Serving Bonney Lake & East Pierce County since 2001
WHAT WE TREAT

Back Pain & Low Back Pain

Back and low-back pain can interfere with sitting, lifting, sleep, driving, work and exercise. At Henschell Chiropractic, evaluation looks at how the pain began, which movements aggravate it, how it affects daily function and whether there are signs that change the treatment plan.

Serving Bonney Lake since 2001Onsite Digital X-RayChiro + Massage + Rehab

Back pain can affect much more than your back

Low-back and mid-back pain can change how you sit, stand, sleep, drive, work, exercise and handle ordinary household tasks. Some people notice a steady ache or stiffness. Others feel sharper pain with bending, twisting, lifting, getting in and out of a vehicle, standing from a chair or remaining in one position too long. The pattern matters because back pain that follows a collision or lifting event may need to be evaluated differently from discomfort that developed gradually.

At Henschell Chiropractic, the goal is not simply to put a number on the pain scale. We want to understand what has changed in your daily life and which movements or activities reproduce the problem.

Hands-on chiropractic treatment for back pain at Henschell Chiropractic
Treatment is based on the examination findings, symptoms and functional goals of the individual patient.

How Henschell Chiropractic evaluates back and low-back pain

Your evaluation begins with a conversation about when the problem started, what makes it better or worse, and whether there was a specific injury. The examination then looks at movement, tenderness, orthopedic findings, neurologic signs and the activities that have become difficult.

1. History & onsetWe review when symptoms began, whether there was a collision, lifting injury or gradual onset, and how the pain has changed.
2. Movement & functionWe look at range of motion and activities such as bending, twisting, sitting, standing, walking, lifting and getting up from a chair.
3. Orthopedic & neurologic screeningThe doctor checks for findings that may change the treatment plan. Onsite digital X-ray is available when the history and examination indicate that imaging is clinically appropriate.
4. Plan & reassessmentThe doctor explains the findings, recommends an appropriate plan and reassesses symptoms and function as care progresses.

Common ways back pain shows up in everyday life

Two patients with the same pain score can have very different limitations. That is why we document the activities that matter to the patient. Common complaints include:

  • Pain or stiffness after prolonged sitting, driving or standing
  • Difficulty bending to put on shoes, load a dishwasher or pick something up
  • Pain with lifting, carrying, pushing, pulling or twisting
  • Interrupted sleep or difficulty finding a comfortable position
  • Reduced tolerance for work, exercise, yard work or household activity
  • Mid-back discomfort with reaching, rotation or sustained posture
  • Low-back pain after a car accident, slip, fall or work-related event

Back pain after a car accident or work injury

When symptoms follow an identifiable event, clear documentation is especially important. We record the reported onset of symptoms, areas of pain, examination findings and the ways the injury is affecting work and daily activity. At follow-up visits, changes in pain and function can be compared with the earlier findings so the care plan can be adjusted when appropriate.

For a work-related complaint, the examination may also consider the physical demands of the job—such as lifting, driving, prolonged standing, repetitive bending, reaching or pushing and pulling. For a collision-related complaint, driving tolerance, sleep, household activity and other post-accident limitations may also be relevant.

Treatment may include more than one type of care

When chiropractic care is appropriate, treatment is matched to the individual examination findings rather than using the same approach for every person with low-back pain. Depending on the situation, care may include chiropractic treatment, massage therapy and functional rehabilitation. The purpose of rehabilitation is to help the patient rebuild movement, strength, stability and tolerance for the activities that matter outside the clinic.

Side-lying chiropractic treatment in the Bonney Lake clinic
Functional rehabilitation can help patients progress from symptom relief toward the movements and activities they need for daily life.

Low-back pain is different when symptoms travel into the leg

Localized low-back pain is not the same as pain, numbness, tingling or weakness that travels into the buttock or leg. Those symptoms can suggest nerve involvement or another condition that needs additional assessment. Our Sciatica & Leg Pain page explains that evaluation in more detail.

Seek urgent medical evaluation for new or progressive leg weakness, loss of bowel or bladder control, numbness in the saddle/groin area, major trauma with severe symptoms, or other concerning neurologic changes.

Returning to work, exercise and normal activity

Improvement is not measured only by whether pain is lower. We also look at whether you can sit longer, bend more comfortably, lift with better tolerance, sleep more normally, walk farther or resume important work and recreational activities. Functional goals help keep the treatment plan connected to real life.

Low back painMid-back painStiffnessLifting painSitting painInjury recovery
Call Henschell Chiropractic • 253-862-1555