24 Expert Tips from a Surgery Candidate for Pain-Free Living
How I Avoided Spinal Surgery: A Complete Guide to Managing Lower Back Pain

One moment I could walk. The next, every step was excruciating. Here's how I went from being told I needed surgery to walking pain-free again—and how you can too.
This article shares all the advice I learned for managing lower-back pain—everything that helped me avoid spinal surgery. As a massage practitioner, this is the guidance I most often share with clients, especially desk workers who ask how to relieve lower back pain.
Why This Matters Now: With more people working from home, sciatica and lower back pain have become growing problems. Sitting compresses the spine and puts pressure on the sciatic nerve—and if you've experienced sciatic pain, you know it's one of the most intense pains imaginable, severely limiting your ability to walk or sit comfortably.Whether caused by pregnancy, lifting heavy weights, or prolonged sitting, lower back pain doesn't have to be permanent. This is all the advice that helped me—and many others—that I hope will help you too.
Work Adjustments
Adjustable Ergonomic Chair
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An ergonomic chair helps with lower back pain by giving your spine the right support, keeping you in a comfortable, natural sitting position. It helps you avoid slouching and reduces pressure on your back, which can stop aches and fatigue from building up when you sit for long periods. Plus, with adjustable features like seat height and lumbar support, you can tweak it to fit your body just right, making long hours of sitting way more comfortable.
Adjustable Standing Desk
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An adjustable standing desk helps with back pain by letting you switch between sitting and standing throughout the day, which keeps you from staying in one position too long. Standing more often can reduce strain on your lower back, improve posture, and give you a chance to stretch out. Plus, you can easily adjust the desk to your height, so it's comfortable whether you're sitting or standing, helping to keep your body more relaxed and less stiff.
Alternate between sitting and standing to reduce back strain and improve posture at work.
Heat Therapy
Heated Back Brace with Massage Function
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There are many back braces these days but a heated, massaging back brace is a game-changer.
It helps relieve lower-back pain by using gentle heat with soothing vibration which allows you to lightly stretch your spine. The portable design makes it easy to use at home, at work, or on the go—so you can get relief whenever you need it.
Wearable Hot Water Bottle
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Hot water bottles aren’t just for winter—they’re useful all year round for relieving lower back pain and giving you that ahh feeling. Heat therapy helps relax the muscles and ease tension.
Sleep Adjustments
Spine Support Pillow
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If you’ve been pregnant before, you probably slept on your side with a pregnancy V-pillow—but then stopped using it once you gave birth. The truth is, everyone should know the correct way to sleep for a healthy spine. Using an extra pillow to support your spine is important for keeping the natural curve in your lower back, reducing stress, and keeping it in a neutral position.
Correct positions for spinal support while sleeping:
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Side sleepers: Place a small pillow between your knees and ankles.
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Back sleepers: Place a pillow under your knees.
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Front sleepers: Place a pillow under your feet to support your spine.
I’ve recommended this to all my clients, and like me, many of them now find they can’t sleep comfortably without that extra support.
A good lumbar support pillow can make a noticeable difference, gently supporting your lower back and helping your spine stay aligned while you rest. It’s not just for bedtime—you can also use it in chairs or car seats, helping to reduce strain and make long periods of sitting or lying down more comfortable.
Foot Care
Shiatsu Foot Massager with Wireless Remote
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If you love a good foot massage like I do, I’d recommend the Shiatsu Foot Massager. With a heating function and wireless remote, it’s the ultimate foot relaxation experience. Not only does it help relieve discomfort from long hours of standing, walking, or intense activity, but it also supports reflexology principles—stimulating key points on your feet that correspond to other areas of the body, helping promote overall body wellness.
Foot Care Combo
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While soaking your feet, scrub any dry areas to help soften rough skin—especially the heels. For cracked heels, apply castor oil and lock it in with socks every night until your heels soften. The thick, nourishing oil works its magic overnight.
Pro tip: For a lighter alternative, you can use a hydrating foot lotion instead of oil. After scrubbing, cover dry or rough areas with the lotion and slip on a pair of socks to lock in the moisture. This DIY foot mask helps keep your heels soft and smooth.
