What is low back pain?
Low back pain refers to discomfort, stiffness, or tension in the area of your spine below the ribs and above the tailbone, known as the lumbar spine. It can come on suddenly from an injury or build up gradually from poor posture or overuse. Pain might stay localized in the low back or radiate into the hips, glutes, or even down the leg.
Common causes
There’s no single cause of low back pain – it’s often the result of multiple contributing factors. Common causes include:
- Muscle or ligament strain – often from lifting something heavy or moving in a way your body wasn’t ready for
- Poor posture – sitting too long with a rounded back or slouched shoulders can gradually lead to pain
- Disc issues – like herniated or degenerative discs that press on nearby nerves
- Arthritis – age-related changes in the spine can cause stiffness and inflammation
- Lack of movement – being too sedentary can weaken muscles that support the spine, increasing your risk of pain
How orthopedic manual physical therapy helps
Manual therapy is more than just exercise. It involves hands-on techniques that help reduce pain, improve mobility, and restore function. Here’s what sets orthopedic manual PT apart:
Hands-on assessment
We don’t just treat symptoms! We evaluate how your joints, muscles, and nerves are moving and functioning. We use our hands to detect restrictions and guide treatment.
Manual techniques
- Joint mobilization to improve spinal motion
- Soft tissue mobilization to reduce muscle tension and promote blood flow
- Muscle stretching to lengthen shortened muscles and improve flexibility
- Nerve glides if your pain is related to a pinched or irritated nerve
Customized movement plan
After hands-on treatment, we guide you through targeted exercises to improve flexibility, strength, and control. Our goal is to address the root cause of your pain, not just mask it.
Education & prevention
We’ll teach you how to move smarter, lift safely, and modify your daily habits to prevent flare-ups.
When to see a physical therapist
If your back pain doesn’t improve after a few days of rest and activity modification, or if it’s affecting your ability to work, sleep, and move comfortably, it’s time to check in with a professional. You don’t need a doctor’s referral in Michigan to start physical therapy!
Final thoughts
Low back pain can feel overwhelming, but you don’t have to navigate it alone. At our clinic, we combine clinical expertise with compassionate care, using orthopedic manual therapy to help you move better, feel stronger, and live pain-free.
Ready to take the first step? Schedule an evaluation with one of our licensed physical therapists today. We’ve got your back!
By Hannah Ford, PT, DPT, KEOMPT


