05/23/2026
⬇️ The "safe" option for back pain might be MORE dangerous...
It's very natural and intuitive to avoid things that cause pain.
We assume that if a movement or position or activity hurts, then it must be causing damage to the body.
It makes sense to think that pain is telling us that we're doing something dangerous, so we should avoid that thing, right?
This can work in a limited context for a short period of time with extremely severe pain.
In other words, taking it easy in the beginning of a new injury or flare-up is fine.
The problem is if we take it easy for too long, a lot of bad things happen, like:
❌ You become weaker and deconditioned.
❌ Or you lose your strength and mobility.
❌ Or you stop getting blood flow, oxygenation, and nutrient delivery to the tissues while they're healing.
❌ Or you become extremely guarded and overprotective.
❌ Or you get reflexive muscle spasms because your body is trying to keep yourself safe, which just creates more pain and flare-ups.
❌ Or you become fearful of movement, which leads to avoidance, which then leads to all of the above issues you
Instead, what we want to do with a flare-up is slowly reintroduce activities within our pain tolerance and get back to normal life as fast as possible. Even if activities do cause a little bit of pain, that's perfectly safe!
So, in a flare-up, what we like to do is this:
1. Take a deep breath and calm your nervous system down so you don't panic.
2. Remind yourself that pain does not necessarily mean that you're damaging yourself. It's okay to continue your activities with a little bit of pain.
3. It's perfectly fine to reach for some pain relief through ointments or self-massage, or whatever your favorite short-term pain reliever is.
4. We want to figure out why this happened in the first place. Doing too much too fast or too little for too long? Maybe you were under a great deal of stress, or you were getting crappy sleep and eating crappy food.
5. We want to reintroduce exercises, mobility, and strength, and we just do that slowly over time.
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