
🔵 Chronic Low Back Pain
Understanding the Real Background Behind Your Pain — Beyond the Lower Back Itself
Chronic low back pain is one of the most common complaints worldwide.
Many people are told
“Your MRI/X-ray shows no abnormalities”
and yet the pain continues.
This is not unusual.
Globally, nearly 80% of low back pain cases are considered “non-specific”, and by 2050 the number of people suffering is expected to exceed 800 million.
In other words, chronic low back pain cannot be explained by muscles or bones alone.
It is a complex, multi-system condition.

Why Chronic Low Back Pain Is So Difficult to Resolve
Low back pain does not simply occur because
“something in your lower back is damaged.”
More often, it develops from a disruption in whole-body coordination, including:
■ Tension in Visceral Membranes (Serosa & Mesentery)
When the membranes surrounding organs such as the intestines or liver become tense,
they reflexively alter lumbar muscle tone and restrict mobility.
■ Neuro-reflex–driven Muscle Hypertonicity
Stress in the organs → autonomic overload → persistent tightening of lumbar muscles.
■ Fascial Restrictions and Impaired Glide
The fascial network connects:
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abdomen
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diaphragm
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hips
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lower thoracic & lumbar spine
When one region loses glide, the entire chain compensates, increasing lumbar load.
■ Breathing, Posture, Movement, and Daily Habits
Shallow breathing patterns and habitual movement errors
place constant pressure on the lumbar spine and pelvis.
👉 Chronic low back pain is not just a “back problem.”
It is the result of disrupted interaction among organs, fascia, nerves, breathing, and movement.

Our Approach at Enmeidou Kurashiki
Not “forcing alignment,” but creating the conditions for your body to self-organize
We view chronic low back pain as a story of the entire body, not an isolated issue.
■ Integrated Assessment: Organs × Fascia × Nervous System
We carefully evaluate the “invisible domains” underlying chronic pain.
■ Restoring Fascial Glide (Gentle, Non-Forceful Techniques)
Rather than pressing strongly or manipulating aggressively,
we locate the points where the body naturally begins to release.
■ Rebuilding Diaphragm Function & Intra-abdominal Balance
When the diaphragm moves well, lumbar tension decreases significantly.
■ Down-regulating the Nervous System Load
We address visceral reflex patterns, autonomic imbalance,
and the overprotective responses that maintain chronic pain.
Our goal is to activate your body’s innate ability to reorganize and heal.
Chronic Low Back Pain Rarely Resolves in a Single Session
Chronic pain often develops over years.
Even if it feels lighter temporarily, old patterns tend to return.
A realistic and effective process includes:
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precise evaluation
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appropriate manual therapy
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breathwork and lifestyle improvements
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necessary movement retraining (FMT)
We work with you to create a sustainable healing pathway
—at a pace that fits your life and goals.
First Step: Identify the “Pattern” Behind Your Pain
Your pain may arise from:
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visceral tension
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fascial restriction
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diaphragm dysfunction
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autonomic stress
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sacroiliac compensation
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movement inefficiency
…or a combination. -
Correctly identifying the pattern is essential for meaningful change.
We evaluate each link: organs, fascia, nerves, diaphragm, posture, and movement
to determine the best sequence of care.
▼ For Current Patients (Members Only)
A deeper explanation of chronic low back pain—
covering the interplay of viscera, fascia, nerves, biomechanics, and autonomics—
is available in our closed, patient-only educational page.
Topics include:
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Visceral reflex assessment
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Relationship between SI joint mechanics and visceral fascia
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Interaction of posture, breathing, and lumbar pain
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Principles for building a body that resists recurrence
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