Chronic Low Back Pain: What’s Going On and How Physiotherapy in Calgary Can Help
- Colin Bouma, PT, FCAMPT

- Jul 27, 2024
- 3 min read
Updated: Nov 9
Chronic low back pain (CLBP) is one of the most frustrating and disabling conditions we treat at our Calgary physiotherapy clinic. Whether it came on gradually or after a specific incident, it can affect your ability to sit, lift, work, or sleep comfortably.
The good news? With a personalized physiotherapy approach focused on movement, education,and long-term support, you don’t have to live in pain.
What Is Chronic Low Back Pain?
Pain that lasts longer than 12 weeks is considered chronic. In many cases, imaging shows no clear structural issue. In fact, over 90% of CLBP is considered "non-specific" meaning it’s caused by a combination of mechanical stress, deconditioning, poor movement habits, and nervous system sensitivity—not a major injury (Airaksinen et al., 2006).
Common Causes of Chronic Low Back Pain
1. Poor Posture & Movement Habits
Prolonged sitting, repetitive bending, or poor lifting mechanics overload specific tissues and create imbalances.
2. Core & Glute Weakness
Weak stabilizing muscles around the spine force the low back to compensate (Koumantakis et al., 2005).
3. Nervous System Sensitization
When pain persists, the brain can amplify signals—a process called central
sensitization—making minor movements feel painful (Nijs et al., 2015).
4. Sedentary Lifestyle
A lack of movement causes stiffness and deconditioning, feeding the pain cycle.
How Physiotherapy in Calgary Can Help
We take a whole-person approach to chronic low back pain at our MacLeod Trail clinic. That includes:
1. Thorough Assessment
We assess:
Posture and gait
Functional movements
Muscle strength and coordination
Psychosocial factors influencing your pain (Woolf, 2011)
2. Pain Education
Understanding why pain persists—and how to break the cycle—is empowering. Pain
neuroscience education helps reduce fear, improve movement, and change pain perception (Louw et al., 2011).
3. Manual Therapy (When Appropriate)
Soft tissue work, joint mobilizations, and myofascial release can improve mobility and reduce muscle guarding (Bialosky et al., 2009).
4. Individualized Exercise Therapy
We guide you through a progressive plan that includes:
Core stabilization
Glute activation
Functional movement retraining
Graded exposure to feared or painful activities (Hayden et al., 2005)
5. Lifestyle & Ergonomics Coaching
We address:
How you sit, sleep, and move daily
Stress and sleep quality
Sustainable physical activity habits
Recovery Timeline
Most people feel better within 4–8 weeks, but consistency is key. Your plan will evolve as you build strength and confidence.
Serving South Calgary with Compassionate, Expert Care
At our clinic, located at 8989 MacLeod Trail SW, we serve Haysboro, Acadia, Fairview, and surrounding South Calgary communities. Our expert team is here to guide your
recovery—without relying on medications or passive treatments alone.
Final Thoughts: You Don’t Have to Live in Pain
Chronic low back pain may be complex, but it is manageable. With the right support, education, and exercise program, you can regain control of your movement and your life.
Book an assessment with our Calgary physiotherapy team today and take the first step
toward lasting relief.
Bibliography
Airaksinen, O., et al. (2006). Chapter 4: European guidelines for the management of
chronic nonspecific low back pain. European Spine Journal, 15(S2), S192–S300.
Dagenais, S., et al. (2008). A systematic review of low back pain cost of illness
studies. The Spine Journal, 8(1), 8–20.
van Tulder, M., et al. (2000). Conservative treatment of acute and chronic nonspecific
low back pain: a systematic review of randomized controlled trials of the most common
interventions. Spine, 25(11), 1255–1266.
Saragiotto, B. T., et al. (2016). Motor control exercise for chronic non-specific low-back
pain. Cochrane Database of Systematic Reviews, (1).
Stochkendahl, M. J., et al. (2018). National clinical guidelines for non-surgical treatment
of patients with recent onset low back pain or lumbar radiculopathy. European Spine
Journal, 27(1), 60–75.

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