Chronic Lower Back Pain Canberra.
Structured exercise physiology for chronic lower back pain. Graded exposure, evidence-based loading, and 1:1 sessions with James Murphy AEP.
- Chronic Lower Back Pain
- Graded exposure approach
- Progressive loading
- NDIS, DVA, Medicare & WC
Chronic Lower Back Pain.
Chronic lower back pain (defined as persisting beyond 12 weeks) involves a complex interplay of structural, neurological, and psychosocial factors. Exercise is the most evidence-supported intervention. James uses a graded exposure model, starting at a load the nervous system tolerates, then progressively increasing strength, capacity, and confidence over weeks to months.
What the evidence says.
Chronic low back pain is the world's leading cause of disability, and the strongest evidence for treating it is exercise, full stop. No single exercise type wins, what matters is progressive loading, consistency and confidence. Equally important is what the evidence retired: bed rest, fear of bending, and treating scan findings as destiny. Disc changes appear in most pain free adults over forty; the scan describes your spine, not your future.
How I treat it.
The assessment looks well beyond the sore spot: how you walk, how you bend, what your hips and thoracic spine contribute, what fifty years of guarding may have built into your pattern. I have retaught clients to walk properly after decades of back pain that traced back to gait, and rebuilt movement in people told never to rotate again. The spine is built to move and load; the treatment is teaching it to do both with confidence again.
Programs blend graded strength work, movement retraining and hands on treatment for the muscles that have been holding on too tight for too long, with progress measured by validated scores and by the life things: sitting, lifting, gardening, sleeping.
What we aim for.
- Pain scores falling while capacity climbs, tracked with real measures
- Bending, lifting and rotating without bracing for disaster
- Flare ups that become rarer, shorter and less frightening
- Independence from the treatment table, not dependence on it
Frequently asked
Related pages
Recent literature behind this program.
A selection of the research and clinical guidelines that inform how this condition is managed at Fitness & Wellbeing Physiology.
- Kent P, Haines T, O'Sullivan P, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial. The Lancet 2023;401:1866–1877.
- Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. The Lancet 2018;391:2356–2367.
Evidence summaries are provided for information only and are not a substitute for individual clinical assessment.
Book your appointment.
Same-week availability for NDIS, DVA, CDM, CTP and private clients.
Prefer to call? 0418 153 608 · or email admin@fwphysiology.com