Amari Method / Conditions / Lower Back Pain / San Francisco
Lower Back Pain · San Francisco

Lower back pain relief in San Francisco.

Lower back pain is almost always a pelvic and hip problem. Something is working too hard because something else isn't working enough. Dr. Garrett finds where your body is out of balance and teaches you how to correct it yourself.

25+ years of clinical practice First session guaranteed San Francisco + virtual
Dr. Garrett Hewstan In session · San Francisco
Why it keeps hurting

The back is where the pain lives. But it's rarely where the problem starts.

01

The pattern nobody has explained to you

Your lower back is absorbing force that should be distributed across your pelvis and hips. When parts of your body stop doing their job, other parts overwork to compensate. That overwork becomes tightness, compression, and eventually pain. Most treatments address the back directly without asking why it's under so much load in the first place.

02

Why stretching and strengthening haven't worked

If the areas creating the problem are still out of balance, strengthening and stretching can actually reinforce the pattern. You end up with a stronger version of the same compensation. The pain keeps coming back because the root cause hasn't changed.

03

Why temporary relief stays temporary

Adjustments, injections, and massage can provide real relief. But if nothing changes the mechanical pattern loading your spine, the relief fades. The Amari Method finds both ends of the problem at once: what's overworking releases, what's underworking re-engages, and the back stops absorbing all the force.

This is exactly what your first session finds.

Book your first session — $225

First session guaranteed · In person SF or virtual

The pattern

Where lower back pain actually comes from.

The lumbar spine is the endpoint of forces traveling up from the pelvis and hips.

01 PELVIS POSITION

Your pelvis is out of position.

When the pelvis tips forward, the lower back is forced into compression with every step you take and every moment you stand. This is the most common pattern Dr. Garrett sees in people with chronic lower back pain. It's correctable, usually within the first few sessions.

02 HIPS OFFLINE

Parts of your hips have stopped working.

Sitting for hours changes the balance between the front and back of your hips. The front gets tight and overactive. The back stops engaging. When that happens, your lower back muscles take over as the primary movers, and they're not built for that job. That's where the chronic tightness and fatigue comes from.

03 PATTERN PAIN

Your spine is compensating for everything below it.

Whether your pain is from a disc issue, SI joint dysfunction, sciatica, or general tightness, the pattern driving it is identifiable. Dr. Garrett assesses how force moves through your pelvis and spine and finds the specific imbalance creating your symptoms.

What happens in your first session.

Full assessment, guided protocols, and a take-home practice. 60 minutes.

01

Assessment

Dr. Garrett assesses how your body moves. Where it's overworking, where it's shut down. He's looking at your whole body, not just the part that hurts.

02

Guided protocols

Using simple props (yoga blocks, foam rollers, gymnastic rings), Dr. Garrett guides you through protocols adapted to your body in real time. You're not lying on a table. You're moving, finding positions where your body starts to rebalance itself.

03

What changes

Most clients feel a noticeable shift during the first session. The overworked areas release. The underworked areas start to re-engage. You feel the difference before you leave.

04

Take-home practice

You leave with a short practice for what was worked on that session. About five minutes. You do it on your living room floor. It maintains the changes and keeps your body moving in the right direction between sessions.

Virtual sessions work well for lower back pain. Dr. Garrett assesses your posture and movement patterns via live video and guides you through protocols in real time. Most clients notice reduced tension and improved movement during their first virtual session.

People who came in with the same thing.

"
I thought the best I could hope for was less pain. I've never felt this at home in my body.
Sara
Sara Low Back Relief
"
I always thought a herniated disc meant surgery. Everything's changed. Huge relief.
Julian
Julian Avoided Surgery
"
I came in for back pain. I didn't expect to sleep better and stop grinding my teeth too. At 24, I didn't think I needed this kind of care.
Elise
Elise Young Professional
The guarantee

Most clients feel a difference in their first session.

Book a session with Dr. Garrett. If you don't experience noticeable relief, we keep working with you until you do, at no additional charge.

$225 · First session · San Francisco + virtual
HSA / FSA accepted · Affirm available — series as low as $108/mo

Common questions.

If something isn't here, ask on a free discovery call. Dr. Garrett answers everything before you book a paid session.

I've had back pain for years. Can anything still help?

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Chronic back pain, even decades-long, almost always has a pattern that can be improved. Your body has been out of balance for a long time, but the underlying pattern is still correctable. Many of Dr. Garrett's clients had been managing pain for 10, 15, or 20 years and found significant relief after someone finally addressed the root cause. How long you've had pain doesn't predict the outcome. The pattern does.

My doctor says I have degenerative disc disease. Does that mean surgery?

+
Not necessarily. Disc degeneration is a normal part of aging, and many people with disc changes on an MRI have no pain at all. What matters is the forces loading those discs. By correcting the balance in your pelvis and reducing the compression on your spine, it's often possible to reduce pain significantly even with structural changes present. The goal isn't to reverse the degeneration. It's to stop aggravating it.

What about SI joint pain?

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SI joint pain typically shows up as deep, one-sided pain just below the belt line, sometimes extending into the hip or upper thigh. It's caused by uneven loading, one side of the pelvis bearing more force than the other. Correcting the balance and restoring symmetrical loading resolves SI joint pain without injections or manipulation.

I have sciatica. Can this help?

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In most cases, yes. Sciatic symptoms are usually caused by compression of the sciatic nerve, either from disc pressure or tightness in the hip. Both originate from the same pelvic imbalance. Correcting pelvic position and releasing the structures compressing the nerve reduces irritation at the source. Most clients with sciatica notice leg symptoms improving alongside the back pain.

I sit at a desk all day. Is that causing my back pain?

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Almost certainly contributing to it. Prolonged sitting changes the balance between the front and back of your hips and pelvis, which changes the forces on your lumbar spine. The issue isn't sitting itself, it's what sitting does to your body's balance over time. The protocols in the Amari Method are specifically designed to counteract the effects of desk work and restore what sitting disrupts.