When the Therapist Needs Therapy: Navigating Lumbar Pain

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By Michelle Pestana | Simply Rejuvenate

Even as a remedial massage therapist, I’m not immune to the occasional rebellion from my own body. This week, my lower back decided to stage a full-blown protest—specifically around the L4/L5/S1 region. No visible inflammation, no dramatic swelling—just deep, persistent pain that is stealing my sleep and making simple movements feel like Olympic feats.

🔍 What’s Going On?

Pain in the lumbar spine can stem from a variety of causes:

• Disc bulges or herniation

• Nerve root compression

• Facet joint irritation

• Sacroiliac joint dysfunction

• Muscle guarding or spasm

  
  

In my case, it feels like a mix of disc pressure and nerve irritation. The pain radiates across the hips and sacrum, intensifies at night, and makes both flexion and extension feel like a no-go zone. Of course, I’ll be checking in with a medical professional to confirm what’s going on—because even I need clarity and care.

🌙 Why Nighttime Hurts More

When we lie down, spinal pressure shifts. Circulation slows. Inflammatory mediators (even without visible swelling) can spike. And without movement, joints stiffen. It’s a perfect storm for discomfort.

🛠️ My Recovery Toolkit

Here’s what I’ve been doing to help ease the pain and support some healing:

• Supported spinal decompression (hello, bolster under knees)

• Alternating warm and cool compresses

• Magnesium balm for muscle tension

• Gentle self-massage techniques to ease surrounding tension

• Adjusting my own treatment (and training) schedule to allow for rest and recovery

  
  

💬 What I’m Learning (Again)

• Pain doesn’t always look dramatic—it can be quiet and persistent

• Recovery isn’t weakness—it’s strategy

• Listening to your body is a skill worth practicing daily

  
  

💌 A Note to My Clients

If you’ve noticed a few slower transitions or modified techniques in your session, thank you for your patience. I’m walking the same path I guide you through—one of awareness, compassion, and sustainable healing.

I’ll be back in full force soon, and I’m already feeling the benefits of slowing down and tuning in.

If your own back has been whispering (or shouting), let’s talk. Whether it’s a targeted remedial session or a tailored treatment plan, there’s always a way forward.