Tag Archive for: Seacoast NH back pain relief

Why Core Strengthening Isn’t Fixing Your Back Pain (And May Be Making It Worse)

If you’ve ever Googled “how to fix back pain,” you’ve probably seen advice suggesting consistent movement, stretching, and core strengthening. And while that’s not wrong, it’s incomplete.

At our Portsmouth, NH physical therapy clinic, we see people every day who have been doing all the “right” core exercises—and still struggling with back pain.

Here’s why.


The Problem with Generic Core Strengthening for Back Pain

Yes, movement matters.
Yes, stretching can help.
Yes, core strengthening is important.

But only when applied at the right time and in the right way.

Jumping into generalized ab workouts—like planks, crunches, or stability exercises—too early can actually prolong your back pain or make it worse.

That’s because most back pain isn’t simply a strength issue.


Why Back Pain Is Usually a Movement Problem (Not a Weakness Problem)

One of the biggest misconceptions we hear from patients across the Seacoast NH area is:

“My back hurts because my core is weak.”

In reality, about 80% of back pain is mechanical, meaning it’s caused by the way your spine moves—not how strong it is.

While strengthening plays a role in long-term recovery, it’s not the first step.

If you’ve been focusing on core workouts and still dealing with recurring pain, this is likely why.


Why Your Ab Exercises Aren’t Working

Core exercises can:

  • Improve circulation
  • Create temporary support
  • Reduce discomfort short-term

But they don’t fix the root cause.

If your spine isn’t moving properly, adding strength on top of dysfunction can:

  • Reinforce poor movement patterns
  • Increase irritation
  • Lead to recurring flare-ups

This is why so many people in Portsmouth and surrounding areas feel stuck—doing everything right, but seeing no lasting results.


Mobility Before Stability: The Missing Link in Back Pain Treatment

At our Portsmouth physical therapy clinic, we follow a simple rule:

Mobility before stability

Before you strengthen your core, you need to:

  • Restore proper spinal movement
  • Identify the specific movement causing pain
  • Use targeted exercises based on your body

Not:

  • Random stretches
  • Generic workout plans
  • TikTok or YouTube routines

When you address the underlying mechanical issue first, your results improve dramatically—and actually last.


A Real-Life Example

One of our clients—a highly fit Marine veteran in his late 30s—had a strong core and consistent workout routine. But he still dealt with recurring back pain.

The issue wasn’t strength. It was mechanical dysfunction in his spine.

Once he focused on correcting movement patterns (instead of just strengthening), everything changed:

  • Faster recovery
  • Fewer flare-ups
  • Better day-to-day mobility (even after travel and long periods of sitting)

What This Means for You

If your core workouts aren’t fixing your back pain, you’re not alone.

And more importantly—you’re not broken.

You’re likely just missing a key step:

  • Fix movement first
  • Then build strength

When you do that, your progress doesn’t just feel temporary—it actually sticks.


Get Help for Back Pain in Portsmouth, NH

If you’re in Portsmouth, NH or the Seacoast area and tired of dealing with ongoing back pain, working with a specialist who understands mechanical back pain can make all the difference.

Dr. Carrie Jose, Physical Therapy Specialist and Mechanical Back Pain expert, owns CJ Physical Therapy & Pilates in Portsmouth.

To request your free guide to relieving back pain naturally, visit cjphysicaltherapy.com or call 603-380-7902.

What If Your Back Pain Didn’t Have to Follow You Into 2026?

What If Your Back Pain Didn’t Have to Follow You Into 2026?

As the year winds down here in the Seacoast, many people in Portsmouth and the surrounding New Hampshire area take time to reflect on the last twelve months. You might think about your accomplishments, challenges, and the changes you hope to make in 2026. It’s a natural rhythm as the calendar turns over — and with it often comes the desire for a fresh start.

But one thing people rarely reflect on is their musculoskeletal health. We often focus on appearance, weight loss, and goals we can measure on a scale or in the mirror. What gets overlooked are the subtle physical signals that something is “off.”

