Chronic low back pain affects millions of people and is one of the most common reasons patients walk through the doors at OrthoRehab Specialists. It can influence every part of your daily routine. You may feel stiff when you wake up, tense after sitting for long periods, or fatigued by the afternoon because your back never fully relaxes. Many patients describe a cycle where pain fades for a few days and then returns without warning. That cycle continues until something finally changes the way the body moves and supports itself.
Physical therapy is one of the most effective ways to break that cycle. It works by addressing the real source of the pain instead of just treating symptoms. Our clinicians analyze how your spine, hips, core, and surrounding muscles work together. We identify which patterns are causing stress, which areas are weak, and which structures are moving incorrectly. Once these issues are clear, we design a plan that restores strength, mobility, and long term stability.
Chronic low back pain rarely comes from one single issue. It tends to build over time from a mix of stiffness, weakness, poor movement patterns, and stress. The goal of physical therapy is to correct these issues one by one so you can move confidently and without ongoing discomfort.
Why Low Back Pain Becomes Chronic
Acute back pain usually comes from a sudden strain or irritation. Chronic back pain develops more slowly. It often results from years of small compensations that eventually overload certain joints, discs, or muscle groups. The problem is not usually the intensity of the strain but the repetition of it.
Some common contributors include:
-
Sitting for long periods without proper support
-
Weakness in the deep core muscles
-
Tight hip flexors or hamstrings
-
Limited mobility in the upper or lower spine
-
Poor lifting mechanics
-
Stress related bracing and muscle guarding
Your brain and body begin to adapt to these patterns. Over time, your back muscles stay tight, your deep stabilizers weaken, and your spine moves in ways that reinforce the discomfort. Once this becomes your default pattern, the pain becomes chronic.
At OrthoRehab, we start by identifying exactly where these patterns originate so we can correct them with precision rather than guessing.
How Physical Therapy at OrthoRehab Helps Reduce Chronic Low Back Pain
Every chronic back pain case is unique, but the principles behind effective treatment are consistent. Our approach is rooted in restoring normal mechanics, building strong foundational support, and teaching you how to move in a way that protects your back throughout daily life.
1. Full Movement and Strength Evaluation
Your therapist begins by assessing posture, mobility, strength, gait, and movement patterns. We look closely at the hips, pelvis, spine, and core since all of these structures work together to support your back. This evaluation reveals where breakdowns occur and what needs improvement.
2. Manual Therapy to Reduce Pain and Improve Joint Motion
Manual therapy helps calm irritated tissues and restore normal joint mechanics.
Techniques may include:
-
Soft tissue mobilization
-
Joint mobilization
-
Manual stretching
-
Muscle energy techniques
-
Trigger point release
Reducing tension allows you to move more freely and prepares your body for strengthening exercises that build long term stability.
3. Mobility Restoration for the Hips and Spine
Many chronic low back pain cases are linked to tight hips, limited thoracic spine motion, or restricted lumbar mobility. If these areas do not move well, the body compensates by placing more stress on vulnerable segments of the lower spine.
Your therapist introduces mobility drills that improve:
-
Hip rotation
-
Hip extension
-
Lower spine flexion or extension
-
Upper back rotation
-
Pelvic control
Better mobility reduces strain and improves the way your body distributes force.
4. Strengthening the Core and Gluteal Muscles
This is one of the most critical steps in resolving chronic back pain. When the deep core and glutes are weak, they struggle to support the spine. As a result, the small stabilizing muscles in the back become overloaded and irritated.
Your strengthening plan may include:
-
Deep abdominal activation
-
Gluteal strengthening
-
Pelvic stability exercises
-
Anti rotation core work
-
Hip strengthening
-
Controlled movement patterns for bending and lifting
These exercises create a protective system around your spine. Once strong enough, this system prevents recurring pain.
5. Movement Retraining to Break Old Habits
Pain often comes from how you move, not just how strong you are. Your therapist will help you relearn healthier patterns for bending, lifting, sitting, standing, and transitioning between positions. Even small corrections in daily movement can dramatically reduce flare ups.
6. Education and Long Term Strategies
Physical therapy does not end when the pain decreases. Long term success comes from maintaining the improvements you build in the clinic. We teach you how to manage posture, reduce strain during daily activities, and create routines that keep your spine healthy.
This includes:
-
Ergonomic adjustments
-
Sleep positioning
-
Stress management strategies
-
Proper warm up and cooldown habits
-
Home exercise maintenance
When you understand how to keep your back supported, your results last longer and your confidence grows.
The Three Phase Recovery Model
Most patients progress through three phases as their chronic low back pain resolves.
Phase One: Reduce Pain and Improve Comfort
This early phase focuses on calming irritated tissues, reducing inflammation, and improving motion. Manual therapy, gentle core activation, and controlled mobility work help you feel better while preparing your body for strengthening.
Phase Two: Restore Mobility and Movement Mechanics
Once symptoms start to improve, your therapist shifts focus to improving hip and spine mobility while training proper posture and movement patterns. This is where you begin relearning how to move without triggering pain.
Phase Three: Strengthen for Long Term Stability
This final phase builds the strength and endurance needed to prevent pain from returning. Core, glute, and hip strength become the foundation for a healthy spine. You learn how to protect your back during all normal activities, including lifting, twisting, sitting, and exercise.
Patients who complete all three phases experience the most consistent and lasting improvement.
The Role of Stress in Chronic Low Back Pain
Stress affects your back more than most people realize. When your body feels overwhelmed, your muscles tighten, especially in the low back and hips. Breathing becomes shallow, posture changes, and the nervous system becomes more sensitive to discomfort.
We teach strategies that help reduce stress related tension through:
-
Controlled breathing
-
Relaxation techniques
-
Body awareness training
-
Progressive mobility exercises
These tools support both physical and emotional resilience, which is essential for long term relief.
What Results You Can Expect From Physical Therapy
Most patients notice improvements in mobility, comfort, and posture within the early sessions. As strengthening and movement retraining progress, you will feel more confident performing daily tasks, working out, lifting objects, or sitting for extended periods.
Long term results may include:
-
Reduced or eliminated pain
-
Improved core strength
-
Better flexibility
-
Fewer flare ups
-
Better sleep
-
Increased energy and productivity
Physical therapy helps you regain the freedom to move without fear of irritation or recurrence.
Final Thoughts
Chronic low back pain does not have to be a permanent part of your life. With a structured plan that restores mobility, builds strength, and corrects faulty movement patterns, you can move with confidence again. OrthoRehab Specialists provides a proven approach that addresses the root cause of your pain so you can return to the activities you enjoy.
Currently managing chronic low back pain or dealing with recurring low back injuries? Do not leave your recovery to chance. Contact us at our Edina clinic at 952.922.0330 or our Minneapolis clinic at 612.339.2041 to begin your guided recovery through all three phases. Visit our Resources page for additional information on our comprehensive approach to low back pain rehabilitation.
-Injury Prevention Training and Return to Sport
-Operative and Non-Operative Rehabilitation of Orthopedic Injuries
-Foot/Ankle, Knee, and Hip Pathologies
-Shoulder and Elbow Pathologies
-Cervical, Thoracic, and Lumbar Spine Pathologies
- How Physical Therapy Treats Hip Pain and Limited Mobility - December 24, 2025
- How Physical Therapy Helps With Sciatica Relief - December 23, 2025
- How Physical Therapy Can Improve Balance and Reduce Fall Risk - December 20, 2025
