Flip the Low Back Pain Script

Flip the Low Back Pain Script

Let's see what conventional wisdom says about back pain.

Sitting is bad for your back.

  • a. Get up more.
  • b. Stretch.
  • c. Strengthen.
  • d. Get a standing desk.

And because these ideas are repeated by doctors, physical therapists, employers, insurance companies, friends, and virtually everyone else, they can start to feel like facts rather than assumptions.

But what if you question the assumption or belief that:

Sitting causes back pain → standing fixes it

Here's a good question: Does your relationship to gravity and habitual organization of effort change when the position changes—or does the same pattern simply follow you into the new position?

ONE

Symptoms or Causes?

What if the treatment you're relying on is addressing the symptom, not the cause?

You have back pain. You sit all day. Everyone tells you sitting is the problem.
So you buy a standing desk.

But what if you take the same unconscious pattern of muscular effort that you use sitting—and simply perform it standing?

You changed your position.
Did you change the pattern? Let's investigate.

There are no right answers. Choose the statements that sound familiar.

did a, b or c work?

a. Get up more.
b. Stretch.
c. Strengthen.

TWO

What Thoughts Do You Find Yourself Thinking Over and Over Again?

check off ones that resonate:

Notice what happens.

Each thought makes the next one feel reasonable.
That's a cluster.

Recognize where a cluster of familiar thoughts has made an alternative possibility invisible. That's a mental limitation that prevents you from regaining comfort and ease in your body.

THREE

Question the Authority of Conditioned Thinking

What if the underlying premise is incorrect?

“The treatment must be addressing the real problem if it's"

  • covered by insurance
  • recommended by a professional
  • widely accepted
  • the only options I've ever heard of

Assuming there are no other possible considerations is a meta-belief (an idea so widely held) that it prevents you from investigating whether the conventional solution is actually solving the problem.

Think different. Think outside the box. Do your own thinking.

What if the solutions everybody knows about only alleviate low back pain rather than address the cause?

  • Does it inevitably get worse?
  • Do back braces help?
  • Do pain killers address the cause?
  • Do muscle relaxers work for longer than a day or two?
  • Is surgery the only option?
  • Is it okay that there is no information about how to prevent it from getting worse?
  • Is there a common cause of low back pain that is being overlooked?
  • Does it make sense to overlook small considerations so long that it may eventually turn into a massive, expensive, painful solution?

If you don't really know what causes low level, consistency low back pain, you can't address it. You can't address a cause if you don't know what it is.

Just to clarify: this is not about acute or sudden pain after an injury or accident. That may well be structural. We're talking about soft tissue pain, not bone pain. But there again is a grey area: many people experience joint pain that is caused by soft tissue issues, meaning muscles, tendons and ligaments.

FOUR

What's Possible?

Let's investigate:

What do you know about muscular effort? What if changing your position doesn't change the habitual way you organize muscular effort?

Which possibility sounds likely to you? Do you do any of these things?

FIVE

Discover Your Own Biomechanics

Let's test one tiny piece of the assumption that changing your position will make the pain go away.

Sit normally for a moment.

If you had to sit there in that position for 6-8 hours, where would it hurt? Where would you feel the muscular effort?

Now try another test: Stand normally for a moment.

If you had to stand there in that position for 6-8 hours, where would it hurt? Where would you feel the muscular effort?

What did you notice?

in the Mini Course Low Back Pain Deconstructed, you get more than just suggestions to alleviate pain temporarily, you get to know your body, understand how it was designed to work and how to troubleshoot actual causes.
Low Back Pain Deconstructed →
©2026 Your Life Matters  •  Gabrielle Pullen, GCFP, LMT, MFA  •  www.theresiliencezone.com