Nagging back pain is a perfect example.

It’s easy to brush off, label as normal, or assume it’ll disappear on its own. Back pain slowly becomes something you adapt to without realizing it — you change how you bend, avoid activities, modify how you sit or sleep. Without careful attention, back pain blends into the backdrop of everyday life.

So if there’s one thing worth leaving behind in 2025, it’s the back pain that’s been following you around for months — or even years. And despite what you may have been told, you do not have to carry this year’s pain into the next one. When you finally understand how back pain works, addressing it becomes one of the most important steps you can take for your long-term health.


Back Pain Rarely Arrives “Out of Nowhere”

Back pain might feel sudden, but there’s almost always a buildup behind it. Most back problems develop gradually — from months or years of poor bending habits, long hours of sitting, repetitive strain, or small compensations your body makes without your awareness.

Then one day you sneeze, lean forward, or twist just a little too far… and suddenly, you’ve “hurt your back.”

People blame the moment — but the real cause is what’s been simmering underneath.

The holidays (and other busy seasons) make this worse:

  • more sitting while traveling
  • more lifting, decorating, and preparing
  • more time on soft couches or guest beds during family visits

The body is already managing everyday stress — and the added strain of the season pushes it beyond what it comfortably tolerates.

The good news? Once you understand that back pain is rarely random — but rather the result of microhabits over time — you can start correcting it. Small adjustments in how you bend, sit, lift, and move can make a remarkable difference.

Before long, not only will you have less back pain… you’ll have far more control over it.

And that kind of control changes everything.


Back Pain Doesn’t Just “Go Away”

Many people hope their back pain will fade once the holidays end and life settles down. But pain that lingers into the new year rarely behaves that way.

When your back is aggravated from mechanical or movement problems, time alone won’t fix it. Rest may help temporarily, but unless you address how you move, sit, bend, or load your spine — the pain returns (often worse).

This is why so many people start January strong, only to be sidelined by February. They unknowingly bring unresolved back pain into their new routines.

Although exercise is one of the best long-term solutions for back pain, it isn’t simple:

  • No pain? Exercise is excellent prevention.
  • Already in pain? You need very specific corrective movements first.

When your foundation isn’t solid, even the best fitness plan can derail. Back pain affects everything — how you walk, lift, twist, breathe, sleep, and even how much motivation you feel.

Don’t wait for back pain to “go away” on its own. And be cautious of quick-fix New Year’s programs that layer new problems on top of old ones. Ignoring your back now may leave you worse off in 2026 than you planned.


Most Back Pain Has a Mechanical Cause — and a Natural Fix

Here’s the encouraging part: about 80% of back pain can be resolved naturally once you understand its mechanical origin.

Your spine is remarkably resilient. It’s designed to move, adapt, and support you for decades — even with arthritis or bulging discs.

When pain appears, it’s usually signaling that something in your movement pattern needs attention.

Your body gives clear clues:

  • certain movements feel better
  • others make symptoms worse
  • pain may change throughout the day

These patterns tell a far more accurate story than any X-ray or MRI.

Once your movement “story” is understood, meaningful change and lasting relief become possible.

A new year is the perfect time to leave unhelpful habits behind. You don’t have to wake up stiff, brace every time you bend, or avoid activities you love because you’re afraid of making things worse.

Small, strategic changes — paired with guidance from the right expert — can transform everything.

If your goal is to leave back pain behind in 2025 and start 2026 feeling stronger, more mobile, and more confident, consider consulting with a mechanical back pain specialist. We help people across Portsmouth, Dover, Rye, Kittery, and the greater Seacoast get natural, lasting relief every day.

Or reach out to me personally — I’m always happy to help.


Dr. Carrie Jose, Physical Therapy Specialist and Mechanical Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth, NH, and writes for the Seacoast Media Group.

To get in touch — or request a free discovery visit with one of our specialists — visit our website or call 603-380-7902.