Arch Support Insoles
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Flat shoes without arch support can make your ankles roll in or out, your hips start shifting to compensate, and before you know it, your lower back is taking the strain. All that misalignment can lead to aches and tension—but popping in a pair of arch-supporting insoles can help fix it.
I recently purchased these for my mum too and they've made a noticeable difference she said.
Orthopedic insoles help realign your feet, support your arches, and make walking way easier on your whole body. Of course, some shoes—mostly running shoes—come with built-in arch support, but insoles are cheaper and let you add support to any pair of shoes you own.
Gentle Exercise
Piriformis Stretch
The most effective stretch I’ve found for lower back and sciatic pain.
The piriformis is part of the glute muscles. When it becomes irritated or spasms, it puts pressure on the sciatic nerve. There are quite a few stretches you can do to relieve pain in your glutes and prevent the lower back and leg pain it can cause. The one I find easiest and most effective is the Lying Piriformis Stretch shown above.
You don’t have to do it every day, but it makes a difference when you do it every other day for just 5 minutes. I’m sure you can make time for 5 minutes every other day to help prevent lower back pain.
Pilates
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Many people swear by Pilates because it’s a great way to build core and back strength. If you struggle to motivate yourself, try following a YouTube video, joining a class, or using a Pilates kit at home I find useful—or even on the go—to help prevent that awful lower back pain.
Consistency is key. Doing just 5 minutes every other day can make a real difference. A few minutes of stretching regularly is definitely worth it to help prevent excruciating lower back pain.
Yoga
There are so many different types of yoga when you look into it - hip opening poses in particular will be great to prevent and help sciatic and lower back pain. I can honestly say that yoga heals, restores, and balances the mind, body, and soul when practiced regularly.
These are some of the most effective poses for lower back pain:
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Cat–Cow Pose (Marjaryasana–Bitilasana)
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Child’s Pose (Balasana)
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Sphinx Pose (Salamba Bhujangasana)
Extra Thick Yoga Mat
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When you do get into yoga, make sure you invest in an extra-thick yoga mat—nobody wants to feel a hard floor under their back while practicing! An extra-thick mat provides comfortable support for stretching and Pilates routines, reducing pressure on your spine and cushioning your lower back. This added support helps protect your back during poses and movements, making it easier to prevent or ease lower back pain while you exercise.
This one I've chosen has alignment marks, making it extra helpful when practicing yoga as they guide your hands and feet to maintain proper form, balance, and symmetry during poses.
Yoga Ball
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Another great tool to help lower back pain is a yoga ball. It helps with your core and flexibility. With a yoga ball you can do gentle stretches and flexibility exercises to help the lower back area.
When selecting a yoga ball, choosing the correct size is very important. As a general guideline, if you're under 5’4″, you should opt for a 55cm ball, and those between 5’4″ and 5’11” can use a 65cm ball. If you’re taller than 5’11”, a 75cm ball may be more suitable.
Checking the weight limit to ensure the ball can safely support your weight is important too.
Glute Clenching
When you’re sitting, standing, walking, or doing just about anything, clench your buttocks muscles together. Hold for 5 seconds, then relax for 5 seconds. This helps strengthen your body’s biggest muscle—the gluteus maximus in the glute complex.
The piriformis muscle is located in the glute area, near the sciatic nerve, which can cause pain that radiates from the leg down to the foot. One sign of weak glutes is lower back pain, hip pain, or knee pain. So, get clenching!
Daily adjustments
Fitbit with sedentary reminder
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In today’s digital world, it’s so easy to sit for hours at a desk without even noticing. The problem? Sitting too long makes you slouch, hunch, and forget to keep your back straight. All that pressure on your spine can lead to lower back pain, so it’s smart to take regular breaks whenever you can.
After trying a few options, I’ve found the Fitbit Inspire 3 is the best value for desk workers:
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Sedentary reminders you can set on a custom schedule
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Lightweight and super comfortable
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Tracks heart rate, sleep, stress, and activity
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Battery lasts up to 10 days (longer than Fitbit Charge 6)
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Budget-friendly—less than half the price of some other Fitbits
The Inspire 3 makes it easy to stand up and move throughout the day, helping prevent lower back pain and even giving your eyes a break from screens. Simple, effective, and it keeps you active without overthinking it.
