🧠 Why Your Brain Might Be Behind Your Back Pain (and What You Can Do About It)
- Julian Simpson
- 12 minutes ago
- 10 min read
🧠 Why Your Brain Might Be Behind Your Back Pain (and What You Can Do About It)

Low back pain (LBP) is one of the most common reasons people visit a chiropractor — and it’s not just about sore muscles or a stiff spine. New research is showing that your brain and nervous system play a major role in how your back functions, recovers, and even why pain keeps coming back.
At Health Wise Chiropractic, we’re fascinated by how movement, muscle control, and brain-body communication all work together — and how we can help restore that balance.
🤸♀️ The Study: What’s Going On Inside Your Back
A recent study looked at people who experience recurrent low back pain — meaning they go through cycles of pain and recovery throughout the year. Researchers discovered that even when these people weren’t in pain, their nervous systems were still working differently from those who had never experienced back pain.
Specifically, the study found that:
People with a history of back pain had delayed activation of key stabilising muscles, like the multifidus and transverse abdominis.
Their bodies relied more on ankle feedback (proprioception) rather than feedback from their lower back muscles when balancing or lifting.
This “retraining” of the nervous system meant their backs were less stable and more prone to fatigue and reinjury — even if they weren’t currently sore.
In other words, once your back has been through pain, your brain might start listening to the wrong signals when it comes to posture and movement control.
🧩 Why This Matters
Your spine relies on tiny stabiliser muscles and accurate sensory feedback to keep you upright, balanced, and pain-free.But when pain lingers or returns, your body starts to compensate — switching from deep stabilising muscles to bigger, surface-level ones.
That might sound like a smart backup plan, but it’s actually a recipe for:
Spinal stiffness
Muscle fatigue
Poor movement control
And ultimately, another round of back pain
It’s not just about strength — it’s about coordination and how your brain maps and controls your movement.
💪 How Chiropractic Can Help Rebuild Your Back’s “Internal GPS”
At Health Wise Chiropractic, we go beyond pain relief. We focus on restoring how your body moves and communicates.
Our care aims to:✅ Improve spinal motion and joint function, so your nervous system gets clear feedback again.✅ Activate deep stabilising muscles like the multifidus and transverse abdominis.✅ Enhance proprioception — your body’s sense of position and balance — so your brain can “relearn” healthy movement patterns.✅ Prevent recurrence, not just manage symptoms.
Through chiropractic adjustments, movement retraining, and proprioceptive exercises, we can help reset your body’s internal map and restore confidence in every movement you make.
🌟 Ready to Break the Cycle?
If you’ve ever felt like your back pain just keeps coming back — even after rest or stretching — this research shows why.It’s not weakness. It’s not bad luck. It’s your nervous system trying to protect you… but sometimes, it needs a little help learning the right way again.
Let’s get your spine, muscles, and brain back in sync.Book your chiropractic assessment today at Health Wise Chiropractic — and start moving with confidence again.
📅 Appointments available this week!👉 Book Now
Low Back Pain Chiropractor
Q: How does chiropractic care help with lower back pain?Chiropractors address spinal misalignments, muscle tension, and posture issues that often cause or worsen back pain.
Q: Is chiropractic safe for chronic back pain?Yes, chiropractic care is a safe and natural approach for managing both acute and chronic back pain without relying solely on medication.
Q: How many sessions will I need for back pain?It depends on the severity. Some patients feel relief in just a few visits, while others need ongoing care.
Q: Can chiropractic prevent future back pain?Yes, with posture correction, strengthening exercises, and regular spinal care, chiropractic can help reduce the risk of recurrence.
For more information about how we can help YOU with your headaches and improve your underlying dysfunction so the problem doesn’t come back .
Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today!
We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles.

Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day.
We have over 30 programs on different health conditions
Each program contains
- Information about the conditions
- things to do and things to avoid
- nutrition advice
- all the stretches that are needed to help
Suehiro T, Ishida H, Ito T, Kobara K, Osaka H, Oku K, Yakusue A. Altered proprioceptive weighting and trunk muscle activation in individuals with recurrent low back pain: a cross-sectional study. BMC Musculoskelet Disord. 2025 Oct 3;26(1):913. doi: 10.1186/s12891-025-09188-5. PMID: 41044591; PMCID: PMC12495647.
