New Advances In Treating Low Back Pain
- LivaFortis
- Jan 30
- 12 min read
Low back pain can be a persistent, life-altering condition, impacting millions of people worldwide. But relief is no longer limited to traditional methods like rest and medication.
Thanks to cutting-edge advancements, a new wave of innovative therapies and technologies is revolutionizing how we manage back pain. From dry needling that targets muscle tension at its source to electrical stimulators and TENS devices that disrupt pain signals, these tools are changing the game. Add in digital physical therapy and motion tracking systems, and you have a powerhouse of modern solutions that combine precision, personalization, and evidence-based care.
This article explores how these breakthroughs work, why they're effective, and how they can fit into your treatment plan. Whether you're seeking faster recovery, better pain management, or a non-invasive approach to healing, these advancements offer promising options tailored to your needs. Let's dive into the future of low back pain relief!
4 Facts About Low Back Pain
In the United States alone, there were over 35 million cases of chronic lower back pain in 2024.
According to recent surveys, more than 60% of people with neck or back problems have been dealing with these issues for over 5 years.
Based on back pain statistics, the majority of patients (65% to 85%) who have had an episode of acute lower back pain will experience similar symptoms within two years.
Back pain that lasts for at least three months is generally defined as chronic.
The Costs Of Chronic Low Back Pain
Americans often miss work because of back pain. Actually, this health problem is among the most common causes of work absences. According to recent statistics, over 280 million workdays are lost every year due to back pain.
The low back pain industry is now worth over $120 billion dollars, with companies promising to deliver solutions for decades. Unfortunately, many of these solutions have not delivered on their promises, leaving consumers frustrated, disappointed, and with wilted wallets. Even worse, some buyers are left to deal with the devastating effects of addiction or side effects that often accompany certain pharmaceutical products, like opioids or even products like gabapentin or steroid injections.
Disappointing Deliverables - Do Current Back Pain Products Actually Work?
Why do we need new options for treating low back pain? In the past, treatment options have tended to focus on things like surgery, medication, bed rest, or spinal injections. While these treatment options do have some positive effects in terms of helping to relieve chronic low back pain, many are expensive and offer no real long term solutions to patients.
Indeed, one study on spinal fusion in chronic low back pain patients showed that “Lumbar fusion surgery in patients with chronic low-back pain does not appear to offer any major benefit in outcomes over conservative rehabilitation programs incorporating physical activity and cognitive–behavioral therapy.
Patients undergoing lumbar fusion may have a slightly lower but clinically unimportant decrease in disability scores in exchange for an increased risk of complications, higher medical costs and no difference in quality of life at 2 years after surgery. “
Top Trends for Treating Low Back Pain in 2024/2025
These bitterly disappointing results have led to more and more people trying to find a solution to this ongoing problem. This has led to a glute of products on the market, many of which are not clinically proven or have much scientific basis at all.
With so many new solutions on the market, we thought that it would be interesting to break down what some of these new treatments do, what their benefits are, what concerns there might be with the treatments, and their overall effectiveness when used to treat chronic low back pain.
Here are our reviews on some of the most popular new treatments for chronic low back pain in 2025.
Dry Needling
What is Dry Needling?
Dry needling is a technique that is used by physical therapists to treat pain and some movement impairment issues. The process of dry needling is where a physical therapist takes a “dry” needle (a needle that doesn’t contain medication) and inserts it through your skin into your muscle.
The dry needle stimulates the trigger points in the muscle and connective tissues which allows the physical therapist to treat areas that are not accessible through traditional manual manipulation therapies, like massage. Dry needling is also sometimes called “trigger point dry needling” or “intramuscular manual therapy”.
Pros Of Dry Needling:
Dry needling is useful for treating sports injuries, as well as muscle pain and stiffness since stimulating the trigger points has been shown to improve flexibility and increase your range of motion.
Dry needling often provides patients with some fairly instant relief for their chronic low back pain. In many cases patients felt that their mobility increased immediately and that they felt less pain within 24 hours. Typically, it can take a few treatment sessions (2-3 weeks) to feel more lasting effects.
Cons Of Dry Needling:
Temporary pain during dry needling occurs in about 60-70% of treatments. Existing symptoms can sometimes actually get worse after treatment (less than 3% of patients); but this is not necessarily a “bad” sign.
When it comes to price, the cost of dry needling can range from $40-$100 per session, with an average price of around $60. Unfortunately dry needling is not often covered by insurance but the good news is that you generally only need a few sessions.
Effectiveness of Dry Needling for Low Back Pain:
So, does dry needling work for chronic low back pain? When it comes to the data on treating low back pain it does look as if there are some proven benefits to this treatment.
Studies have shown that dry needling is “more effective for pain relief and functional improvement than no treatment or sham treatment immediately after treatment and in the short-term only.” There are definitely some international clinical guidelines that have agreed that dry needling could be an effective add on therapy for treating low back pain.
