The low back is susceptible to injury and pain when it is unstable or weak. As long as the low back is healthy and functioning correctly, it can withstand tremendous forces without injury. Professional power lifters can pick up several hundred pounds off the floor without injuring their low back; however, if the low back is out of alignment or has weakened supporting tissues, and/or the pelvis is unlevel and unstable, something as simple as taking a bag of groceries out of the trunk of their car, picking something up off the floor, or even simply bending down to pet the cat can cause a low back injury.

There are many different conditions that can result in low back pain, including: sprained ligaments. strained muscles, ruptured discs, trigger points and inflamed joints.

Some patients seek care for injuries caused by participation in sports, involvement in a car accident or from a fall. Other patients find that even the simplest movements, like picking up a pencil from the floor can have painful results. In addition, conditions such as arthritis, poor posture, fallen arches, and obesity can contribute to low back pain.