Lower Back

Lower Back Pain Treatment That Looks Beyond Just Your Spine

You’ve tried stretching, heat, massage, maybe even injections. The pain keeps coming back because no one looked at the whole picture. Your hips, your core, your movement patterns, all of it matters.

We don’t just treat the sore spot.

We assess your hips, ankles, core, and overall mechanics to find what’s actually driving the pain.

Advanced technology paired with targeted strength.

Shockwave, EMTT, chiropractic, and physiotherapy work together to calm pain and rebuild what’s weak.

Built for long-term relief, not just short-term comfort.

Progressive aftercare and home exercise programs help you stay out of pain after treatment ends.

60-minute one-on-one assessment + treatment plan.

No pressure, no contracts.

Is This You?

If any of this sounds familiar, you're in the right place.

Dull, aching pain in your lower back that gets worse with bending, lifting, or sitting too long

Stiffness and muscle tightness that eases with gentle movement but always comes back

You’ve been told it’s a “disc bulge” but treatments for that haven’t helped

History of ankle injuries, hip problems, or abdominal surgery that nobody’s connected to your back pain

You’ve done physio, massage, or chiropractic on their own and it only partly helped, or the pain came right back

The Real Problem

Why Your Back Still Hurts After “Trying Everything”

Explore 4 slides on Mechanical Lower Back Pain

Most people have several of these happening at once. That’s why we assess the whole chain, from your ankles to your hips to your spine, not just the painful spot.

OUR APPROACH

The Unpain 3-Part Mechanical Lower Back Pain Relief Program

INITIAL VISIT

Whole-Body Root-Cause Assessment

Full movement screen covering your gait, ankles, hips, spine alignment, and core activation

Identify your specific pain drivers: SI joint, muscle weakness, fascial tightness, compensation patterns

You leave with a clear, written treatment plan and transparent pricing before you commit

First 4 to 6 Weeks

Pain & Inflammation Modulation

Focused and radial shockwave on glutes, hips, and back to stimulate tissue healing and reduce pain

EMTT sessions to calm deep inflammation and accelerate recovery

Chiropractic adjustments and massage therapy to restore joint motion and release muscle tension

Make bending, sitting, and daily movement tolerable, fast.

6+ Weeks and Beyond

Strength & Progressive Aftercare

Progressive glute, core, and hip stabilization exercises tailored to your weak links

Hip flexor and thoracolumbar fascia mobility work to maintain alignment

Home exercise program and ongoing coaching to prevent recurrence

What To Expect

What Results Can I Expect?

Every case is different, but research and our clinical experience consistently show:

Noticeable improvement within 4 to 6 weeks. Many patients report initial relief after their first sessions. Visible, consistent gains typically appear within a month of combined therapy.

Return to the activities you’ve been avoiding. Bending, lifting, playing golf, walking without bracing yourself. Peak benefits often occur by 6 to 12 weeks.

Long-term durability when you follow the plan. Research shows shockwave benefits can persist at 12 months. Patients who stick with their home exercises see much better long-term control.

Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.

EVIDENCE

The Research Behind Our Approach

Shockwave therapy has been shown to significantly reduce pain and disability in chronic lower back pain, confirmed by a systematic review of 10 randomized controlled trials.

Adding EMTT to standard physiotherapy significantly outperformed standard care alone in a randomized trial, with greater reductions in both pain and disability at 12 weeks.

Exercise therapy produces clinically important pain reduction in chronic lower back pain, confirmed by a Cochrane review of 249 randomized trials.

Spinal manipulation provides modest pain improvement in chronic lower back pain, especially when combined with exercise, according to Cochrane review evidence.

Gluteal muscle weakness is significantly more common in people with chronic lower back pain than in healthy adults, supporting targeted hip strengthening as part of treatment.

Outcomes are group averages from clinical trials; individual results vary.

