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The One Mistake Most People Make When Their Back Hurts

Posted Monday, June 29, 2026 by Brunswick Chiro. Filed under General

Key Takeaways

  • Many people ignore the root cause of back pain and only treat symptoms
  • Rest alone is often not the most effective long-term solution
  • Movement, when appropriate, can support recovery and prevent stiffness
  • Early assessment may help reduce the risk of chronic pain
  • A personalised, holistic approach tends to be more effective than one-size-fits-all fixes
  • Chiropractic and allied therapies may support recovery as part of a broader care plan

Why Your Back Pain Isn’t Improving (And What You Might Be Missing)

Back pain is one of the most common health concerns worldwide, affecting people of all ages and lifestyles. In fact, it remains a leading cause of disability globally, often linked to everyday factors like prolonged sitting, poor posture, and physical strain (World Health Organization, 2023).

If your back pain isn’t improving, it may not be because you haven’t tried hard enough to fix it. More often, it comes down to what is being addressed. Many people focus only on relieving discomfort rather than understanding what is driving it in the first place.

The Common Mistake: Treating the Symptom, Not the Cause

When back pain strikes, most people focus on getting rid of the discomfort as quickly as possible. This often leads to short-term solutions such as resting for extended periods, taking pain relief medication, or avoiding movement altogether. While these approaches may provide temporary relief, they do not always address what is actually causing the pain.

In many cases, back pain is not just about one isolated issue. It can be influenced by a combination of factors such as joint stiffness, muscle imbalances, posture habits, and movement patterns. Focusing only on the symptom is a bit like turning off a smoke alarm without checking where the smoke is coming from. The noise stops, but the underlying issue remains.

Research suggests that a purely symptom-based approach may not lead to the best outcomes, particularly for non-specific low back pain where identifying contributing factors is key (Maher et al., 2017). Without addressing these underlying drivers, pain may return or become more persistent over time.

Understanding this common mistake is an important first step. By shifting the focus from simply reducing pain to identifying and managing its root causes, individuals may be better positioned to support long-term recovery and overall back health.

Man waking up out of bed in pain

Why This Approach Can Delay Recovery

Focusing only on pain relief without addressing the underlying cause can sometimes slow down recovery rather than support it. While it may feel natural to rest and avoid movement when your back hurts, prolonged inactivity can have unintended effects on the body.

Reduced Strength and Mobility

When movement is limited for too long, muscles can become weaker and joints may stiffen. This can make it harder for the body to support normal movement, potentially prolonging discomfort or increasing the likelihood of future flare-ups.

Changes in Movement Patterns

To avoid pain, people often adjust how they sit, stand, or move. While this can provide short-term relief, these compensations may place extra stress on other areas of the body. Over time, this can contribute to ongoing or recurring back pain.

Increased Risk of Persistent Pain

Evidence suggests that staying inactive for extended periods is not typically recommended for most cases of low back pain. Instead, gradual return to normal activity is often encouraged, as it may support better outcomes (Qaseem et al., 2017).

It is important to note that not all back pain should be treated the same way. Some conditions may require more rest or specific medical care. However, for many common types of back pain, a balanced approach that includes appropriate movement and proper assessment tends to be more effective than relying on symptom relief alone.

What You Should Do Instead

If focusing only on pain isn’t the most effective approach, what should you do when your back hurts? The goal is to take a more balanced, informed approach that supports both short-term relief and long-term recovery.

Stay Active (When Appropriate)

While it may seem counterintuitive, gentle movement is often beneficial for many cases of back pain. Activities like walking or light stretching can help maintain mobility and support circulation, which may assist the healing process. Clinical guidelines commonly recommend avoiding prolonged bed rest and returning to normal activities as soon as it is safely possible (Qaseem et al., 2017).

Young couple cycling

Understand the Root Cause

Back pain is often influenced by multiple factors, including posture, muscle strength, joint function, and daily habits. Identifying what is contributing to your discomfort can help guide more targeted and effective care, rather than relying on temporary fixes.

