R: the journal of injury, function, and rehabilitation, 12(12), 1260–1267. https://doi.org/10.1002/pmrj.12366
Rowbotham, M. C., Davies, P. S., Verkempinck, C., & Galer, B. S. (1996). Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain, 65(1), 39–44. https://doi.org/10.1016/0304-3959(95)00146-8
Gross, G. E., Eisert, L., Doerr, H. W., Fickenscher, H., Knuf, M., Maier, P., Maschke, M., Müller, R., Pleyer, U., Schäfer, M., Sunderkötter, C., Werner, R. N., Wutzler, P., & Nast, A. (2020). S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology: JDDG, 18(1), 55–78. https://doi.org/10.1111/ddg.14013
Should individuals experiencing lower left back pain see a healthcare provider if it lasts more than a few weeks?
Left Side Lower Back Pain
Lower left back pain can impact your ability to go about your day. If left-side lower back pain lasts longer than a week, it is considered chronic back pain, which can severely impact one’s quality of life. This type of pain has various causes. Muscle or spine and nerve damage, including sciatica, can cause pain. Organs in the lower back, including the kidneys, can cause pain. Pregnancy-related changes, fibromyalgia, and other conditions can cause lower left-side back pain in females.
Causes
Back pain is common and affects almost everyone. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2023) Lower left back pain can have many causes, ranging from muscle and spine issues to organ infections. One way to help tell what’s causing the symptoms is to determine whether there is also sciatica, sharp or burning pain that radiates down one side of the body. It happens when the sciatic nerve gets compressed or irritated. Possible causes include (Penn Medicine, 2020)
Muscle Injury
A muscle injury from an accident or injury can be a cause that can appear with or without sciatica.
If this is the cause, you’ll notice that the pain improves with rest but worsens after you’ve sat for a long time or after getting up from sleep.
There may also be a limited range of motion, tenderness, or swelling.
Arthritis or Bone Conditions
Arthritis and bone issues, like osteoporosis, can also be a cause.
This can happen if the arthritis is in the left hip or the root cause is on the right side, but the body compensates by overusing muscles on the left side of the back.
Unhealthy Posture and Body Positioning
Unhealthy postures and body positioning can contribute to back pain and musculoskeletal problems.
To avoid straining the muscles, try sitting and standing straight and keeping all the joints at a 90-degree angle.
Move around every 20-30 minutes and stretch out.
Kidneys
The kidneys are located in the middle back.
Kidney infections or kidney stones could cause pain on the left side.
Other symptoms include pain when urinating, fever, and nausea.
Ulcerative Colitis
Ulcerative colitis, inflammation of the large intestine, can also cause lower left back pain in some cases.
If this is the cause, there may also be abdominal pain, cramping, nausea, and fatigue.
Uterine-Related Pain
Several conditions related to the uterus can cause back pain symptoms, including PMS, period cramps, endometriosis, and more.
Sometimes, these conditions cause pain on both sides, but some individuals may experience pain just on the left side.
Pregnancy
The weight gain, hormonal changes, and limited movement can also contribute to lower left back pain. (Cedars Sinai, 2024)
Spinal Disease
If one of the discs or vertebrae in the spine slips out of place or becomes damaged, this can cause upper, middle, or lower back pain.
In many cases, over-the-counter anti-inflammatory medications can help with sciatica. If it persists, it is recommended to see your healthcare provider to find the root cause. The causes include: (Aguilar-Shea, A. L. et al., 2022)
Herniated disc
A disc that pops out of place can add pressure to the sciatic nerve.
Spinal Stenosis
Spinal stenosis, or spine narrowing, can also cause sciatic symptoms.
Spondylolisthesis
Occurs when vertebrae are out of alignment, leading to sciatic symptoms.
Pregnancy
Pregnancy-related growth and bodily changes oftentimes lead to sciatic nerve symptoms and sensations.
Muscle Spasms
Spasms like piriformis syndrome, a spasm of the muscle in the buttocks, can cause back pain.
Surgery
It’s normal to have back pain for up to six weeks after a back procedure.
However, if there is new or worsening lower left back pain after surgery, consult the healthcare provider. (Penn Medicine, 2017)
Your healthcare provider may recommend massage, chiropractic care, and acupuncture treatments.
If pain can’t be managed at home, your healthcare provider may suggest prescription medications, including muscle relaxers.
These can allow the tissue to heal and reduce your pain as well.
If you have severe sciatica or vertebrae that have slipped out of place, the healthcare team might recommend a steroid injection into the lower left back to reduce pain by reducing inflammation.
In addition to prescription treatments, your healthcare provider might recommend physical therapy to retrain movements, build strength, and help prevent back pain.
Sleep on a firm mattress that will support your back.
Get a comfortable, ergonomic chair for your job.
If you work on your feet, learn to practice healthy posture and use shoes and insoles to facilitate and maintain correct posture.
Once you’ve healed, building your core strength may help avoid lower back pain in the future.
