Here are a few guidelines to follow: You have pain during activities of daily living, movement or sport You have pain without movement You are not getting better with rest/over time You are unable to perform your movement of choice/sport without pain, but have no pain during lower intensity activities The pain doesn't need to be in your back in order to come see me You are pregnant and any of the above sound like you I often hear in my office, I should have come to see you a