Woman with pain working at her desk

Take a Multi-Modal Approach

Managing back pain often involves a combination of strategies rather than a single solution. This may include:

  • Movement and exercise to improve strength and flexibility
  • Manual therapy to support joint and muscle function
  • Education around posture and daily habits

Research supports the use of combined approaches for better outcomes in managing non-specific low back pain (Foster et al., 2018).

Listen to Your Body

Not all pain means harm, but it is important to recognise when something does not feel right. Learning the difference between general discomfort and more serious symptoms can help you make safer decisions about activity and care.

Women exercising with ropes

When to Seek Professional Help

While many cases of back pain improve with time and simple self-care strategies, there are situations where professional assessment is important. Knowing when to seek help can make a meaningful difference in both recovery time and long-term outcomes.

Signs It May Be Time to Get Assessed

Consider consulting a healthcare professional if you experience:

  • Pain that persists beyond a few days or continues to worsen
  • Recurring episodes of back pain
  • Difficulty performing everyday activities such as sitting, walking, or bending
  • Pain that spreads into the legs, or is accompanied by numbness or weakness

These signs may indicate that there are underlying factors that need to be properly assessed and managed.

The Value of Early Intervention

Early assessment can help identify what is contributing to your back pain and guide appropriate care. This may reduce the likelihood of the issue becoming more persistent or harder to manage over time. Research highlights the importance of timely and appropriate management in improving outcomes for low back pain (Foster et al., 2018).

A Balanced Approach to Care

Seeking professional help does not always mean intensive treatment. In many cases, it involves education, reassurance, and guidance on movement and activity. The aim is to support recovery while helping you better understand your condition.

If you are unsure whether your symptoms require attention, it is generally better to err on the side of caution and speak with a qualified healthcare provider.

How Chiropractic Care May Help

Chiropractic care focuses on assessing and managing musculoskeletal conditions, particularly those involving the spine, joints, and surrounding muscles. For individuals experiencing back pain, it may form part of a broader, evidence-informed approach to recovery.

What to Expect from an Assessment

A chiropractor will typically begin with a thorough evaluation to better understand your condition. This may include:

  • Reviewing your medical history
  • Assessing posture and movement patterns
  • Examining joint mobility and muscle function

The goal is to identify contributing factors rather than focusing only on the area where pain is felt.

Potential Benefits

Chiropractic care does not aim to provide a one-size-fits-all solution. Instead, it may help support recovery in several ways:

  • Improving joint mobility
  • Reducing muscle tension
  • Supporting better movement patterns
  • Helping you return to normal activities more comfortably

Manual therapy, including spinal manipulation, is one approach that may be used alongside other strategies. Clinical guidelines suggest that such non-invasive treatments can be considered as part of managing low back pain (Qaseem et al., 2017).

A Holistic, Individualised Approach

Care often extends beyond hands-on treatment. Depending on your needs, it may also include:

  • Exercise and rehabilitation programs
  • Postural and ergonomic advice
  • Education around movement and daily habits

This type of personalised approach aligns with current evidence, which supports combining different strategies to improve outcomes for people with back pain (Foster et al., 2018).

It is important to recognise that results can vary between individuals. Chiropractic care is typically most effective when tailored to your specific condition and used as part of a broader plan focused on long-term health and function.

Dave our chiropractor treating a patient's lower back pain

Looking Beyond the Pain: A Smarter Approach to Back Health

Back pain can be frustrating, especially when it lingers or keeps coming back. However, focusing only on relieving discomfort may not always lead to lasting improvement. The key is to look beyond the pain itself and consider what might be contributing to it in the first place.

By shifting toward a more proactive approach that includes movement, education, and proper assessment, many people may be able to support better outcomes over time. Research continues to highlight the importance of active management strategies rather than relying solely on passive or short-term solutions (Hartvigsen et al., 2018).

It is also important to remember that every case of back pain is different. What works for one person may not be suitable for another. Taking the time to understand your body and seeking guidance when needed can help you make more informed decisions about your care.

In the long run, managing back pain is not just about getting through the current discomfort. It is about building habits and strategies that support better movement, function, and overall back health.

