Back Pain And Stiffness Guide.

A Personal Message From Physical Therapist Dr. Jacob Brindle,

Pain is one of the strongest forces of nature in so many people's lives and It Doesn't Have To Be.  It's the "sharp-stabbing" pain that makes you freeze in place and stop completely whatever you are doing, or the "dull-aching" pain that constantly torments you and limits your enjoyment of life, that makes you reach for that bottle of pain medicine and wait for the pain to finally go away.

Pain medication is very bad for your stomach and restricting your activities by resting is only making things worse.  Most people throw up their hands and give up.

I have been helping people for years find relief from their acute AND chronic back pain.  One thing I can say with absolute certainty is the unhealthy cocktail of pain medications and extended periods of rest are going to do ABSOLUTELY NOTHING to address the underlying cause of most types of back pain...despite what your family, friends, or even your Doctor may have told you.

It frustrates me to no end how many people are suffering from chronic back pain and are sent home and told to take pain-killers , rest, and "Live With It."  If back pain is affecting your job, your lifestyle and leisure time with family, your ability to move, your functional independence, and your ability to remain active and healthy, then please don't wait any longer to call for help.


Jacob Brindle

Owner of Heart of Texas Physical Therapy

Call:  254-301-7374 or CLICK HERE.

The Lumbar Spine consists of five vertebral bodies L1-L5 with intervertebral discs between each vertebra which act as spacers and shock absorbers.  The Lumbar Spine extends from below the ribcage to the the top of the pelvis where it meets the sacrum then below the sacrum, the coccyx "tail bone."  The Lumbar Spine primarily acts to support the weight of the body, protect the spinal cord and nerves, and permit movement while the surrounding trunk/core musculature acts to stabilize the spine to limit improper movement patterns, correct postural alignment, and prevent injury.  On either side of the sacrum, the ilium of the pelvis articulates with the sacrum at the sacral iliac joint or SIJ.


The Lumbar Spine is very large and resilient and can take a lot of injury and insult.  However, with dozens of moving parts, injuries over time, core weakness and instability, poor postural alignment, aging and degeneration, the lumbar spine and SIJ's are prone to deterioration and arthritic conditions develop.

Constant compression and narrowing of intervertebral discs from gravitational forces, scar tissue formation from inflammation, disc bulges from mechanical injury, bone spurs, and arthritis lead to nerve irritation and spinal cord compression.

Initial injuries tend to be very sharp and incredibly painful and will usually leave a very achy/dull pain that persists as well as loss of movement of the trunk (stiffness).  As inflammation at the site of injury begins a burning sensation can also be felt.

Pain will typically begin at the spine itself and, depending on the severity of nerve irritation and injury, will begin to radiate or creep out from the spine in a band-like pattern and will travel down the leg/legs.  The further the pain travels down the limb (peripheralizes), the worse the nerve injury.

Although, typically patients are told to rest and take pain medication, this is actually contrary to what should occur.  Physical Therapy should be initiated immediately to begin decompression of the spine and nerve irritation, decrease and control the inflammatory process, reduce pain without medication, restore movement and function of the Lumbar Spine, and strengthen weakened core/trunk musculature to re-stabilize the spine and prevent further or future injury.