These active treatments require more effort than passive treatments such as chiropractic manipulation or massage therapy. Sure, manipulation or massage can play a short-term role by relaxing muscle tension, making it easier for you to move. But at the end of the day you've got to do some work, not just lie there and let someone else do it for you.
"The most important thing is showing people what to do for themselves," Liebenson said.
Poor hip flexibility can be another culprit of low back pain. If your hips don't move easily, you'll be inclined to bend at the waist, forcing the lower back to round outward and putting disks in jeopardy. Bad posture that rounds out the lower back can be another cause.