How To Fix Low Back Pain

Low Back Pain Statistics

According to the American Chiropractic Associations and other health organizations, low back pain statistics are sobering and unfortunately, it is getting worse and not better.

  • Worldwide, back pain is the single leading cause of disability, preventing many people from engaging in work as well as other everyday activities.

  • Back pain is one of the most common reasons for missed work. One-half of all working Americans admit to having back pain symptoms each year.

  • Back pain accounts for more than 264 million lost workdays in one year—that’s two workdays for every full-time worker in the country.

  • Experts estimate that up to 80% of the population will experience back pain at some time in their lives.

  • Back pain can affect people of all ages, from adolescents to the elderly.

  • Back pain is the third most common reason for visits to the doctor’s office, behind skin disorders and osteoarthritis/joint disorders.

  • Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.

  • Worldwide, years lived with a disability caused by low back pain have increased by 54% between 1990 and 2015.

  • Low-back pain costs Americans at least $50 billion in health care costs each year—add in lost wages and decreased productivity and that figure easily rises to more than $100 billion.

Low back pain remains a mystery too many providers. Many patients think it will take some magical unicorn tears to fix their back pain. We are here to tell you it doesn’t have to be a mystery, it doesn’t have to be common, and it doesn’t need unicorn tears to fix. Dr. Nottoli’s specialized approach to treating chronic back pain achieve results that many providers think are impossible.

What are Common Causes For Low Back Pain?

While there are many causes of lower back pain, the most common cause and the most under-diagnosed is the development of adhesion in the muscles of the lower back. Adhesion can also occur in the tendons, ligaments, and nerves of the lower back. Adhesion is scar tissue that builds up due to excessive activity, poor posture, and injury/trauma to the area. The longer adhesion is present, the faster other pathologies like arthritis and disc injuries can occur or progress further.


Whether you injured yourself twenty years ago or just last month, your body will naturally try to repair any damaged tissue by laying down extra collagen and as a result, forms adhesion. This collagen acts to bind the damaged tissue back together as if using superglue. This “superglue” effect can inadvertently result in the muscles and nerves not being able to move smoothly as they should. This adhesion decreases mobility, strength, and flexibility and causes pain. 


Poor Posture 

Poor posture is one of the easiest habits that people fall into whether it’s looking down at your phone or leaning forward to look at the computer while at your desk. This leaves your body in less than ideal positions causing extra stress and load into your back. In fact poor, poor posture increases stress on your spine by 300%. With sitting consuming the majority of our waking hours each day, it is important now more than ever to learn how to sit properly. Not only will it be the more comfortable day today, but your body will thank you for letting it relax and not be working overtime while sitting! 


There are just three easy to remember steps: 

  • Sit down on the edge of your chair with your hips at 90 degrees
  • Slide your hips and lower back to contact the back of the chair
  • Lean back in your chair so your mid-back contacts the back of the chair

A few things to look out for that are common mistakes: 

  • Don’t lean and slump forward – this causes extra stress in your neck and low back 
  • Make sure to slide all the way back – if you lean back without sliding all the way back you’re leaving your lower back unsupported resulting in extra load through your discs 
  • Avoid trying to stay upright without leaning back – this forces your core to engage to keep you upright 

Our Effective Way Of Treating Low Back Pain

Most of the time treatments for lower back pain yield limited to no results.  Many are often left with unnecessary injections and surgery.  This is because many providers provide a vague diagnosis or no diagnosis at all. Many provide treatments that are outdated despite research showing no long-term benefit.

Dr. Nottoli utilizes Integrative Diagnosis® which is a cutting-edge, effective and precise diagnosis and treatment method. This gives patients a clear understanding of treatment application as well as the duration of treatment and care. We do this by using Consultation, Testing & Measurement, Treatment, and Re-testing.

Comprehensive Consultation:

By taking a detailed history we can track all the details of your case. We also ask specific questions about your symptoms to help guide us to an accurate diagnosis. These questions include the quality, intensity, location and how makes these symptoms better or worse. We also look at past medical history and images.

Specialized Mobility and Functional Assessment Of The Lower Back:

With specific testing, we are able to measure how your bodies functioning. Not only do we want to get you out of pain we also want to improve your function. We then re-test these measurements and function to show the progress of your care. You can’t manage what you don’t measure and if your body doesn’t move it must improve.

Schedule Your Appointment Today

630-499-4078 or click the button below

Specialized Soft Tissue Treatment Of The Lower Back:

The supraspinous ligament is a large ligament that helps with flexion and stability of the spine. This extremely important structure of the spine is overlooked for treatment by 95% of all providers. Overuse of the muscles and ligaments in the lower back, trauma or poor posture leads to adhesion in this ligament.  The good news with expert diagnosis and treatment like instrument adhesion release you see in the video, you don’t have to suffer anymore.

The Lumbar Erectors are the primary muscle group of the lumbar spine. Adhesion in these muscles causes decreased mobility, strength and extra stress on the discs and joints of the lower back. With expert treatment shown in this video, we provide sustained improvement in function and mobility.

The Psoas Major is a primary stabilizer of the lumbar spine. Always complaining of tight hip flexors? Back or hip pain? Adhesion in the hip flexors can be a culprit and a huge secondary contributor to lower back pain.  In the video below we show we improve function and reduce adhesion in the hip flexors.

The Sciatic Nerve: Adhesion in the sciatic nerve can cause leg pain, hip pain, lower back pain or literally a pain in the ass. It is often diagnosed as piriformis syndrome, deep gluteal nerve syndrome. sciatica, or Sciatic nerve entrapment. Fixing adhesion in this nerve can create lasting pain relief from lower back or numbness, aching, tingling or burning down the leg.

What Do I Do To Fix It?

If you have chronic low back pain or have failed treatments with 3 or more providers you have found the right place.  You don’t have to be in pain anymore. Call and schedule your consultation at 630-499-4078 or click here.

Request A Consultation

Call 630-499-4078 and speak to our case manager Alexia or fill out the form and we will contact you shortly.

Office Hours:

Mon & Fri:  7:00 am – 1:00 pm

Tues & Thur: 3:00pm – 8:00pm

768 Shoreline Dr., Suite 3 Aurora, IL 60504

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Vitality Soft Tissue & Spine is one of the only 5 facilities in Illinois certified in Integrative Diagnosis®