Low back pain is one of the most common reasons adults see a doctor, and it is a leading cause of missed work. The good news is that most episodes get better. The challenge is knowing which back pain is the “give it a few days” kind and which needs to be looked at now.
Red flags: get care right away
The “wait and see” checklist
If none of the red flags apply, it’s usually reasonable to try self-care for several days:
- Keep moving. Bed rest generally slows recovery. Walk, even if it’s just around the house.
- Heat or ice. Use what feels better, 15 to 20 minutes at a time.
- Over-the-counter pain relievers, if they’re safe for you. Check with your doctor or pharmacist.
- Change positions often. Long sits at a desk or behind the wheel make most back pain worse.
When it’s time to get evaluated
- Pain lasting more than one to two weeks without improvement
- Pain that wakes you up at night
- Pain spreading below the knee (that may be sciatica)
- Back pain that keeps coming back every few months
- Pain after lifting at work (see our workers’ comp guide)
Who should you see first?
For a new, uncomplicated backache, many people start with chiropractic care or physical therapy. If pain is severe, involves nerve symptoms, or isn’t responding, a pain management physician or orthopedic evaluation may be the right next step. Not sure? Our article on choosing between a chiropractor, PT and pain doctor breaks it down.
At NJ Institute for Pain Relief, those specialties work under one roof, so if your first provider thinks you need another kind of care, the handoff is simple.
Why back pain keeps coming back
Recurring back pain is often less about one “bad disc” and more about how your back handles load: weak core and hip muscles, stiff joints, long hours sitting, and lifting habits. That’s why a good plan includes exercise you can keep doing. Our post on exercise for pain relief is a good place to start.
Questions New Jersey patients ask
Should I get an X-ray or MRI for back pain?
For most new low back pain without red flags, imaging in the first several weeks usually doesn’t change treatment. Your provider will order it if your exam or symptoms call for it.
Is it a muscle or a disc?
It can be hard to tell on your own. Pain that travels down the leg with numbness or tingling points more toward a nerve. An exam can sort it out.
Can I keep working?
Often yes, with adjustments. Staying active usually helps recovery. If your job involves heavy lifting, ask your provider about modified duty.
Back pain that won’t quit? Call (855) 425-1900 or request an appointment online at any of our 10 New Jersey offices. Learn more about back pain treatment.
This article is general education, not medical, legal or insurance advice. Every injury and every policy is different. If you have severe or worsening symptoms, call 911 or go to the nearest emergency department.
