Most acute back pain episodes improve significantly over days to weeks. That doesn’t mean it’s ‘nothing’ — it often means the spine is irritated and protective, not permanently damaged. What’s happening during a flare Local tissue irritation (joints/disc/ligaments) Muscle guarding and stiffness A sensitised nervous system (pain alarm turned up) Reduced confidence in movement (which can increase protection) What to avoid (common mistakes) Complete bed rest for days Repeatedly
