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Seacoast Spine & Sports Injuries Clinic

Low Back Pain

Low back, pelvis & core · Before your visit

Low back pain is a symptom with many possible sources, not a single diagnosis.

When to seek urgent medical care

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is low back pain?

Low back pain is a symptom with many possible sources, not a single diagnosis. Timing, leg symptoms, neurologic findings, repeated-movement response, and load history help narrow the problem and rule out urgent causes.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

How low back pain may show up

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • pain below the ribs and above the pelvis
  • pain with sitting, bending, or standing
  • morning stiffness
  • possible ache into the buttock

Why it can start or persist

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For low back pain, the history commonly examines:

  1. 1lumbar muscle or joint irritation
  2. 2disc sensitivity
  3. 3work, lifting, or training spike

How the pattern is examined

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focuslumbar movement response
Clinical focusstrength, reflex, and sensation when needed
Clinical focuship, sleep, and workload factors

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What to expect from care, and in what order

Care for low back pain is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

keep useful activity in the plan

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

restore motion and strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

progress lifting or sport gradually

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about low back pain

Short answers to the decisions people usually face before an evaluation.

What is low back pain?

Low back pain is a symptom with many possible sources, not a single diagnosis. Timing, leg symptoms, neurologic findings, repeated-movement response, and load history help narrow the problem and rule out urgent causes.

How is low back pain assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include lumbar movement response, strength, reflex, and sensation when needed, hip, sleep, and workload factors. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for low back pain include?

A plan may draw from Physical Therapy, Chiropractic, and ART, but the service is not the diagnosis. Care is selected around the examination and may focus on keep useful activity in the plan, restore motion and strength, progress lifting or sport gradually. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with low back pain?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does low back pain need urgent medical care?

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

Related low back & pelvis guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse low back, pelvis & core

Get clarity on low back pain.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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