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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Chronic Low Back Pain

Living with back pain that lasts more than 3 months

Chronic low back pain means back pain that lasts for 3 months or more.
Unlike acute pain, it usually presents as a dull ache or heaviness that lingers.
In addition to structural causes like muscle tension, disc problems, or spinal stenosis, psychological factors such as stress can also make the pain worse.

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Structural problems in the lower back

Disc degeneration, spinal stenosis, muscle tension and spasms

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Lifestyle factors

Poor posture, prolonged sitting, and lack of exercise add strain to the back over time

3
Psychological factors join in

Stress and anxiety cause muscle tension and make the pain worse

4
A vicious cycle of pain develops

Pain leads to inactivity, which causes muscle weakness, which increases pain

💤 Lack of exercise 😰 Stress ⚖️ Obesity 🚬 Smoking 🪑 Prolonged sitting
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Dull back pain lasting more than 3 months
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Pain or numbness from the back to the buttocks and legs
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Pain that comes and goes repeatedly
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Pain gets worse after sitting for a long time
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Medication
Anti-inflammatory drugs and muscle relaxants to ease pain. They can cause drowsiness and unsteadiness, so do not drive or operate machinery while taking them
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Stretching & Exercise
A central treatment in the guidelines; thought to help reduce pain and prevent recurrence
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Trigger Point Injection
A direct injection into the tight muscle knot causing pain
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Physical Therapy
Heat therapy and electrical stimulation to relieve pain
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Stress Management
Addressing psychological factors is an important part of treatment
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Strength Training
Building abdominal, back, and core muscles to support the spine
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The right approach can improve symptoms and prevent flare-ups

Inactivity is a major cause of worsening chronic back pain. Even with some pain, moving within your ability and building exercise habits is the first step to improvement. Work with your doctor and rehabilitation staff to find the best approach for you.

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See a doctor right away in these situations.
If you have weakness or loss of sensation in your legs, trouble passing urine or stool (or leakage), a fever, unexplained weight loss, a history of cancer treatment, or severe pain that continues even at rest, another condition may be present. Please see a doctor promptly.

💡 Daily Habits to Keep in Mind

  • Do a little walking and stretching every day
  • Manage stress and get enough sleep
  • Maintain a healthy weight
  • Instead of "it hurts so I won't move," try "I'll move as much as I can"