Chronic back pain? Discover how you can treat it at the root

Chronic back pain? Discover how you can treat it at the root

1 de November de 2025

Chronic back pain is one of the most common reasons for physiotherapy consultations. It is estimated that more than 80% of people experience it as an injury at some point in their lives. It is often related to poor posture, lack of movement, or overload from work and daily routines.

You’ve probably heard many times that sitting with an active posture, improving ergonomics, changing positions frequently, or lifting weight correctly are basic strategies to protect your back. And yes, postural hygiene is an important factor.

But beyond these essential habits, there are other, less obvious —and often more decisive— factors for maintaining a healthy, strong, and functional spine.

1. Train your body awareness with proprioception exercises

What is proprioception?

Proprioception is the sense that allows us to perceive the position and movement of our body in space.

Training proprioception improves postural control, reduces muscle fatigue, and helps prevent falls, imbalances, and overload. Because good posture is not a static position but a dynamic ability to adapt to movement.

In physiotherapy, this is done through exercises on unstable surfaces, working with balls, balance platforms, or mirror feedback.
This type of training helps prevent imbalances, falls, and overload.

Exercise guide for back pain

Ilustración de 8 ejercicios con indicación de repeticiones y series

 2. Diaphragmatic breathing to support your spine

The diaphragm not only oxygenates the body but also acts as a natural stabilizer of the trunk.

What is diaphragmatic breathing?

Also known as abdominal or deep breathing, it is a way of breathing that mainly uses the diaphragm, the dome-shaped muscle that separates the chest from the abdomen and is the primary driver of respiration.

How is it done?

  • When inhaling, the diaphragm descends, allowing the lungs to expand downward.
  • This makes the abdomen rise slightly while the chest barely moves.
  • When exhaling, the diaphragm gently ascends, and the abdomen deflates.

What are the benefits?

  • Improves oxygenation by making better use of lung capacity.
  • Reduces muscle tension in the neck, shoulders, and upper back.
  • Activates the deep core, especially the transverse abdominis, which helps stabilize the lumbar spine.
  • Promotes relaxation by activating the parasympathetic nervous system, reducing stress and anxiety.
  • Improves posture by balancing internal pressures and supporting natural trunk alignment.

How to check if you’re doing it correctly?

  • Lie on your back with one hand on your chest and the other on your abdomen.
  • Inhale slowly and deeply through your nose.
  • Notice how the hand on your abdomen rises while the one on your chest remains almost still.
  • Exhale gently through your mouth or nose, feeling the abdomen lower.

With practice, this type of breathing can be integrated into movement and physical activity. In physiotherapy, it is used to improve postural control, prevent low back pain, and strengthen deep muscles without strain.

In clinic, we also teach techniques to integrate breathing with movement, especially useful for people with chronic low back pain or pelvic floor dysfunctions.

 3. Your emotions and their effect on posture

Posture doesn’t depend only on muscles and bones —it is also deeply influenced by emotions. Stress, anxiety, or sadness can be reflected in how you hold your body: slouched shoulders, collapsed chest, clenched jaw, or shallow breathing.

Over time, sustained emotional tension may lead to physical discomfort, especially in the cervical and thoracic areas.

In postural physiotherapy, we address this mind-body link with techniques that help restore balance and awareness. One of the most common is the body scan, a mindfulness-based exercise that allows you to detect accumulated tension and progressively release the body.

How to do a body scan?

  • Lie on your back in a quiet place.
  • Close your eyes and bring your attention to your feet.
  • Mentally scan your body part by part, observing sensations.
  • Don’t try to change anything —just notice tension, warmth, weight, or movement.
  • Breathe deeply and let each exhale soften the area you are exploring.

Combined with breathing and mindful movement, this practice can help improve posture from an integral perspective.

4. Check your feet: the starting point for a healthy back

Did you know your feet play a big role in back health? An unstable gait, limited ankle mobility, or weak foot muscles can alter body alignment and create compensations that end up as lumbar or thoracic pain.

In clinic, we evaluate:

  • Plantar stability.
  • Toe and ankle mobility.
  • Balance and coordination.

From there, we design personalized exercises to improve support, strength, and mobility in the feet. In some cases, we also recommend custom insoles to correct imbalances.

Functional feet are the foundation of good posture. Giving them proper attention can make a big difference in your spinal health.

Lifestyle: the key to long-term spinal health

Remember, a movement-based lifestyle is the foundation of physical well-being. Sedentary habits weaken postural muscles and reduce their stabilizing function.

What can you do?

  • Incorporate regular physical exercise, especially strength training to maintain tone and protect the spine.
  • Add mobility exercises to avoid stiffness.
  • Do active stretches to maintain postural flexibility.
  • Practice disciplines like Pilates, yoga, or functional training, all great allies in preventing pain and postural imbalances.
  • And don’t forget daily habits:
    • Adjust monitor and chair height.
    • Keep both feet firmly supported on the floor.
    • Change positions every 45–60 minutes.
    • Lift weight bending your knees, not your back.
    • Use backpacks instead of single-strap bags.

Living with back pain?

If you’ve been struggling with back pain for a long time, our physiotherapy center in Barcelona can help. We analyze your case from a global perspective to identify the root cause of the pain and address it effectively.

We design a personalized treatment plan combining manual therapy, therapeutic exercise, postural re-education, and education on movement habits.

Our goal is not just to relieve symptoms, but to help you regain control of your body —so you can move freely and without pain again.

 

Not sure which treatment is best for you? Give us a call to talk it through or book your appointment.

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