What can I do about my Low Back Pain? And, when to seek help


Back pain can be a disconcerting experience, often leaving you wondering about the severity and cause of your discomfort. While it is a common issue, the experience of back pain is highly personal, and understanding your own symptoms is key to managing it effectively.

This guide is designed to help you assess your symptoms, recognise when to try self-care, and understand when professional help might be needed. By adopting the right approach, you can alleviate mild back pain from the comfort of your home and know when to seek further medical advice for more persistent or severe conditions.

Now, let’s start by assessing your symptoms to gain insight into your specific back pain situation.

Assess Your Symptoms

When back pain arises, understanding the symptoms you’re experiencing is an important first step. Begin by asking yourself a few key questions:

– Is this a new occurrence, or has this pain happened before?

– Is the discomfort constant, or does it come and go?

– Can you pinpoint exactly where in your back the pain is located?

– Are there specific activities or positions that make the pain better or worse?

Understanding the onset, location, and nature of your pain can help in identifying potential causes and determining the best course of action. For example, new, severe back pain that appears suddenly might be treated differently than a mild, nagging ache that’s been present for a few weeks.

For a detailed look at potential triggers and causes of back pain, check out our leaflet on Back Pain Triggers and Causes.

Check for Red Flags

Certain symptoms associated with back pain should prompt immediate medical attention due to their potential to signify more serious underlying conditions. These red flag symptoms include:

  • Fever: If your back pain is accompanied by a high temperature, it could indicate an infection.
  • Unexplained Weight Loss: Significant weight loss without trying could be a sign of a more serious medical issue.
  • Trauma: If your back pain is the result of a fall, blow to your back, or other forms of trauma, a thorough medical check is essential.
  • Neurological Impairments: This includes loss of bladder or bowel control, or numbness in the groin area, which could indicate cauda equina syndrome, a serious condition that requires urgent care.
  • Persistent Pain at Night: Discomfort that consistently wakes you up can be a sign of something more serious than mechanical back pain.

If you experience any of these symptoms, it’s important to seek medical help immediately. These signs can indicate conditions that are more serious than typical back strains or sprains, and timely intervention is crucial.

For more detailed information on potential serious back conditions, please refer to our leaflet titled ‘Could My Back Pain Be Serious?’

Try Self-Care First for Mild, Short-Term Pain

For many, mild back pain can often be managed effectively at home, especially when it’s of short duration. Here are some self-care strategies you can consider:

  • Apply Heat/Ice: Using heat or ice packs can reduce pain and inflammation. Ice is best used immediately after injury, while heat can be soothing for muscle stiffness.
  • Get Adequate Rest: Allow your back the proper time to heal, but avoid prolonged bed rest which can actually hinder recovery. “Little and often” is a good approach to getting about your normal day with appropriate caution.
  • Gentle Movement: Engage in light stretches and gentle activities as tolerated. Movement can help reduce pain and stiffness. This includes brief walks throughout the day (e.g. 10 minutes x 3 times per day)
  • Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and paracetamol can alleviate pain and reduce inflammation.

Remember, these tips are for mild back pain that is not new and is short-term. New back pain that is mild can be treated in a similar way, but it is also worth considering an appointment with your health care professional for confidence in your self-management approach.

If your pain is severe, persistent, or accompanied by red-flag symptoms, professional medical advice should be sought.

Explore more self-care tips and strategies in our leaflet on ‘Can I Treat My Back Pain?’.

Massage Can Help Some Types of Chronic Pain

Massage therapy is a widely recognised method for relieving chronic back pain. It works by easing tension in muscles, improving blood flow, and promoting relaxation, which together can help reduce pain sensations. Here are a few points to consider when exploring massage as a treatment option:

  • Effective Techniques: Certain massage techniques such as deep tissue or Swedish massage are particularly beneficial for lower back pain.
  • Relaxation: Beyond the physical relief, massage can also offer psychological benefits, reducing stress and anxiety that can accompany chronic pain.
  • Regular Sessions: Consistency is key. Regular massage sessions can maintain the benefits over time and prevent the recurrence of pain.

Before starting massage therapy, it is advisable to consult with a healthcare professional, especially if your back pain is related to a specific medical condition.

Learn more about how massage can be part of your pain management plan in our guide, [‘Massage for Low Back Pain’](link-to-leaflet).

When Should You Seek Professional Help?

While self-care is valuable for minor or short-term back pain, there are times when professional intervention is necessary:

  • Duration of Pain: If your back pain lasts longer than two weeks despite self-care measures, it’s prudent to consult a healthcare professional.
  • Severity of Pain: Severe back pain that impedes your daily activities or significantly affects your quality of life requires a professional evaluation.
  • Recurring Episodes: Frequent bouts of back pain might indicate an underlying condition that could benefit from professional treatment.

A physical therapist such as an osteopath, chiropractor or physiotherapist can provide a thorough evaluation and create an individualised treatment plan. This may include hands-on care, targeted exercises, and education on posture and body mechanics to address your specific needs and prevent future issues.

Know Your Limits with DIY

Self-management of back pain is important, but it’s equally crucial to acknowledge when an issue might be beyond your ability to resolve on your own. Here are some considerations:

  • Complex Conditions: Certain back issues, such as herniated discs, may not improve with self-care alone and could require more targeted interventions like manual therapy.
  • Risk of Worsening: Attempting to self-treat without proper knowledge can sometimes exacerbate the problem. With new back pain, consider an appointment with a health care professional.
  • Expert Guidance: Professionals can offer a level of care that is informed by experience and supported by specialised training.

If you find that your symptoms persist despite your best efforts at home, or if your condition is complex, we certainly recommend seeking professional help. There is no substitute for a tailored treatment plan developed by a physical therapist who can guide you through recovery with hands-on care and targeted exercises.

For more information on self-treatment and when to seek help, please review our [leaflet on ‘Can I Treat My Back Pain?’](link-to-leaflet).

In Summary

Proactively managing back pain is about striking the right balance between self-care and seeking professional advice when necessary. Implementing preventive measures, recognising the limits of home treatment, and understanding when to consult a healthcare provider can significantly improve your outcomes.

If in doubt, call a professional. Even one appointment can have significantly positive impacts on your experience of pain and self-confidence in managing the condition.

Remember, maintaining a healthy lifestyle, incorporating regular stretching, and ensuring ergonomic practices at work and home are key strategies in preventing back strain and avoiding the escalation of pain.

If you’re unsure about the best course of action for your back pain, or if you’ve reached the limits of what self-care can provide, our team is here to support you. We encourage you to reach out for an expert assessment and a comprehensive approach to your back pain management.


The content provided in this blog post is for informational purposes only and is not intended as medical advice. Always consult a healthcare professional for a diagnosis and tailored treatment plan, especially if your symptoms are severe or persistent.

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