What Happens During a Chiropractic Adjustment
September 10, 2026Most people treat lower back pain like bad weather — something to wait out. You skip the gym, sit on a heating pad, take an over-the-counter pain reliever, and hope it passes by next week. Sometimes it does. But when the ache keeps returning, spreads into your hip or leg, or never fully clears, waiting stops being a strategy and starts being a problem. A chiropractor in Jamaica, NY can identify what is actually driving your pain and build a treatment plan around it. Below are six of the most common causes of lower back pain and the signs that it is time to stop waiting it out.
1. Muscle Strains and Sprains
This is the most frequent cause of acute lower back pain. Lifting a heavy box with your back instead of your legs, twisting awkwardly while shoveling snow, or overdoing a weekend project can overstretch or tear muscle fibers and ligaments in the lumbar spine. The pain usually feels dull, tight, or spasm-like and often improves within a few weeks. When it does not, the surrounding joints may have lost normal motion and the muscles are compensating — which is where hands-on care makes a difference.
2. Herniated or Bulging Discs
The discs between your vertebrae act as shock absorbers. When the soft inner material pushes against or through the tougher outer layer, it can press on nearby nerve roots. Disc-related pain often feels sharp rather than achy and tends to worsen when you bend forward, cough, sneeze, or sit for long stretches. Our team offers physical therapy alongside chiropractic care to reduce pressure on the disc and rebuild the strength that supports it.
3. Sciatica and Nerve Compression
The sciatic nerve runs from your lower back through your hips and buttocks and down each leg. When it becomes irritated or compressed, pain radiates along that path — usually on one side only. Common signs include:
- Shooting or burning pain that travels from the lower back into the leg
- Pins-and-needles tingling in the buttock, calf, or foot
- Numbness or weakness in one leg, or a foot that feels heavy
Radiating leg symptoms are one of the clearest signals that this is more than a pulled muscle. Learn more about our approach to sciatica treatment.
4. Degenerative Changes in the Spine
Discs lose water content with age, cartilage in the facet joints wears down, and bone spurs can form and narrow the space around the spinal canal. This type of pain typically builds gradually over years rather than appearing overnight. It is often worst in the morning, eases with light movement, and flares again after long periods of standing or sitting. Degenerative change is not something you can reverse, but stiffness, inflammation, and loss of mobility all respond well to consistent pain management care.
5. Posture and Prolonged Sitting
A long commute followed by eight hours at a desk keeps the lumbar spine in a flexed position and the hip flexors shortened while the deep core and gluteal muscles go quiet. Over months and years, that imbalance loads the lower back unevenly. Pain from postural strain often improves on vacation and returns within days of getting back to your normal routine — a pattern worth paying attention to. Sleep position matters here too, and our guide to back pain physical therapy in Queens covers how to set yourself up for a better night.
6. Accident and Work-Related Injuries
Auto collisions and on-the-job injuries are a specialty of ours. The force involved in even a low-speed crash can strain the lumbar spine and surrounding soft tissue, and symptoms frequently do not peak until 24 to 72 hours later. That delay leads many people to assume they walked away fine. If your back pain started after a crash or a lifting injury at work, documentation and prompt evaluation matter for your recovery and for your claim. We handle both no-fault accident cases and workers’ compensation cases, and we take care of the paperwork so you can focus on healing.
When to Stop Waiting It Out
Short-lived soreness after an unusually heavy day is normal. These signs are not, and they mean it is time to get evaluated rather than wait another week:
- Pain that lasts longer than four to six weeks, or keeps coming back in cycles
- Pain that travels below the knee, or numbness and tingling in a leg or foot
- Weakness in a leg — catching your toe on stairs, or difficulty rising onto your toes
- Pain that wakes you at night or does not ease in any position
- Back pain that began after a car accident, fall, or lifting injury at work
- Pain accompanied by fever or unexplained weight loss
- Loss of bladder or bowel control, or numbness in the groin or inner thighs — seek emergency care immediately
Waiting also has a cost even when nothing serious is going on. The longer you move differently to protect a painful area, the more the surrounding muscles weaken and compensate, and the longer recovery tends to take.
How a Chiropractor Can Help
Chiropractors use hands-on manipulation to restore motion to joints that have become restricted, whether from trauma, repetitive strain, or years of poor mechanics. The goal is to address the source of the pain rather than mask it, supporting the body’s own ability to heal without surgery or long-term medication. A chiropractor in Jamaica, NY will start with a thorough evaluation, order diagnostic imaging when it is warranted, and then build a treatment plan specific to your findings — often combining adjustments with physical therapy, therapeutic exercise, and orthopedic referral when a case calls for it.
Contact Us
At Integrative Chiropractic & Physical Therapy in Jamaica, Queens, Dr. Dennis Long has spent more than twenty years helping patients get out of pain and back to their routines. We accept no-fault insurance, workers’ compensation, and major insurance plans, and we handle the administrative side so you can concentrate on your recovery. If your lower back pain has outlasted the heating pad, stop waiting it out. Schedule an appointment with our chiropractor in Jamaica, NY today, or call 718-206-3369.