See full references
  1. [1] Yue L, Chen H, Mu GZ, et al. Extracorporeal shockwave therapy for chronic low back pain: a systematic review and meta-analysis of randomized controlled trials. Biomed Res Int. 2021;2021:6614458. https://pmc.ncbi.nlm.nih.gov/articles/PMC8617566/
  2. [2] Zielhardt P, Gollwitzer H, Gerdesmeyer L, et al. Electromagnetic transduction therapy in non-specific low back pain: a prospective randomised controlled trial. J Orthop. 2017;14(3):410–415. https://pmc.ncbi.nlm.nih.gov/articles/PMC5510490/
  3. [3] De Zoete A, Innocenti T, Petrozzi MJ, et al. Spinal manipulative therapy for chronic low back pain. Cochrane Database Syst Rev. 2026;CD008112. https://pubmed.ncbi.nlm.nih.gov/41494147/
  4. [4] Cooper NA, Scavo KM, Strickland KJ, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016;25(4):1258–1265. https://pubmed.ncbi.nlm.nih.gov/26006705/
  5. [5] Newman DP, Soto AT. Sacroiliac joint dysfunction: diagnosis and treatment. Am Fam Physician. 2022;105(3):239–245. https://www.aafp.org/pubs/afp/issues/2022/0300/p239.html
  6. [6] Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain. https://pmc.ncbi.nlm.nih.gov/articles/PMC8915715/
  7. [7] Hayden JA, Ellis JA, Ogilvie R, van Tulder MW, Malmivaara A. Exercise therapy for chronic low back pain. Cochrane Database Syst Rev. 2021;CD009790. https://pubmed.ncbi.nlm.nih.gov/34580864/
  8. [8] Evidence-Based Relief: Shockwave Therapy for Lower Back Pain. Unpain Clinic Blog. https://unpainclinic.com/unpainclinic-com-blog-shockwave-therapy-lower-back-pain/
  9. [9] Extracorporeal Magnetotransduction Therapy as a New Form of Electromagnetic Wave Therapy: From Gene Upregulation to Accelerated Matrix Mineralization in Bone Healing. https://pmc.ncbi.nlm.nih.gov/articles/PMC11505246/
  10. [10] Furlan AD, Imamura M, Irvin E, et al. Massage for low-back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2002;27(17):1896–1910. https://pubmed.ncbi.nlm.nih.gov/12221356/
  11. [11] Miles Kotylak. Google Review for Unpain Clinic (Back & Hip Pain). Unpain Clinic Reviews. https://unpainclinic.com/reviews/

Mechanical Lower Back PainFAQ

Here are answers to some of the most common questions about Mechanical Lower Back Pain.

6 results found

Is shockwave therapy effective for lower back pain?

Research from multiple randomized trials shows shockwave therapy significantly reduces pain and improves function in chronic lower back pain. At Unpain, we use both radial and focused shockwave on the glutes, hips, and back as part of a broader treatment plan. We review whether shockwave is right for your specific case during your initial assessment.

Can weak glutes or old injuries actually cause lower back pain?

Yes. Studies confirm that people with chronic lower back pain have significantly weaker gluteal muscles than healthy adults. When your glutes can’t stabilize your pelvis, your back compensates. Old injuries like ankle sprains can also change how you walk and load your spine. We map this out in your first visit.

How many sessions will I need before I feel better?

Most patients notice initial relief in the first few sessions. Consistent, visible improvement typically appears within 4 to 6 weeks of combined therapy. A typical plan involves 6 to 12 visits across that span. We outline the exact number and cost before you commit.

Why does my lower back pain keep coming back?

Recurrences happen when the underlying mechanics haven’t been fixed. If a weak glute isn’t strengthened or a faulty movement pattern isn’t corrected, the same stress returns to the same structures. Research shows 40 to 60 percent of patients relapse within a year if the root cause isn’t addressed. We review this with you during your initial assessment.

My MRI says I have a disc bulge. Is this still mechanical back pain?

Many people with disc bulges on imaging have pain that’s actually coming from muscles, joints, or the SI joint, not the disc itself. Our clinicians find that patients are frequently told it’s a disc problem when a hands-on exam points to muscular or joint dysfunction. We assess what’s really driving your symptoms in the first visit.

I’ve tried physio and medication. Why isn’t my back pain improving?

Single treatments often only partially help because they address one piece of the puzzle. If your physio focused on stretching but didn’t strengthen your glutes, or your chiropractor adjusted your spine but nobody looked at your hips or ankles, the root cause was still there. Combining therapies has been shown to produce better outcomes than any one treatment alone.

YOUR NEXT STEP

Ready to See What’s Actually Driving Your Lower Back Pain?

Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the sore spot.

Initial Mechanical Lower Back Pain Assessment — Edmonton

60-minute one-on-one session. Here’s what’s included:

1

Full-body movement and strength assessment covering your ankles, hips, spine, and core

2

Identify which pain drivers matter for your case

3

Review of history and imaging if available

4

Clear written plan with transparent pricing before you commit

No referral needed. No obligation to continue beyond the first visit.

No pressure, no contracts.

We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.

Related Resources

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