Localized low-back pain
Pain may remain near the lumbar joints and muscles or change with specific positions and activities.
West Hollywood · Back pain & sciatica
Back Pain Chiropractor in West Hollywood, CA
Understand what is driving the pain—and what can help.
Recurring low-back pain can involve joints, discs, nerves, muscles, movement habits, and spinal alignment. Your care begins by identifying the pattern rather than applying the same treatment to every back.
Our focus Move with less strain.
Detailed evaluationDigital imaging when appropriateCBP® corrective careChattanooga DTS available
Back pain is not one diagnosis
The painful area is only part of the story.
Low-back pain may reflect joint irritation, muscular strain, altered spinal loading, a disc problem, nerve sensitivity, or a combination of factors. Sciatica adds another layer because symptoms may travel into the buttock or leg.
We connect your history, neurologic and orthopedic examination, posture, movement, and imaging when appropriate. That gives us a clearer basis for choosing care and for recognizing when referral or co-management is needed.
Explore our CBP® structural approachWhat patients often notice
Patterns help guide the examination.
How symptoms behave during sitting, standing, bending, exercise, sleep, and walking can be as useful as where they hurt.
Sciatica
Radiating pain, tingling, or numbness into the leg requires neurologic screening and careful differentiation.
Disc-related symptoms
Sitting, bending, coughing, or loading may aggravate some disc patterns, but examination is needed to interpret them.
Recurring mechanical strain
Repeated flare-ups can reflect capacity, technique, posture, recovery, or an unresolved structural pattern.
Your evaluation
Build the plan from objective findings.
The first goal is not to force a diagnosis into a treatment—it is to determine the most reasonable explanation and next step.
- 01
Listen
We review onset, recurrence, work and gym demands, sleep, prior care, imaging, and the activities you want back.
- 02
Examine
Movement, posture, orthopedic, neurologic, and chiropractic tests help narrow the likely contributing factors.
- 03
Image selectively
Digital X-rays may be used when clinically necessary to assess alignment, curves, degeneration, or other structural considerations.
- 04
Explain
We review findings in plain language and discuss care options, expected checkpoints, and alternatives.
Personalized care
Match the care to the pattern.
Some patients need mobility; others need stability, decompression, structural correction, or a coordinated combination.
Chiropractic adjustments
Targeted care may improve joint motion and reduce mechanical restriction when appropriate.
Corrective rehabilitation
Exercises are selected to improve control, strength, tolerance, and confidence rather than simply adding more movement.
Spinal decompression
Chattanooga DTS may be incorporated for appropriate disc-related or radiating symptoms after candidacy screening.
CBP® structural care
Corrective traction and posture-specific work may be recommended when alignment findings are relevant to the problem.
Objective findings
Progress should connect to real function.
Improvement is more meaningful when it shows up in the activities that matter—sitting, sleeping, training, lifting, walking, or working with greater confidence.
- Pain distribution and frequency
- Movement and neurologic findings
- Sitting, standing, and activity tolerance
- Posture and structural measures when relevant
Imaging is used only when clinically appropriate. Individual results vary.
Is this the right next step?
Start when pain keeps returning or changing how you live.
An evaluation can help when the back problem is persistent, recurrent, radiating, or difficult to manage with basic self-care.
- Low-back pain affecting work, exercise, or sleep
- Pain, numbness, or tingling into the buttock or leg
- Repeated flare-ups after sitting, driving, lifting, or training
- Known disc findings that need clinical interpretation
Clinical review
Care led by experienced West Hollywood chiropractors.
This page reflects the evaluation and treatment approach used by Dr. Sam Shirazi, DC and Dr. Ali Pourpezheshege, DC at Back to Total Health West Hollywood.
Common questions
What to know before you begin.
Can chiropractic care help every type of back pain?+
No single treatment is appropriate for every cause of back pain. We first evaluate whether symptoms appear mechanical and whether chiropractic, rehabilitation, decompression, co-management, or referral is appropriate.
Is sciatica the same as low-back pain?+
No. Sciatica generally describes symptoms traveling along the sciatic nerve distribution, often into the buttock or leg. Low-back pain can occur without nerve involvement.
Will I need X-rays?+
Not automatically. Digital X-rays are considered when your history and examination indicate that structural imaging would meaningfully affect diagnosis or recommendations.
Should I stop exercising if my back hurts?+
That depends on the diagnosis and severity. We help identify which movements can continue, which should be modified temporarily, and how activity can be progressed safely.
West Hollywood · Ready when you are
Start with answers—not assumptions.
Schedule an evaluation to understand your findings, options, and appropriate next steps.