References
Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769–81. https://doi.org/10.1016/j.berh.2010.10.002.
Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8–20. https://doi.org/10.1016/j.spinee.2007.10.005.
Itoh H, Kitamura F, Yokoyama K. Estimates of annual medical costs of work-related low back pain in Japan. Ind Health. 2013;51(5):524–9. https://doi.org/10.2486/indhealth.2013-0042.
Hestbaek L, Leboeuf-Yde C, Manniche C. Low back pain: what is the long-term course? A review of studies of general patient populations. Eur Spine J. 2003;12(2):149–65. https://doi.org/10.1007/s00586-002-0508-5.
Wasiak R, Kim J, Pransky G. Work disability and costs caused by recurrence of low back pain: longer and more costly than in first episodes. Spine. 2006;31(2):219–25. https://doi.org/10.1097/01.brs.0000194774.85971.df.
Brumagne S, Janssens L, Knapen S, Claeys K, Suuden-Johanson E. Persons with recurrent low back pain exhibit a rigid postural control strategy. Eur Spine J. 2008;17(9):1177–84. https://doi.org/10.1007/s00586-008-0709-7.
Brumagne S, Janssens L, Janssens E, Goddyn L. Altered postural control in anticipation of postural instability in persons with recurrent low back pain. Gait Posture. 2008;28(4):657–62. https://doi.org/10.1016/j.gaitpost.2008.04.015.
Claeys K, Brumagne S, Dankaerts W, Kiers H, Janssens L. Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered proprioceptive reweighting. Eur J Appl Physiol. 2011;111(1):115–23. https://doi.org/10.1007/s00421-010-1637-x.
Suehiro T, Ishida H, Kobara K, Osaka H, Kurozumi C. Asymmetrical movement patterns of the lumbopelvic region during active hip abduction test in individuals with recurrent low back pain. Kawasaki J Med Welf. 2022;28(1):21–8.
Devecchi V, Rushton AB, Gallina A, Heneghan NR, Falla D. Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? A systematic review. PLoS ONE. 2021;16(4):e0249220. https://doi.org/10.1371/journal.pone.0249220.
Claeys K, Dankaerts W, Janssens L, Brumagne S. Altered preparatory pelvic control during the sit-to-stance-to-sit movement in people with non-specific low back pain. J Electromyogr Kinesiol. 2012;22(6):821–8. https://doi.org/10.1016/j.jelekin.2012.04.007.
Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361–70. https://doi.org/10.1016/s1050-6411(03)00042-7.
Kasai T, Yahagi S, Shimura K. Effect of vibration-induced postural illusion on anticipatory postural adjustment of voluntary arm movement in standing humans. Gait Posture. 2002;15(1):94–100. https://doi.org/10.1016/s0966-6362(01)00177-1.
Suehiro T, Ishida H, Kobara K, Osaka H, Watanabe S. Altered trunk muscle recruitment patterns during lifting in individuals in remission from recurrent low back pain. J Electromyogr Kinesiol. 2018;39:128–33. https://doi.org/10.1016/j.jelekin.2018.02.008.
Heuch I, Heuch I, Hagen K, Zwart JA. Physical activity level at work and risk of chronic low back pain: a follow-up in the Nord-Trondelag health study. PLoS ONE. 2017;12(4):e0175086. https://doi.org/10.1371/journal.pone.0175086.
Macdonald DA, Dawson AP, Hodges PW. Behavior of the lumbar multifidus during lower extremity movements in people with recurrent low back pain during symptom remission. J Orthop Sports Phys Ther. 2011;41(3):155–64. https://doi.org/10.2519/jospt.2011.3410.
Ampomah K, Amano S, Wages NP, Volz L, Clift R, Ludin AF, et al. Blood flow-restricted exercise does not induce a cross-transfer of effect: a randomized controlled trial. Med Sci Sports Exerc. 2019;51(9):1817–27. https://doi.org/10.1249/MSS.0000000000001984.
