Lower back pain treatment in Santa Monica.

Most lower back pain settles down on its own within a few weeks. Some does not — and a handful of patterns are the signal to stop waiting it out and get evaluated.

What we see

Lower back pain arrives from a lot of directions: posture and long periods of sitting, lifting injuries, herniated and bulging discs, and sacroiliac joint pain where the sacrum meets the pelvis. Because the causes differ, the first job is working out which one is driving yours.

Common signs

• Dull ache
• Stiffness
• Spasms
• Radiating pain
• Pain lasting over two weeks
• Tingling or numbness in the leg
• Worse in the morning
• Worse after sitting
• Triggered by bending or lifting
• Disrupted sleep

When it needs attention

Short-lived soreness from a long day or an awkward lift usually fades. These are the patterns that suggest something is not resolving on its own:

• Pain that lasts more than two weeks, or that keeps coming back
• Pain, tingling, or numbness that radiates into the buttock or down the leg
• Stiffness that is pronounced first thing in the morning, or that flares after long periods of sitting
• Bending, twisting, or lifting that reliably sets the pain off
• Pain that disrupts sleep, limits activity, or wears you down

Dr. Magdy Guirguis takes each of these in turn in 5 signs your lower back pain needs attention.

Who we see for this

• Desk workers and drivers whose pain is worst in the morning or after sitting
• People whose back went out after a lift, a twist, or an awkward movement
• Athletes — 35+ years caring for families, collegiate and pro athletes, and local teams across Santa Monica
• People with herniated or bulging discs, or sacroiliac joint pain
• Anyone whose back pain has lasted more than two weeks or is affecting sleep, work, or mood

How we treat it

Care here is drug-free and hands-on — adjustments, therapy, supplements, and lifestyle. In practice that means:

• Chiropractic adjustments to restore alignment
• Physical therapy to rebuild the support around the spine
• Guidance on posture, movement, and lifestyle so the relief lasts

The first step is simply understanding what is driving your pain.

What a first visit looks like

Every new patient gets the same three steps: Dr. Magdy Guirguis listens and examines — history, symptoms, lifestyle, and any imaging — then diagnoses the root of the pain rather than the sore spot, then builds a personalized, drug-free care plan around your goals. A first visit with Dr. Magdy Guirguis walks through it in full.