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A Recipe for Chronic Back Pain: Rest, Inactivity, and the Fear Loop

In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, breaks down a critical but often misunderstood issue: how prolonged rest and inactivity can quietly turn acute back pain into a chronic problem. Using a real-world example of a patient told to stop all physical activity for three months, Ryan explains why inactivity accelerates spinal instability, degeneration, and fear-based movement patterns.

 

This episode covers: 

  • Why stopping physical activity can worsen chronic back pain
  • Why “realigning” the spine without movement does not work
  • The role of muscles as the true stabilizers of the spine
  • Fear of movement and its psychological impact on pain
  • How to safely resume activity after a back spasm
  • Why walking is often the best first step in recovery
  • The difference between physical therapy and general activity
  • Why slow progress is the most sustainable progress
  • How breathing and floor-based awareness reduce pain
  • How posture, muscle balance, and movement patterns are connected
  • Why chronic degeneration does not automatically mean chronic pain

 

Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass 

 

Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.

 

Episode Chapters:

00:00:00 — Why chronic back pain often starts with the wrong response
00:04:30 — The dangerous medical advice
00:10:00 — How inactivity creates instability, degeneration, and fear of movement
00:16:30 — Why the spine needs movement, not protection, to heal
00:22:00 — Muscle atrophy and loss of control
00:28:30 — Fear avoidance: how pain becomes chronic without new injury
00:41:30 — Movement quality vs exercise quantity in back pain recovery
00:48:30 — Rebuilding stability safely after spasms or flare-ups
00:55:30 — How to resume activity without re-injuring your back
01:02:30 — Long-term recovery roadmap