Considerations:
Sadly, dry needling is not available in every state. While dry needling is generally legal in the US, but specific regulations and restrictions may apply depending on the state. Most states will allow physical therapists to do dry needling but California, Hawaii, New York, and Oregon restrict the practice to the scope for acupuncturists.
As you can see, there has been a bit of a debate over who should be allowed to practice dry needling. Physical therapists believe that dry needling is different from acupuncture treatment, while acupuncturists insist that PTs have just given acupuncture a different name, and that they are not trained in this technique.
One acupuncturist stated that “Dry needling is acupuncture and physical therapists are practicing it without a license and putting patients at risk. Dry needling uses trigger points, 90 percent of which are acupuncture points. In many states, where dry needling is now allowed, little or no extra training is required for physical therapists to perform it on patients.”
Physical therapists dispute this, stating that dry needling is part of modern western medicine principles and that it is supported by research. If you are thinking of trying out this treatment, check with your local state laws and make sure that whoever you use is actually qualified to be practicing.
Electrical Stimulators
What Are They?
Electrical stimulators are also known as spinal cord stimulators. Spinal cord stimulation is a procedure that sends low-level electrical signals to the spinal cord in order to block pain signals from reaching the brain.
In this treatment, a needle implants a small device into the body, close to the spinal cord. A second device, known as a pulse generator (sort of like a battery), is then implanted in the upper buttock of the patient. The impulses generated by the device mask pain signals traveling to the brain.
Newer pulse generators can be recharged through the skin, while some that do not require recharging have to be replaced after a period of time. Patients can turn the current on and off, or adjust the intensity of the signals. Some provide a tingling sensation, while others do not.
Pros:
When it comes to safety, spinal cord stimulation is generally considered to be a safe procedure. Potential risks are those that generally go along with any type of surgical procedure.
As far as cost is concerned, because the science behind spinal cord stimulators is generally considered to be sound, traditional Medicare is willing and able to cover both the procedure and the hardware for those who qualify for this treatment.
Cons:
Recovery time: As with any surgery—even a minimally invasive one—the initial recovery period following spinal cord stimulation implantation can be painful. Generally patients can resume light activities after about two to three weeks, but it can take six to eight weeks for a full recovery.
Cost: Without insurance, spinal cord stimulation surgery can be very expensive. A small study published in 2009 found that the average cost to implant an SCS device in the U.S. was between $30,000 and $60,000. Just the trial can cost around $8,000!
Side effects: These can include feelings of jolting or shocking, hematomas, epidural hemorrhaging, paralysis, infection, device malfunction or migration, loss of pain relief, or pain at the implant site.
Effectiveness of Spinal Cord Stimulation For Low Back Pain:
Although spinal cord stimulation is often 50-60% effective in reducing pain, the underlying condition is left unresolved. Patients may need to work with other healthcare specialists to treat the underlying causes of their condition.
Pain relief is not guaranteed with this surgery, although success rates are improving with newer forms of this technology. Published studies of spinal cord stimulation show good to excellent long-term relief in 50 to 80% of patients suffering from chronic pain.
If you want to know more details, a review of Reddit users could give you some more information about people's personal experiences with this device.
TENS (Transcutaneous Electrical Nerve Stimulators)
What Is A TENS Unit?
A TENS unit is a battery-operated device that delivers small electrical impulses through special electrodes to reduce pain. The electrodes are attached to the skin via adhesive pads, so it is considered to be non-invasive.
With TENS treatments, electrical impulses flood the nervous system, reducing its ability to transmit pain signals to the brain and spinal cord. They also stimulate the body’s production of natural pain killers, known as endorphins (our feel good hormones).
TENS treatment has been used for conditions like:
Labor pain
Joint pain
Sports injuries
Back and neck pain
Pros of TENS Units For Low Back Pain:
Non-Invasive: Because the electrodes are attached to the surface of the skin, it is non-invasive (you don’t need surgery).
Easy To Use: The units are small and portable, making them easy to take with you. You can clip it onto your belt or put it in your pocket if you are at work.
Reduces Use Of Medications: Using TENS machines to manage pain has helped some patients reduce their use of pain medications.
Cost: You can purchase TENS units without a prescription and many are very affordable. Prices generally range from less than $100 to some of the more expensive ones that can cost over $500.
Cons:
You Need A Prescription: If you want your insurance to pay for it you will need to get a prescription from your healthcare provider.
Safety: TENS units are generally pretty safe to use, but they do carry some risks associated with their use. If the electrical current is too high, or if the electrodes are placed on the wrong part of the body the skin can get burned or irritated.
Pain relief: Sadly, pain relief is often only experienced while the device is in use. Because TENS doesn’t actually treat the underlying cause of the pain, as soon as you stop using the device, the pain generally returns. This means that if you are a chronic pain sufferer, you may find yourself needing to use the device a lot.
Tolerance build up: Over time, patients can build up a tolerance to the TENS current, decreasing its effectiveness over time. Some units try to alternate different frequencies, but it can be hard for people to know which units will work and which won’t.
