What Is Chronic Low Back Pain?

Chronic low back pain refers to persistent discomfort, stiffness, or pain located in the lower part of the spine. The pain may be constant or intermittent and can range from mild aching to severe, disabling pain. It may stay localized in the lower back or radiate to the hips, buttocks, or legs.

Chronic Low Back Pain is one of the most common musculoskeletal conditions affecting adults. At Sukumvit Physiotherapy and Rehabilitation Center, we provide comprehensive, evidence-based rehabilitation programs to help patients manage persistent back pain and restore functional movement. Low back pain is considered chronic when it lasts for more than 3 months or recurs frequently despite initial treatment.

Common Symptoms

• Persistent dull or aching pain in the lower back
• Sharp pain with movement or prolonged sitting
• Morning stiffness
• Muscle tightness or spasms
• Pain when bending, lifting, or twisting
• Reduced flexibility and mobility
• Difficulty standing or sitting for long periods
In some cases, pain may radiate down the leg (sciatica-like symptoms).

Common Causes

Chronic low back pain may result from:

Mechanical Causes
• Poor posture
• Muscle weakness or imbalance
• Prolonged sitting
• Improper lifting techniques

Degenerative Conditions
• Degenerative disc disease
• Lumbar spondylosis
• Facet joint arthritis

Disc Problems
• Disc bulge or herniation
• Nerve compression

Post-Injury or Recurrent Strain
• Repetitive stress
• Previous back injury

Lifestyle Factors
• Sedentary lifestyle
• Obesity
• Occupational strain
In many cases, chronic low back pain is multifactorial, meaning several contributing factors are involved.

Why Early Rehabilitation Is Important

Without proper treatment, chronic back pain can lead to:
• Reduced mobility
• Core muscle weakness
• Increased risk of recurrence
• Functional limitations
• Decreased quality of life
Active rehabilitation is proven to be one of the most effective treatments for long-term back pain management.

Who Is at Risk?

• Office workers with prolonged sitting
• Individuals with physically demanding jobs
• Athletes
• Older adults
• People with poor posture or weak core muscles

When to Seek Professional Care

Seek physiotherapy consultation if you experience:
• Back pain lasting more than 3 months
• Recurrent episodes of back pain
• Pain radiating to the leg
• Numbness or weakness
• Pain affecting sleep or daily activities