Fairbank JC, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940–52. https://doi.org/10.1097/00007632-200011150-00017. discussion 2952.
Roll JP, Vedel JP. Kinaesthetic role of muscle afferents in man, studied by tendon vibration and microneurography. Exp Brain Res. 1982;47(2):177–90. https://doi.org/10.1007/BF00239377.
Cordo PJ, Gurfinkel VS, Brumagne S, Flores-Vieira C. Effect of slow, small movement on the vibration-evoked kinesthetic illusion. Exp Brain Res. 2005;167(3):324–34. https://doi.org/10.1007/s00221-005-0034-x.
Ivanenko YP, Talis VL, Kazennikov OV. Support stability influences postural responses to muscle vibration in humans. Eur J Neurosci. 1999;11(2):647–54. https://doi.org/10.1046/j.1460-9568.1999.00471.x.
Orakifar N, Salehi R, Shaterzadeh Yazdi MJ, Mehravar M, Najarzadeh Z. Comparison of proprioceptive postural control strategies between prolonged standing induced low back pain developers and non-low back pain developers. Physiother Theory Pract. 2023;39(2):300–9. https://doi.org/10.1080/09593985.2021.2021571.
Claus AP, Hides JA, Moseley GL, Hodges PW. Different ways to balance the spine in sitting: muscle activity in specific postures differs between individuals with and without a history of back pain in sitting. Clin Biomech (Bristol). 2018;52:25–32. https://doi.org/10.1016/j.clinbiomech.2018.01.003.
Massé-Alarie H, Beaulieu LD, Preuss R, Schneider C. Task-specificity of bilateral anticipatory activation of the deep abdominal muscles in healthy and chronic low back pain populations. Gait Posture. 2015;41(2):440–7. https://doi.org/10.1016/j.gaitpost.2014.11.006.
Hodges PW, Bui BH. A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol. 1996;101(6):511–9. https://doi.org/10.1016/s0013-4694(96)95190-5.
Silfies SP, Mehta R, Smith SS, Karduna AR. Differences in feedforward trunk muscle activity in subgroups of patients with mechanical low back pain. Arch Phys Med Rehabil. 2009;90(7):1159–69. https://doi.org/10.1016/j.apmr.2008.10.033.
Tsao H, Hodges PW. Immediate changes in feedforward postural adjustments following voluntary motor training. Exp Brain Res. 2007;181(4):537–46. https://doi.org/10.1007/s00221-007-0950-z.
Suehiro T, Ishida H, Kobara K, Osaka H, Kurozumi C, Watanabe S. Immediate changes in trunk muscle activation patterns during a lifting task following an abdominal drawing-in exercise in subjects with recurrent low back pain. J Back Musculoskelet Rehabil. 2021;34(1):77–85. https://doi.org/10.3233/BMR-191549.
Pinto SM, Cheung JP, Samartzis D, Karppinen J, Zheng YP, Pang MY, et al. Differences in proprioception between young and middle-aged adults with and without chronic low back pain. Front Neurol. 2020;11:605787. https://doi.org/10.3389/fneur.2020.605787.
James G, Millecamps M, Stone LS, Hodges PW. Multifidus muscle fiber type distribution is changed in mouse models of chronic intervertebral disc degeneration, but is not attenuated by whole body physical activity. Spine. 2021;46(23):1612–20. https://doi.org/10.1097/BRS.0000000000004105.
Cheng X, Yang J, Hao Z, Li Y, Fu R, Zu Y, et al. The effects of proprioceptive weighting changes on posture control in patients with chronic low back pain: a cross-sectional study. Front Neurol. 2023;14:1144900. https://doi.org/10.3389/fneur.2023.1144900.
Lloyd D, Findlay G, Roberts N, Nurmikko T. Differences in low back pain behavior are reflected in the cerebral response to tactile stimulation of the lower back. Spine. 2008;33(12):1372–7. https://doi.org/10.1097/BRS.0b013e3181734a8a.
Smith JA, Tain R, Chrisman I, Sharp KG, Glynn LM, Van Dillen LR, et al. Gray matter morphology and pain-related disability in young adults with low back pain. Neuroimage. 2025;312:121227. https://doi.org/10.1016/j.neuroimage.2025.121227.
