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Low back pain is the leading cause of disability worldwide — and one of the most common reasons people in Pasadena and South Pasadena seek chiropractic care. At Grace Integrative Wellness Center, Dr. Kristine Troesch DC, CMT provides an evidence-based, integrative approach that combines chiropractic adjustments and corrective bodywork to address the root cause of your low back pain and get you back to the activities you love.
Whether you're dealing with a sudden flare-up or years of chronic low back pain, our boutique, doctor-led clinic offers personalized care — not assembly-line treatment. We take the time to understand your full history, movement patterns, and goals before creating your plan.








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Chiropractic spinal manipulation is among the most researched treatments for low back pain. A systematic review published in JAMA (2017) found that spinal manipulation is associated with modest improvements in pain and function for acute low back pain. A PLOS ONE review (2016) similarly found chiropractic care to be equally effective to physical therapy for low back pain, with no reports of serious adverse events. Dr. Kristine uses precise, controlled adjustments to restore spinal mobility, reduce nerve irritation, and improve biomechanical function.
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The muscles surrounding the lumbar spine — including the quadratus lumborum, hip flexors, piriformis, and gluteal muscles — often become a primary driver of low back pain when tight, inhibited, or imbalanced. Dr. Kristine's corrective bodywork targets these tissues with deep tissue techniques, myofascial release, and targeted stretching to restore proper function and take pressure off the lumbar discs and joints.
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Many low back pain cases are perpetuated by faulty movement patterns — how you lift, sit, walk, and exercise. Our movement assessment identifies these patterns, and we provide you with specific guidance to change them, reducing your risk of reinjury.
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Chronic low back pain often involves central sensitization — where the nervous system becomes hypersensitive to pain signals. Our nervous system downregulation techniques help interrupt this cycle, making the body more receptive to structural correction and tissue healing.
BOOK AN APPOINTMENTMost patients have seen multiple providers for low back pain and found partial relief at best. The reason: muscles and joints are treated in isolation. At Grace, our Integrated Alignment Session addresses both the structural (chiropractic) and soft tissue (corrective bodywork) components together — producing faster, more lasting results. Patients from Pasadena, South Pasadena, Arcadia, San Marino, and the greater San Gabriel Valley area regularly choose Grace for this reason.
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Paige, N.M., et al. (2017). Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA, 317(14), 1451–1460. https://doi.org/10.1001/jama.2017.3086
Goertz, C.M., et al. (2018). Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial. JAMA Network Open, 1(1), e180105. https://doi.org/10.1001/jamanetworkopen.2018.0105
Hurwitz, E.L., et al. (2016). Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies. PLOS ONE, 11(8), e0160037. https://doi.org/10.1371/journal.pone.0160037
Coulter, I.D., et al. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The Spine Journal, 18(5), 866–879. https://doi.org/10.1016/j.spinee.2018.01.013
Furlan, A.D., et al. (2015). Massage for low-back pain: an updated systematic review within the framework of the Cochrane Back Review Group. Spine, 40(19), 1553. https://doi.org/10.1097/BRS.0000000000001061