Chronic lower back pain

Why It Persists—and How Yoga Therapy Can Help

Chronic lower back pain is one of the most common reasons people seek medical care, miss work, or stop participating in activities they love. Unlike acute pain caused by a sudden injury, chronic low back pain lasts for months—or even years—and often doesn’t have a single, clear cause.


For many people, the pain becomes confusing and frustrating. Imaging may show “nothing wrong,” yet the discomfort persists. Others try exercise classes, stretching routines, or rest, only to find that symptoms flare or shift rather than resolve.

Understanding why chronic back pain lingers is an important first step toward lasting relief.

Why Chronic Low Back Pain Is So Common

The lower back is designed for stability and support, not constant strain. Modern life, however, asks a lot of it. Long hours of sitting, repetitive movements, stress, past injuries, and limited recovery time can all contribute to ongoing pain.

Over time, the nervous system can also become sensitized. This means the body learns pain patterns, even after tissues have healed. Muscles may stay guarded, breathing can become shallow, and movement patterns adapt in ways that unintentionally reinforce discomfort.

In these cases, treating chronic low back pain isn’t just about strengthening or stretching—it’s about retraining the body and nervous system to feel safe moving again.

Why “Just Exercise” Doesn’t Always Help

Many people with low back pain are told to stretch more, strengthen their core, or attend general fitness or yoga classes. While movement is important, generic approaches don’t account for individual histories, pain triggers, or nervous system responses.

In some cases, pushing through discomfort can actually increase symptoms. Pain is not always a sign of weakness—it can be a signal that the body needs support, pacing, and intentional guidance. This is where yoga therapy offers a different path.

What Is Yoga Therapy?

Yoga therapy is a personalized, one-on-one or small-group approach that uses gentle movement, breathwork, relaxation, and education to support healing. Unlike general yoga classes, yoga therapy is tailored to the individual—not the pose.

Sessions are designed to:

  • Restore functional movement
  • Improve body awareness
  • Reduce nervous system stress
  • Support pain relief without forcing or strain
  • Yoga therapy works alongside medical care and is especially helpful for people who feel stuck between “doing nothing” and “doing too much.”

How Yoga Therapy Supports Chronic Low Back Pain

  1. Gentle, Functional Movement
    Yoga therapy focuses on movements that support daily life—standing, sitting, bending, and walking. Rather than pushing flexibility, it prioritizes stability, coordination, and ease.
  2. Nervous System Regulation
    Chronic pain is closely linked to stress and the nervous system. Breathwork and slow, mindful movement help calm the body’s stress response, which can reduce pain intensity over time.
  3. Improved Awareness and Confidence
    Many people with chronic back pain begin to fear movement. Yoga therapy helps rebuild trust in the body, offering tools to move safely and confidently again.
  4. Individualized Care
    Every back pain story is different. Yoga therapy adapts to your body, your symptoms, and your goals—whether that’s pain relief, better sleep, or returning to activities you enjoy

A Supportive Path Forward

Living with chronic lower back pain can feel isolating, but relief is possible. By addressing both the physical and nervous system components of pain, yoga therapy offers a compassionate, sustainable approach—one that meets people where they are and supports long-term well-being.

For those seeking an alternative to “push harder” solutions, yoga therapy provides a
grounded, accessible way to reconnect with the body and move toward comfort and
resilience.

Stephanie, owner and yoga therapist, Roots Holistic Wellness
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