Avoid Crossing Your Legs
This one is still a bit tricky for me, but the thought of having lower back pain motivates me to uncross my legs whenever I catch myself doing it. Crossing your legs can have several negative effects on your health—it can block your energy flow, affect your circulation, strain your joints and nerves, and even make your hips uneven.
Sitting with one leg over the other for long periods can tilt your hips, rotate your pelvic bone, create imbalances in the pelvis, and put extra pressure on your spine and knees.
Unless it’s for stretching, it’s best to avoid crossing your legs.
Avoid Heavy Lifting
Lift the right way—by bending your knees, not your back—to prevent injuries. And don’t try to be a hero lifting something heavy on your own; it’s just not worth the risk of straining your back muscles.

MSM Supplement
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If you want to reduce inflammation and support your joints naturally, a 2-month supply of MSM is my go-to recommendation.
I suggest this to most of my massage clients, and nearly everyone notices a difference. MSM (Methylsulfonylmethane) helps keep muscles and joints healthy—and honestly, it’s the only supplement I’ve taken where I’ve felt a difference sometimes within just 45 minutes.
It basically replaces nutrients we lose from overcooking fresh food, giving extra support to achy muscles and joints. If you’re going to take a supplement, this is the one I’d pick. MSM comes as powder, tablets, or capsules. I personally recommend capsules—they’re easy, taste-free, and much simpler than scooping powder every day.
Quick note: As with any supplement, check with your GP first, especially if you take medication or have any medical conditions.
Therapy
Physiotherapy
I’ve had treatments from a few different physiotherapists, but the most effective ones I’ve found are massage-based—not just those that give you exercises to do.
Don’t get me wrong, home exercises and stretches are vital for preventing pain. But one of the best physiotherapists I’ve worked with said, “How can you give people exercises to do if they can’t move their body in the first place?” That’s why massage is such an essential part of physiotherapy.
Acupressure
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Been wanting to try an acupressure session? A Yoga Acupressure Mat is a great place to start. One of my clients swears by these for overall health benefits. You can stand on it to stimulate the acupoints in your feet or use it while doing yoga.
Acupressure mats are inspired by the “mystical bed of nails,” which has been used for over 1,000 years in meditation and healing practices to restore the body.
Simply lie on it for under 20 minutes a day to help with a whole range of issues—chronic neck and back pain, sore muscles, headaches, daily stress, and even sleep problems. The pressure from the rounded points stimulates the skin, similar to acupuncture, helping the body release endorphins—the “feel-good” hormone that boosts energy and relieves pain—and oxytocin, which promotes calm and relaxation.
Since acupressure can help detox the body, it’s important to drink water afterward to support overall health and help prevent lower back pain.
Regular Massage Therapy
Book a massage
If you’ve had massage treatments before, you know the benefits of a good massage. But it can be hit-or-miss—many practitioners just stroke your muscles and run through the same routine on everyone. It does boost those feel-good hormones, but it’s not always the most effective approach. Regular massage still has amazing benefits—improving circulation, posture, and even helping with mental health conditions like anxiety and depression.
But the lower back, in particular, is a delicate area that needs the right level of pressure. Once you find a professional who can actually relieve muscular tension, regular massages are a fantastic way to reduce stress and ease lower back pain. One way I judge a good masseuse is by whether they can properly relieve pain in the lower back—since it’s delicate, it requires skill and the right touch.
If you do have the option, opt for hot stones or a lava shell treatment. The heat helps relax your muscles as mentioned earlier, and help calm the whole body and mind.
Getting a massage from someone like me, who’s experienced lower back pain and understands it firsthand, makes all the difference. If you’re in Manchester or Cheshire, book a 5-star rated massage with SpaPLUS from a therapist who knows how to target and relieve lower back tension.
Who's Got Your Back?
You do! The ultimate key to reducing and preventing lower back pain is you making time for these lifestyle adjustments.
Consistency is key!
Overusing your muscles and stress are the cause of knots, so exercising may cause muscular tension too. That's why athletes have sports massage therapy, to feel more flexible and mobile in order to continue their physical activities. Most of us see massage therapy as just a treat, but it's the body MOT we need to keep the mind and body healthy.
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Consistency matters most. Combine posture correction, heat therapy, gentle exercise and professional therapies to maintain a strong, pain-free back. You've got your back!
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