
Real Solutions for Chronic Lower Back Pain | Chiropractor in Cary, NC
Hi, it’s Dr. Kosterman with Kosterman Chiropractic Center in Cary, North Carolina. Today, we’re talking about low back pain—and if you’re watching this video, chances are your back is hurting. That’s a pretty safe guess.
I want to walk you through our approach to helping patients just like you, because we treat low back pain every single day.
Our Approach: Finding the Root Cause
Our approach is a little different than most offices. We focus on finding out what’s driving the problem—what’s causing your pain—so we can address the root issue, not just cover it up.
Instead of writing a prescription for strong pain medication to temporarily block the pain, we ask:
What’s actually causing this?
From there, we build a plan to not only help you get better—but to keep you better, so this problem doesn’t keep coming back.
Step 1: Consultation & Patient History
The first step is a thorough consultation. We sit down together and go over everything:
- How and when the pain started
- How long it’s been going on
- What makes it worse or better
- What you’ve already tried
- Who you’ve seen before
I want to truly listen and understand your situation, so we can tailor care specifically to your needs and your condition.
Step 2: Comprehensive Chiropractic Examination
Next, if we determine you’re in the right place, we perform a detailed chiropractic exam.
This includes:
- Hands-on evaluation of your spine (actually feeling the problem areas)
- Checking each vertebra for dysfunction
- Range of motion testing
- Orthopedic testing to pinpoint the exact source
Many providers don’t even put their hands on you—but we do. This step is critical to identifying the problem accurately.
Step 3: Digital X-Rays (If Needed)
If necessary, we’ll take digital X-rays right here in our office.
If you already have X-rays or MRIs, we can review those. If not, we can take them instantly to get a clearer picture of what’s going on.
We’re not going to guess about your health. We want to know exactly:
- Are there degenerative changes?
- Disc issues or herniations?
- Arthritis or structural breakdown?
Then we’ll explain everything to you in simple terms.
Step 4: Case Review & Personalized Plan
Once we’ve completed your consultation, exam, and any imaging, we put everything together.
I spend a significant amount of time reviewing your case to determine:
- What’s causing your pain
- What your goals are
- The best path forward
Then we create a custom care plan based on what you want:
- Temporary relief
- Long-term correction
- Or lasting wellness
- Treatment Options We Use
As a chiropractic office, we use several tools to help you heal:
- Chiropractic adjustments
- Gentle, specific corrections to guide the spine back into proper alignment and relieve nerve pressure
- Intersegmental traction table
- Helps mobilize the spine, rehydrate discs, and improve circulation
- Electrical muscle stimulation
- Reduces pain, swelling, and muscle tension
- Non-surgical spinal decompression
- Used for both the neck and low back to relieve pressure on discs and nerves
These treatments work together to not only relieve symptoms—but to stabilize your condition long-term.
We’ve been serving this community for over 13 years, and our goal is simple:
Help you get better—and stay better for years to come.


