Low Back Pain

Causes and Approach

SI Joint Pain

  • The Sacroiliac joint is located at the bottom and just to the side of the back and can become painful and inflamed, causing pain in the lower back which can spread to the buttocks.

    • Symptoms consist of pain at the bottom of the spine which is located usually on one side.
    • Although sometimes is described as a band of pain across the lower back.
    • The pain can range from an ache to a sharp pain which restricts movement.
    • Sacroiliac joint pain may radiate out into your buttocks and low back, and will often radiate to the front into the groin

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Trigger Points

  • Paravertebral trigger points are tight localized knots or lumps in the muscles either side of the spine which cause back pain. Trigger points can be active or latent.

    Muscular trigger point symptoms include back pain with over tight muscles in the back. An active trigger point will cause pain even at rest and may cause a twitching in the muscle. The trigger point will be painful if pressed and may cause referred pain (e.g. pressing in at one point causes pain somewhere else).

    Latent trigger point symptoms include tenderness at a specific point, but the pain is not referred to other areas when the trigger point is pressed and trigger point does not stimulate a twitching in the muscle.

    Treatment options for Paravertebral trigger points include cold therapy, stretching, PRP injections, Extracorporeal Shockwave Therapy.

Sciatica

  • Sciatica is a symptom, not a diagnosis of a particular injury. Sciatica pain usually, but not always starts with acute low back pain which radiates into the buttocks, back of the thigh and legs.

    • Sciatic pain may be sharp or acute and be accompanied by tingling, pins and needles or numbness.
    • It is often triggered by a minor movement, such as bending over to pick something up and often made worse by sitting, coughing or sneezing.
    • A slipped disc (prolapsed disc) is a common cause of sciatic pain, but there are a number of others.

Lower Back Strain

  • A lumbosacral sprain is a ligament injury in the lumbar or sacral areas (lower back). A sprain usually occurs after a forceful or rapid movement which overstretches and maybe tears a ligament.

    Symptoms of a Lumbosacral sprain may be similar to many low back injuries with pain in the lower back which is often located to one side of the spine. There will be a pain when bending and twisting, muscle spasm and stiffness in the back. The area may be tender to touch over the area of injury and there may be some swelling.

    Lumbosacral sprains are ligament injuries caused by overstretching a ligament and possibly tearing it. This usually occurs due to a sudden forceful or rapid movement, especially twisting or side bending.

    There are a number of ligaments which could be damaged in the lower back area. The 5 lumbar vertebrae are held together by ligaments at the front and back, as well as in between the transverse processes. These are most likely to be injured.

    The sacroiliac joints are also held together by ligaments, although as there is very little movement available at these ligaments, the risk of injury is low. The final ligament which may be injured is the Iliolumbar ligament. This passes from the top of the pelvis bone to the transverse processes of the 5th lumbar vertebrae.

Slipped Disc

  • A herniated disc is sometimes also known as a slipped disc or prolapsed disc. It can occur anywhere in the spine, although is most common in the lower back.

    • Symptoms include back pain, leg pain, neural symptoms as well as bowel and bladder problems.
    • If you think you may have a slipped disc the best course of action is to visit your Doctor. He/she will be able to make an assessment and determine if what treatment or investigations are needed.
    • They may also refer you to the hospital for a scan such as an X-ray, MRI scan or CT scan.
    • In many cases, a slipped disc in the lower back will heal with conservative treatment (without surgery). Initially, this involves rest and the use of anti-inflammatory medications or NSAID’s such as Ibuprofen.

Our Treatment Approach

Ninety-five percent of low back pain is located in a six-by-four inch area, the weakest link in the vertebral-pelvis complex. At the end of the spine, small but important structures connect in a very small space, which happens to be the six-by-four inch area.  Any time these soft tissue structures are overstretched, it can create spinal soft tissue injury. This is typically the area treated with S.T.A.R. Therapy to stimulate healing and soft tissue repair.

The reason for developing herniated discs, degenerated discs, spondylolisthesis, or other injury is spinal soft tissue injury or instability. If this is not corrected, a patient is more likely to continue on the course of “pain management” and use therapies and pain pills to temporarily calm the pain or get back into alignment. Remember, spinal spinal soft tissue injury can be a progressive disorder, meaning that the area continues to degenerate until regenerative treatments are used to restore the area. As the structures continue to break down, they pinch on nerves and cause pain that can radiate down the legs and into the feet.


The primary advantage of using the Star Method with back pain is that it is non-invasive and comprehensive. It consists of thousands of pulsations per treatment to stimulate growth and repair. We find that this is the most clinically effective and well-researched technique for long-term effectiveness. This is, in part, why patients travel to our clinic for back pain treatment from all around the United States and internationally.

Generally, within just a few treatments, the injured soft tissues have strengthened enough to better stabilize the spine, therefore, alleviating the pain.

Our Treatment Approach ->