This tolerance build-up can lead to consumers spending more money on units that are ultimately somewhat ineffective. Not all units are made equal and unfortunately there is very little regulation around these devices to guarantee their effectiveness.
Considerations:
People who should not use TENS units:
Pregnant women: Pregnant women should avoid using TENS in the abdominal and pelvic regions.
People with epilepsy: Applying electrodes to the head or neck of people with epilepsy may induce seizures.
People with heart problems.
People with a pacemaker or another type of electrical or metal implant.
Are TENS Units Effective For Low Back Pain?
New guidelines released by the American Academy of Neurology (AAN) state that transcutaneous electric nerve stimulation, commonly known as TENS, is not effective at treating chronic low back pain. After the literature review, the researchers concluded that “TENS is not an effective way to treat chronic pain”.
When it comes to reviewing the data, two trials that involved more than 400 patients found that TENS did not improve back-specific function status. Other research showed that there was no decrease in use of other medical services when people used a TENS unit.
A large meta analysis study also could not find any evidence to support the use of TENS in treating chronic low back pain. This is why all international guidelines for the treatment of low back pain strongly recommend against using these devices to treat chronic low back pain.
Digital Physical Therapy
What Is Digital PT?
Digital health has been making great strides in the past few years. From wearable devices and at home ECGs, to telehealth services and smart watches. It is no wonder then, that the physical therapy field has also started to investigate ways to bring their services into the homes of clients, digitally.
Many countries are experiencing provider shortages across all specialties, and the US is no exception. There are a great many clients in need of physical therapy that are unable to access services because they live in remote areas, often without a licensed practitioner nearby.
When it comes to reasons why clients can’t access much needed physical therapy services, there are a range of reasons. Sometimes client are unable to get to appointments due to time constraints, sometimes they can’t take time off work, and other times they don’t have the transportation to get to a provider, especially one that is in network with their insurance provider.
How Digital Physical Therapy Can Help Low Back Pain
These barriers to treatment have prompted those in the physical therapy industry to start trying to find ways to reach their clients in the comfort of their own homes.
Some practices have been offering video home exercises to clients through different apps, while others in Canada and New Zealand have been doing online intake appointments and even doing assessments digitally.
Physical therapy is a treatment that is recommended by the international guidelines on treatment for low back pain, so it is important that patients are able to access these treatments.
Pros of Digital PT:
Patients are seen in the comfort of their own home
Travel costs are eliminated
Patients can see therapists at their convenience
Patients don't need to arrange for caregiver services
No need to take time off work
No lengthy waiting room times
PTs are able to see clients in their home environment, learning more about their clients
Clients can take more ownership of their treatment and recovery
High success rates in treating conditions
Cons Of Digital PT:
Not all companies/countries offer these services
Not all insurance plans cover telehealth services
Technology can be unreliable (slow bandwidth for streaming services)
Not all clients are comfortable using technology
Not all PTs are trained in digital PT technology
Not all insurance plans cover physical therapy
Not all patients have insurance, which makes physical therapy very expensive. The average cost of receiving physical therapy without health insurance is now $75 to $150 per session. The actual price you pay depends on the type and severity of the injury. The standard out-of-pocket fee for a single evaluation assessment is $150.
Effectiveness Of Digital Physical Therapy For Low Back Pain:
While this is a relatively new area of treatment, there is a growing body of data to support this practice. One study in Germany found that patients who received digital physical therapy services reported a 33.3% reduction in pain, whereas the control group only reported a 14.3% reduction in pain.
The study also found that high-risk patients who had a telehealth consultation demonstrated larger decreases in pain intensity (−43.5%) compared to the control group (−14.3%).
A second study found that an app digitalizing multidisciplinary rehabilitation for the self-management of LBP reduced user-reported pain levels significantly and further research found that not only did patients’ experience of pain decrease, but their interest in surgery also decreased.
As the evidence continues to build it looks as if this is a very effective treatment for chronic low back pain.
Motion Capture Video
Motion capture technology is now being used by many physical therapy companies to analyze movement patterns in patients with low back pain.
Pros:
Provides detailed analysis of body mechanics
Helps identify movement dysfunctions
Can be used to track progress and adjust treatment plans
Cons:
May require specialized equipment
Initial setup can be time-consuming
Effectiveness:
As of 2024/2025, motion capture video has become an integral part of advanced physical therapy practices, showing promising results in improving treatment outcomes for low back pain patients.
Conclusions:
The use of new innovative technologies for chronic low back pain is only at its initial stage, but many scientists believe that this process is unstoppable, as it is happening in all the other areas of medicine and beyond.
Obviously it will be important to continue with research and clinical studies to continue to prove their effectiveness. Not only will these technologies provide new treatment options for those who suffer terribly from low back pain, but knowledge will continue to grow and allow for the optimization of some of these treatments, as well as spurring on ideas for the development of new ones.
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