When to Take Low Back Pain Seriously: Signs You Shouldn't Ignore

Therapist evaluating back pain in adult as part of personalized treatment plan

Low back pain is one of the most common complaints among adults and a frequent reason for seeking physical therapy in New Braunfels, Texas. Whether you're lifting heavy objects, sitting for long hours, or simply dealing with the wear and tear of daily life, low back discomfort can interrupt your routine and impact your quality of life.

In many cases, low back pain resolves with rest, gentle stretching, and self-care. However, some symptoms may point to a more serious condition that needs prompt medical evaluation. Below, we outline key warning signs and explain how local physical therapy experts can help.

Persistent Pain

If your low back pain lasts more than 2–4 weeks, even after trying rest and over-the-counter treatments, it may be time to seek professional care. Persistent pain can be linked to conditions like:

  • Herniated discs

  • Spinal stenosis

  • Degenerative disc disease

At BTY Physical Therapy in New Braunfels, we specialize in comprehensive assessments to identify the root causes of your mobility challenges. Our expert team creates personalized treatment plans designed to not only alleviate pain but also restore optimal movement, helping you regain independence and improve your quality of life.

Radiating Pain, Numbness, or Tingling

Pain that travels down the leg, often with numbness or tingling, is a red flag. These symptoms may indicate sciatica or nerve root compression, which can impact your mobility and daily function.

If you're experiencing these signs, our licensed physical therapists can evaluate nerve involvement and provide targeted therapies to relieve pressure and restore function.

Changes in Bowel or Bladder Function

Sudden back pain with urinary or bowel issues, groin numbness, or leg weakness may signal cauda equina syndrome, a rare but serious emergency. This condition can cause permanent nerve damage without immediate treatment.

If you notice these symptoms, seek emergency medical care immediately.

History of Cancer or Trauma

If your back pain is accompanied by any of the following:

  • A history of cancer

  • Recent falls or injuries

  • Unexplained weight loss

It may point to a more serious underlying issue like a spinal tumor or fracture. Physical therapy can play a supportive role post-diagnosis, but immediate evaluation by a physician is necessary.

Fever or Signs of Infection

If you have fever, chills, or swelling along the spine with your back pain, a spinal infection could be present. Though rare, these infections are serious and may require antibiotics, imaging, or surgery.

Prompt diagnosis is key. Our mobile Physical Therapy services in New Braunfels can assist with post-treatment rehab to rebuild strength and stability once cleared by your physician.

Can Physical Therapy Help my Back Pain ? 

Absolutely. Physical therapy is a first-line, evidence-based treatment for most cases of low back pain.

At BTY Physical Therapy we focus on:

  • Diagnosing musculoskeletal vs. neurological causes of back pain

  • Creating personalized exercise and posture correction programs

  • Reducing inflammation and restoring core stability

  • Educating patients on safer movement strategies.

Through hands-on care, therapeutic exercise, and movement analysis, we help our patients return to work, recreation, and daily life pain-free.

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