10/08/2025
Give this a read!
Activity wins in trials.
When your back hurts, every instinct screams rest. Lie down, take it easy, wait for the pain to pass.
But here's what multiple studies found: staying active with proper guidance outperforms rest for most low back pain. Not pushing blindly through pain, but guided movement that keeps your body functioning while it heals.
Add skilled hands-on treatment to that?
You shorten your time on the sidelines.
Think about what happens when you completely rest. Your nervous system doesn't just wait patiently for tissues to heal, it starts getting more protective. More sensitive. The muscles that support your spine begin to disengage, and when you finally do move again... everything feels stiffer, tighter, more fragile.
Activity does something different.
It teaches your nervous system that movement is safe. Blood flow continues reaching the areas that need it. The supporting muscles stay engaged instead of shutting down. Your body maintains its normal movement patterns instead of developing compensations that create new problems down the road.
The hands-on component addresses what activity alone can't fix: the mechanical restrictions, imbalances, and compensation patterns that often drive the pain in the first place.
This doesn't mean every case is identical or that you should ignore what your body tells you. Some situations need modified activity or specific precautions. But the research consensus points clearly toward one approach for most people dealing with low back pain.
Guided movement beats waiting it out.
What does "guided" actually mean? Working with someone who can assess your specific situation, figure out which movements help versus hinder, and adjust your activity level as you respond. Not generic internet advice or one-size-fits-all protocols.
Individual assessment. Specific direction based on how your body actually responds.
If you're dealing with low back pain right now and you've been defaulting to rest, the evidence supports trying something different.
What's worked better for you when your back acts up... activity or rest? Comment below if you've experienced both approaches.