Injury Medical Chiropractic and Functional Medicine Clinic
Talk with a healthcare provider and request a referral to a specialist who can help with long-term management. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Lower Back Pain Chiropractor Treatment
References
National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2023). Back pain. Retrieved from https://www.niams.nih.gov/health-topics/back-pain
Penn Medicine, B. T., MD. (2020). 4 reasons you may have back pain on only one side. Penn Medicine. https://www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2017/november/back-pain-on-one-side
Cedars Sinai. (2024). Back pain during pregnancy. https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/back-pain-during-pregnancy.html
Aguilar-Shea, A. L., Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Management for family physicians. Journal of family medicine and primary care, 11(8), 4174–4179. https://doi.org/10.4103/jfmpc.jfmpc_1061_21
Penn Medicine, V. G., MD. (2017). Back pain that won’t go away—even with surgery. Penn Medicine. https://www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2017/november/back-pain-that-wont-go-away
See, Q. Y., Tan, J. B., & Kumar, D. S. (2021). Acute low back pain: diagnosis and management. Singapore Medical Journal, 62(6), 271–275. https://doi.org/10.11622/smedj.2021086
Could incorporating standing lumbar flexion exercise into a daily routine help decrease pain and improve overall spinal mobility for individuals with low back pain?
Standing Lower Back Flexion Exercise
A chiropractic physical therapy team visit can help determine which exercises are best for an individual’s injury or condition and teach them what to stop doing if they have low back pain. Exercise and proper posture can decrease discomfort and improve mobility for individuals with low back pain. (Suh, J. H. et al., 2019) Sometimes, exercises that bend backward are recommended, while other times, flexion or forward bending movements are the best way to manage lower back pain. Many find the standing Williams lumbar flexion exercises maneuver helpful for low back pain. (Amila A, Syapitri H, Sembiring E. 2021)
Benefits
Individuals with certain diagnoses may benefit from spinal flexion. These diagnoses include:
Be sure to speak with a healthcare provider to understand the diagnosis and low back symptoms, and work with a physical therapist to be sure that forward flexion of the spine is the correct exercise for your back.
When To Avoid Lumbar Flexion
Some should avoid excessive forward bending, which could cause further damage or injury to the spine. Reasons to avoid flexion include:
Neurological signs such as difficulty urinating or controlling bowel movements (Howell E. R. 2012)
Before starting this or any other exercise program for your spine, check with a healthcare provider or physical therapist.
How to Perform
Gradually progressing with other gentle lumbar flexion exercises before full-standing lumbar flexion is recommended. These include performing a week or two of lumbar flexion lying down, followed by a couple weeks of lumbar flexion seated. Once these exercises are easy to perform and pain-free, progress with lumbar flexion standing postures.To perform, follow these steps:
Stand with your feet shoulder-width apart.
Slowly bend forward by sliding your hands down the front of your thighs.
Reach down as far as possible and let your lower back bend forward.
Grab your ankles and gently pull into more forward flexion to increase the backstretch.
Hold the end position for a second or two, then slowly return to the starting position.
As you exercise, be sure to monitor changes in symptoms. Pain worsening in the back or traveling down your leg indicates that you should stop the exercise (Spine-health, 2017). If the pain decreases in your leg or centralizes to your back, continue the exercise. Standing lumbar flexion can be repeated for 10 repetitions a couple of times daily. It can help decrease low back or leg pain symptoms and stretch tight hamstrings and back muscles. (Montefiore Pediatric Orthopedic and Scoliosis Center, 2003)
Injury Medical Chiropractic and Functional Medicine Clinic
Exercise can also prevent future lower back problems. Standing back flexion, postural correction, regular physical activity, and exercise are tools for keeping the spine healthy. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
What Causes Disc Herniation?
References
Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173
Amila A, Syapitri H, Sembiring E. (2021). The effect of William Flexion Exercise on reducing pain intensity for elderly with low back pain. Int J Nurs Health Serv., 4(1), 28-36. https://doi.org/https://doi.org/10.35654/ijnhs.v4i1.374
Lurie, J., & Tomkins-Lane, C. (2016). Management of lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. https://doi.org/10.1136/bmj.h6234
Sfeir, J. G., Drake, M. T., Sonawane, V. J., & Sinaki, M. (2018). Vertebral compression fractures associated with yoga: a case series. European journal of physical and rehabilitation medicine, 54(6), 947–951. https://doi.org/10.23736/S1973-9087.18.05034-7
Howell E. R. (2012). Conservative management of a 31 year old male with left sided low back and leg pain: a case report. The Journal of the Canadian Chiropractic Association, 56(3), 225–232.
Spine-health. (2017). Exercise with lower back pain: Should you work through the pain? Spine-health
Knowledge from Veritas. https://www.spine-health.com/blog/exercising-lower-back-pain-should-you-work-through-pain
Montefiore Pediatric Orthopedic and Scoliosis Center. Center, M. P. O. a. S. (2003). Low Back Strain. https://www.cham.org/File%20Library/Global%20Navigation/Expertise%20And%20Programs/Pediatric%20Expertise/Orthopedics/Monte-LOW-BACK-STRAIN-WITH-EXERCISES.pdf
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