Take the First Step Toward Better Movement and Long-Term Relief

If your back pain is not improving or keeps coming back, it may be time to take a closer look at what is causing it. Addressing the underlying factors early can make a meaningful difference in how you move, feel, and function day to day.

At Brunswick Chiropractic, our team takes a personalised approach to care. We focus on understanding your condition and developing a plan that supports both recovery and long-term back health. This may include hands-on treatment, movement guidance, and practical advice tailored to your lifestyle.

If you are ready to take a more proactive approach to your back health, call now or book online to get started.

References

Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One. 2017;12(6):e0178621. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178621 

Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, Ferreira PH, Fritz JM, Koes BW, Peul W, Turner JA, Maher CG. Prevention and treatment of low back pain: Evidence, challenges, and promising directions. Lancet. 2018;391(10137):2368–2383. https://www.thelancet.com/article/S0140-6736(18)30489-6/fulltext 

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ, Underwood M. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–2367. https://www.thelancet.com/article/S0140-6736(18)30480-X/fulltext 

Koes BW, van Tulder M, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006;332(7555):1430–1434. https://www.bmj.com/content/332/7555/1430 

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736–747. https://www.thelancet.com/article/S0140-6736(16)30970-9/fulltext 

Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–530. https://www.acpjournals.org/doi/10.7326/M16-2367 

Shiri R, Falah-Hassani K. The effect of physical activity on low back pain: A systematic review and meta-analysis of randomized controlled trials. Am J Epidemiol. 2017;186(5):523–535. https://academic.oup.com/aje/article/186/5/523/3858005 

World Health Organization. Low back pain. 2023. https://www.who.int/news-room/fact-sheets/detail/low-back-pain 

Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81(9):646–656. https://www.scielosp.org/article/bwho/2003.v81n9/646-656/ 

Zadro JR, O’Keeffe M, Maher CG. Do physical treatments improve patient outcomes in low back pain? A systematic review. BMJ. 2019;364:l689.  https://www.bmj.com/content/364/bmj.l689 

Frequently Asked Questions

Q. Should I use heat or ice for back pain?

A. Both heat and ice can be helpful, depending on the situation. Ice is often used in the early stages of an injury to help manage inflammation, while heat may help relax tight muscles and improve blood flow. For general back discomfort, many people find heat more soothing, but responses can vary from person to person. You can read more in our blog on ice versus heat and how to choose the right option for your back pain.

Q. Can poor posture really cause back pain?

A. Posture alone is not always the sole cause of back pain, but it can be a contributing factor. Spending long periods in one position, especially when sitting, may place additional stress on certain muscles and joints. Over time, this can lead to discomfort if not balanced with movement and variation throughout the day. You can read more in our blog on the “helium balloon” posture reset — a simple desk tip to help you break out of the slouch.

Q. Is it normal for back pain to come and go?

A. Yes, many people experience episodes of back pain that improve and then return. This can happen when underlying factors such as movement habits, strength imbalances, or daily activities are not fully addressed. Identifying and managing these contributors may help reduce the frequency of flare-ups. You can read more in our blog on why back pain can flare up (especially after sport when you’ve been sitting all week).

Q. Are scans like X-rays or MRIs always necessary?

A. In most cases of non-specific back pain, imaging is not immediately required. Clinical guidelines suggest that scans are typically reserved for situations where more serious conditions are suspected or when symptoms persist despite appropriate care (Qaseem et al., 2017). A healthcare professional can help determine if imaging is necessary.

Q. Can stress affect back pain?

A. Stress can play a role in how the body experiences pain. Increased stress levels may lead to muscle tension and heightened sensitivity to discomfort. While stress may not directly cause back pain, it can influence how symptoms are felt and managed. You can read more in our blog on stress and the autonomic nervous system, and how stress can influence muscle tension and pain sensitivity.

About Brunswick Chiropractic

This article was written by the clinical team at Brunswick Chiropractic, a Melbourne clinic focused on evidence-based care for spinal health, movement, and musculoskeletal injuries.

Our practitioners regularly work with people experiencing back pain, headaches, migraines, sports injuries, and movement-related conditions. We aim to provide clear, research-informed information to help patients stay active and move well.