Over 80 percent of the population will experience an episode of Low Back Pain at some time during life.   The condition is also costly with total costs estimated to be between 100–200 billion dollars annually, two-thirds of which are due to decreased wages and productivity.  The medical fields’ quest to find effective and sustainable cures have been sadly unsuccessful.  Unfortunately, surgeries haven’t performed much better either with a success rating of 33-35% and costing some people $80,000.  The complexity of low back pain must not be overlooked and can have many factors related to its cause.

As we discover more and more about low back pain and its etiology, we must recognize a few problems with the current treatment paradigm. The causation is clearly multi-factorial and we must develop the best program for low back pain, not the best monotherapy.  We are trying steroid injections, epidural injections, radio-frequency ablations with some temporary relief because of the steroid however, these therapies disregard the root cause of the problem, creating a higher risk of low back pain to return later and much worse.  Our opioid epidemic is the product of these many failed treatments that have not addressed the root of the problem.

It is not the end of the world if one suffers from low back pain. In fact, we have found the best successes in overcoming low back pain is a program designed to take away the pain and addressing the source of dysfunction, so injury/pain never comes back.


  • Injury
  • Disc bulge and Herniation
  • Arthritis – Stenosis and facet degeneration
  • Gastrointestinal distress
  • Disc degeneration
  • Inflammation (low back and internal)
  • Fracture of spinal segment(s)
  • Gender specific referred low back pain
  • Poor biomechanics
  • Extreme amounts of bad stress
  • Poor nutrition and dietary habits
  • Poor respirations mechanics
  • Decrease in healing co-factors and chemicals in the body
  • Scoliosis
  • Hip joint immobility / Pelvic instability
  • Structural anomalies
  • Poor foot and ankle mechanics
  • Hernia of the abdominal area
  • Non-ideal development as an infant
  • Incorrect exercise program for your body type or lack of sufficient healing time thereafter
  • Insufficient exercise
  • Psychosomatic issues
  • Sedentary lifestyle
  • So many more

If you refer to table 1, we can see there are a lot of causes of low back pain.  Most patients who suffer from low back pain have at least 7-8 of these contributing factors to their cause, possibly more.  This is one of the many reasons why treating the low back and achieving success is extremely difficult.  The unfortunate situation with many patients is they are seeing the best specialist that may only be focusing on just ONE or TWO of these causes.

PRO TIP: It is critical to find the best generalist of low back treatments that are focused on the whole body or a holistic approach. 

The most successful solution for low back pain are the therapies that can encompass a wide treatment spectrum with clinicians that approach their exam with a broad therapeutic lens.  The examination process is key to uncovering many of these hidden roots.  Once this is uncovered treatment plans and protocols must be put into place to heal the condition and reverse the opportunity from pain to ever happen again.

Locating a physician that can coordinate your care based on the causative factors are paramount.  Treatments that have been extremely effective are treatments that are built in to a program that address the structure, biomechanics, past injury, inflammation to the whole body not just the back, individualized low back and hip stabilizing exercises, nutrition, vitamin and mineral support, and much more.

What we have seen occur in most cases is addressing this broad spectrum of causes is the best approach to treating and reversing low back pain for good.  Individualized rehabilitation, biomechanical examination and treatments, spinal decompression (need physician exam for qualification), nutrition, supplement guidance, a liver detoxification program, acupuncture/dry needling, hormonal evaluation, and depending on other causative factors much more.  The treatment program must be robust but not so overwhelming to the patient that compliance is unattainable. This is where a clinician that can create a treatment strategy to address the core faults of the primary causes of your condition are critical for efficacy and compliance.

Author Dr Cameron Khavari

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