Lumbar · Non-surgical treatment in Delhi NCR
Chronic Lower Back Pain
Also called: Non-specific low back pain · Lumbago · Recurrent back pain
Chronic back pain is rarely one thing. Our value is diagnostic precision — finding which of the four or five candidate structures is actually driving your pain.
Quick answer
How is Chronic Lower Back Pain treated?
Chronic lower back pain is pain lasting more than 12 weeks, usually driven by a combination of disc load, joint stiffness, weak deep stabilisers and sensitised pain pathways. Back2Health treats it by identifying the dominant pain generator through clinical testing, unloading it with decompression and manual therapy, and rebuilding capacity so the spine tolerates real life again.
Symptoms patients describe
- Back pain lasting more than three months or recurring several times a year
- Stiffness in the morning and after sitting
- Pain that flares unpredictably with ordinary tasks
- Fear of bending, lifting or exercising
- Disturbed sleep and reduced work productivity
Why it happens
- Disc degeneration or a long-standing bulge
- Facet joint arthropathy
- Deep core and gluteal weakness
- Sedentary lifestyle with 8–12 hours of daily sitting
- Central sensitisation — the nervous system amplifying signals over time
Assessment
How we confirm the diagnosis before touching your spine.
No two patients with the same MRI need the same plan. This is the examination sequence used at the first visit.
- 01Structured history including psychosocial and work factors
- 02Full mechanical assessment with repeated movement testing
- 03Core and hip endurance benchmarks
- 04Imaging review only where it will change the plan
- 05Baseline function scores (Oswestry Disability Index) to track progress objectively
Treatment protocol
How Back2Health treats chronic lower back pain.
Phased, measured and time-bound. Your exact schedule is set after the first assessment.
Phase 1 — Find and unload the driver
Weeks 1–3
Targeted decompression or manual therapy based on the dominant pain generator, plus laser and pain-education to restore movement confidence.
Phase 2 — Rebuild movement
Weeks 4–8
Chiropractic care for restricted segments, shockwave for chronic myofascial trigger points, and graded exposure to previously feared movements.
Phase 3 — Build resilience
Weeks 9–14
Progressive strength training, aerobic conditioning, sleep and workstation optimisation, and a self-management plan with objective re-testing.
Technology used for this condition
Realistic outlook
Objective function scores usually improve 40–60% by week 8. The clinical goal is a spine that no longer dictates your calendar.
When not to wait
- Unexplained weight loss, night sweats or a history of cancer
- Fever, recent infection or IV drug use
- Age over 50 with first-ever severe back pain and no clear mechanism
Answers
Chronic Lower Back Pain: common questions.
I've had back pain for years — is it too late?+
No. Duration predicts how long rehabilitation takes, not whether it works. Long-standing cases simply need a longer build phase.
Do I need an MRI for chronic back pain?+
Only if there are neurological signs, red flags, or if the clinical picture is unclear. Many people with pain-free backs have 'abnormal' MRIs, so imaging must always be read alongside examination.
Book an assessment
Get your chronic lower back pain properly diagnosed.
Bring your MRI or X-ray. You'll leave the first consultation knowing exactly what is wrong, whether decompression is right for you, and how many sessions it should take.
Related lumbar conditions
Herniated Disc (Slipped Disc)
The most common cause of severe, radiating back and leg pain in desk-based adults. Between 80–90% of herniations resolve without surgery when intradiscal pressure is reduced early and the supporting spine is rebuilt.
Bulging Disc
The stage before a herniation. Catch it here and you avoid the far harder problem later — decompression plus posture correction can restore disc height rather than merely masking pain.
Sciatica
Sciatica is a symptom, not a diagnosis. The entire clinical value lies in identifying which structure is compressing the nerve — and treating that, not the leg.
Spinal Stenosis
Stenosis is a space problem. We cannot remove bone, but we can create space by restoring segmental motion, decompressing the disc and reducing the soft-tissue and inflammatory contribution — which is often the difference between 100 metres and 2 kilometres of walking.
Spondylolisthesis
The one spinal condition where stability, not mobility, is the priority. Treatment must be prescribed by a clinician who knows exactly what not to do.