Adjustments
Targeted spinal manipulation reduces joint irritation and pain quickly when the assessment supports it.
Condition guide
Low Back Pain treatment in Toronto
Low back pain is the most common reason patients book at Back In Balance — from acute flare-ups and sciatica to chronic pain that limits daily life.
Steps from College Station · 2 Carlton St., Suite 1306
What it is
Most low back pain is mechanical — and most of it gets better.
Low back pain refers to discomfort in the area below the rib cage and above the buttocks. The vast majority of cases are mechanical: muscles, ligaments, joints, and discs that have been overloaded, irritated, or moved poorly for too long. Only a small fraction of cases are caused by something serious like a fracture, infection, or tumour, and those usually have very specific warning signs.
The good news: roughly 90% of acute low back pain settles within six weeks with the right care. Our job is to identify which kind of low back pain you're dealing with, get the irritation down quickly, and help you build the strength and movement habits that prevent the next episode.
- Most low back pain is not caused by a 'slipped disc' or 'pinched nerve' — those terms get over-used
- Imaging (MRI/X-ray) is rarely needed in the first six weeks unless red flags are present
- Bed rest makes most cases worse — gentle movement is the better default
Red flags
When to seek care urgently — not just chiropractic.
If you're experiencing any of the following, call your family doctor or visit an emergency department before booking with us. These signs may point to something that needs medical or surgical attention.
- Loss of bladder or bowel control, or numbness in the saddle area
- Progressive weakness in one or both legs
- Severe night pain that wakes you and isn't relieved by position change
- Recent significant trauma (fall, accident, sports injury)
- Unexplained weight loss, fever, or history of cancer with new back pain
How we treat it
A complete plan, not just an adjustment.
Manual mobilizations
Slow, sustained mobilization for cases where high-velocity work isn't appropriate. Equally effective for many patients.
Rehab exercises
Specific, progressive exercises so the relief lasts. Five to ten minutes a day, not a gym program.
Your first visit
What happens when you come in.
Your first visit takes 45–60 minutes. We start with a detailed history — what hurts, when it started, what makes it better or worse, and what your day-to-day looks like. That's followed by an orthopedic assessment: range of motion, neurological screening, and movement testing.
From there we'll explain what we think is going on in plain language, walk you through the treatment options, and start care if it's appropriate the same day. You'll leave with a clear plan, the first set of exercises, and a sense of how many visits we expect this to take.
- No long contracts, no surprise fees
- Direct billing to most insurance providers
- Clear written summary of your assessment and plan
St. Michael's
Hospital affiliation
ISAEC
Spine assessment partner
20+ yrs
Treating Toronto
4.8★
Google · 153+ reviews
The bigger picture
Pain is mechanical, biological, and psychosocial.
Modern back pain care looks at three layers: the tissue (what's irritated), the brain and nervous system (how the pain is being interpreted and amplified), and the life context (sleep, stress, work demands, beliefs about pain). This is the biopsychosocial model — and it explains why two patients with identical scans can have very different experiences.
Our care plans address all three layers. We treat the tissue, but we also take time to explain the science, debunk the catastrophic stories patients have often been told, and help you build a recovery routine that fits a real life — not a rehab textbook.
Related care at the clinic
Advanced Spine Care
Hospital-affiliated assessment and treatment for complex spine cases.
Chiropractic Care
Adjustments, mobilizations, and rehabilitation — the core care offered at the clinic.
Shockwave Therapy
ESWT for chronic tendinopathy, plantar fasciitis, and calcific conditions.
Laser Therapy (LLLT)
Low-level laser therapy for pain, inflammation, and tissue healing.
Common questions
Most patients with acute low back pain feel meaningful relief within 2–4 visits. Chronic cases (pain longer than 12 weeks) typically take 6–10 visits to stabilize, with the goal of self-management afterward.
Get a personalized low back pain plan.
Book a first visit through Jane App or call the clinic — same-day appointments are usually available.