Symptoms

• Persistent aching or stiffness in lower back
• Muscle tightness or spasms
• Pain with prolonged sitting or standing
• Limited mobility or bending difficulty

How Medical Massage Helps

• Reduces muscle guarding and spasms
• Improves circulation and tissue healing
• Releases myofascial restrictions
• Restores lumbar and pelvic mobility

Expected Outcomes

• Reduced daily pain
• Improved posture and movement
• Increased flexibility
• Better tolerance for work and exercise

When to Refer / Coordinate Care

• Radiating leg numbness/weakness
• Suspected disc herniation
• No improvement after 4–6 weeks
• Need imaging, PT, or pain management

Treatment Plan:

• Deep tissue, neuromuscular therapy, myofascial release

• Focus: lumbar paraspinals, QL, glutes, hip flexors

• Add corrective exercise (core + mobility)

Duration: 60–90 min
Frequency:

• Acute: 2x/week (2–4 weeks)

• Maintenance: 1x/week → biweekly