Kim H, Mawla I, Lee J, Gerber J, Walker K, Kim J, et al. Reduced tactile acuity in chronic low back pain is linked with structural neuroplasticity in primary somatosensory cortex and is modulated by acupuncture therapy. Neuroimage. 2020;217:116899. https://doi.org/10.1016/j.neuroimage.2020.116899.
Pijnenburg M, Caeyenberghs K, Janssens L, Goossens N, Swinnen SP, Sunaert S, et al. Microstructural integrity of the superior cerebellar peduncle is associated with an impaired proprioceptive weighting capacity in individuals with non-specific low back pain. PLoS ONE. 2014;9(6):e100666. https://doi.org/10.1371/journal.pone.0100666.
Massé-Alarie H, Flamand VH, Moffet H, Schneider C. Corticomotor control of deep abdominal muscles in chronic low back pain and anticipatory postural adjustments. Exp Brain Res. 2012;218(1):99–109. https://doi.org/10.1007/s00221-012-3008-9.
Tsao H, Galea MP, Hodges PW. Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain. Brain. 2008;131(8):2161–71. https://doi.org/10.1093/brain/awn154.
Massé-Alarie H, Schneider C. Revisiting the corticomotor plasticity in low back pain: challenges and perspectives. Healthcare. 2016;4(3):67. https://doi.org/10.3390/healthcare4030067.
Schabrun SM, Elgueta-Cancino EL, Hodges PW. Smudging of the motor cortex is related to the severity of low back pain. Spine. 2017;42(15):1172–8. https://doi.org/10.1097/BRS.0000000000000938.
Tsao H, Danneels LA, Hodges PW. Issls prize winner: smudging the motor brain in young adults with recurrent low back pain. Spine. 2011;36(21):1721–7. https://doi.org/10.1097/BRS.0b013e31821c4267.
Vera-Garcia FJ, Brown SHM, Gray JR, McGill SM. Effects of different levels of torso coactivation on trunk muscular and kinematic responses to posteriorly applied sudden loads. Clin Biomech (Bristol). 2006;21(5):443–55. https://doi.org/10.1016/j.clinbiomech.2005.12.006.
D’Hooge R, Hodges P, Tsao H, Hall L, Macdonald D, Danneels L. Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain. J Electromyogr Kinesiol. 2013;23(1):173–81. https://doi.org/10.1016/j.jelekin.2012.09.003.
van Dieën JH, Cholewicki J, Radebold A. Trunk muscle recruitment patterns in patients with low back pain enhance the stability of the lumbar spine. Spine. 2003;28(8):834–41. https://doi.org/10.1097/00007632-200304150-00018.
Hodges PW, Cholewicki J, Van Dieën JH. Spinal control: the rehabilitation of back pain: state of the Art and science. Edinburgh: Elsevier Health Sciences; 2013.
Mousavi-Khatir R, Talebian S, Toosizadeh N, Olyaei GR, Maroufi N. Disturbance of neck proprioception and feed-forward motor control following static neck flexion in healthy young adults. J Electromyogr Kinesiol. 2018;41:160–7. https://doi.org/10.1016/j.jelekin.2018.04.013.
Mannion AF. Fibre type characteristics and function of the human paraspinal muscles: normal values and changes in association with low back pain. J Electromyogr Kinesiol. 1999;9(6):363–77. https://doi.org/10.1016/s1050-6411(99)00010-3.
Granata KP, Marras WS. The influence of trunk muscle coactivity on dynamic spinal loads. Spine. 1995;20(8):913–9. https://doi.org/10.1097/00007632-199504150-00006.
Hodges PW, Tucker K. Moving differently in pain: A new theory to explain the adaptation to pain. Pain. 2011;152(3) Suppl:S90-8. https://doi.org/10.1016/j.pain.2010.10.020
van Dieën JH, Reeves NP, Kawchuk G, van Dillen LR, Hodges PW. Motor control changes in low back pain: divergence in presentations and mechanisms. J Orthop Sports Phys Ther. 2019;49(6):370–9. https://doi.org/10.2519/jospt.2019.7917.




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