What if non-surgical spinal decompression does not relieve lower back pain?

Lower back pain has several possible sources, including muscles, joints, discs, nerves, or pain referred from nearby areas. Traction-based treatment may not match the underlying problem, and symptoms can also be maintained by reduced strength, guarded movement, work demands, or poor sleep. A lack of response is a reason to revisit the working diagnosis, not proof of a serious condition.

Record the pain pattern, leg symptoms, aggravating activities, and any change after treatment. Keep moving within a comfortable range and avoid prolonged bed rest unless a clinician specifically advises it. A doctor or physiotherapist can assess movement, strength, sensation, and reflexes, and recommend a tailored exercise plan or other care. Do not increase traction force or frequency without professional guidance.

Seek emergency care for new loss of bladder or bowel control, numbness around the genitals or inner thighs, rapidly worsening leg weakness, or severe pain after major trauma. Get prompt medical advice for fever, unexplained weight loss, a history of cancer, or pain that is worsening rather than settling.

What findings suggest the source of my pain? Do I have signs of nerve involvement? Which activities and exercises are appropriate now? What change would mean the treatment plan should be reconsidered?