Most back-pain advice stops at the scan: a disc, a bulge, a line about degeneration, and a note to rest. But those same changes show up just as often in people with no pain at all — and rest, held too long, tends to make a sensitised back worse. Drawing on pain neuroscience and years of clinical practice, this guide shows how structure, movement, breath and fear keep persistent back pain alive — and how to take the pattern apart. Twenty-three numbered practices, a quick-reference Practice Index, and a daily structure that makes recovery the default rather than the exception.
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