Lower Back Pain Not Getting Better With Physical Therapy?

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When Physical Therapy Isn’t Helping Your Back Pain


Lower back pain is a common issue that many individuals suffer from. It can range from mild to severe and have long-term effects, so understanding the causes and treatments available is important for finding relief. In this article, we’ll cover physical therapy, alternative treatments, medications, surgical options, and deciding on the best course of treatment.

Understanding Lower Back Pain

Lower back pain can be due to a variety of factors, such as poor posture, weight gain, or injury. It can also come from sitting at too heavy of a desk or chair for long periods of time. Symptoms range from mild aches and pains to more serious problems that cause difficulty moving. It is important to understand the cause of the pain in order to properly address it.

Benefits of Physical Therapy for Lower Back Pain

Physical therapy is one of the most common treatments for lower back pain. It can improve range of motion and reduce symptoms such as stiffness or muscle tightness. Physical therapists can also provide advice and guidance on activities that may help manage the pain, such as stretching exercises.

When Physical Therapy is Not Enough

In some cases, physical therapy may not be enough to reduce the pain in the lower back. At this time it’s time for a second opinion from another provider. This can be another PT but may not be. In some instances, alternative treatments such as acupuncture or chiropractic care can be beneficial. These treatments focus on relieving pressure and tension in the body, improving circulation, and strengthening muscles.

Alternative Treatments for Lower Back Pain

In addition to physical therapy and alternative treatments, there are other options for managing lower back pain. Massage therapy, yoga, or hydrotherapy can all help reduce discomfort in the back and may be used alone or in combination with traditional treatments.

Medications for Lower Back Pain

Sometimes medications are needed to manage lower back pain. This should be used at the direction of your physician. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed and can reduce inflammation as well as provide relief from pain. Stronger medications, such as opioids, may be prescribed but their benefit appears to be limited and they are highly addictive.

Surgical Options for Lower Back Pain

In severe cases of lower back pain, surgery may be recommended. This type of procedure involves removing or repairing damaged tissue that is causing pain or discomfort. Outcomes for spinal surgery are not typically good. Many people still have some level of discomfort or issue after. Surgery is neither a quick fix nor a decision to be taken lightly. It is important to discuss all options with your doctor before deciding if surgery is right for you.

Deciding on the Best Course of Treatment

When it comes to managing lower back pain, there are a variety of treatment options available. Physical therapy can often provide relief, but in some cases, alternative treatments may be necessary. Medications and surgery may also be recommended in certain cases. It is important to consult with your doctor or healthcare professional to decide the best course of action for you.


Lower back pain can be a debilitating condition that affects millions of Americans every year. Physical therapy is often the first step in treatment and can provide relief, but alternative treatments, medications, and even surgery may be necessary in some cases. It is important to consult with a doctor or healthcare professional to decide on the best course of treatment for your particular situation.