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Low back pain

Low back pain can come from many different sources, including the muscles, joints, and connective tissues of the spine and pelvis. Pain does not always mean something is permanently damaged. Dr. McDonald looks at how the low back, pelvis, hips, and surrounding areas are moving together, and where restriction or compensation may be placing extra strain on the area.

What commonly contributes

  • Muscle strain or overload

    Lifting, exercise, or an unexpected movement can place more demand on the muscles and connective tissues than they were prepared for.

  • Reduced motion or compensation

    Restriction in the low back, pelvis, or hips can change how forces are distributed through the area.

  • Disc and joint changes

    Changes in the discs and joints are common, especially with age, and may contribute to pain, but findings on imaging do not always explain how someone feels.

  • Protective guarding

    When an area hurts, surrounding muscles may tighten to protect it, sometimes adding stiffness and limiting normal movement.

Hands-on treatment (OMT)

How OMT may help

Dr. McDonald examines before he treats: palpation and motion testing, joint by joint, through the low back, pelvis, and hips. Treatment is gentle and specific, using techniques such as muscle energy, myofascial release, and counterstrain.

  • Can help ease guarded, overworked muscles
  • Often improves motion in stiff spinal joints
  • May reduce fascial tension through the low back and pelvis
  • Comes with practical guidance for moving while you recover
Hands applying gentle pressure to a patient's lower back during hands-on treatment.

If you need more than OMT

Hands-on treatment is not always the whole answer, and Dr. McDonald does not work alone.

Imaging

If your recovery needs a closer look, he can order it, including X-rays and MRI.

Referrals

He sends and receives referrals with physicians in physical medicine and rehabilitation, orthopedics, neurology, and family medicine, and with physical therapists. If your care should involve one of them, he will point you there.

Ready when you are

Start with a conversation

Describe what is going on, and Dr. McDonald will tell you whether hands-on treatment can help.