Back Pain After a Car Accident: Why It Happens and How to Treat It
Back pain after a car accident often shows up a day or two later. Learn why it happens, when to worry, and how Aim High Health treats it without surgery in Denver, Aurora, and Wheat Ridge.
Quick Answer
Back pain is one of the most common injuries after a car accident, and it often shows up a day or two later, not at the scene. The force of a crash can strain muscles and ligaments, irritate spinal joints, or herniate a disc. Most cases heal with non-surgical chiropractic care, especially when treatment starts early. If you have back pain after a crash, get evaluated even if it feels minor.
- Back pain after a crash can come from muscle strain, joint irritation, or a disc injury.
- It often appears 24 to 72 hours later, once the adrenaline wears off.
- Most back injuries from accidents heal without surgery.
- Early care lowers the odds of chronic, long-term back pain.
- Med-Pay or the at-fault driver insurance usually covers treatment, so most patients pay nothing.
Your back took the hit, even if you did not feel it at first. Back pain is one of the most common reasons people come to us after a car accident, and one of the most commonly underestimated. The good news: nearly 30 years of treating these injuries tells us that most heal well with the right care, started early. Here is why your back hurts and what to do about it.
Why does my back hurt after a car accident?
A collision sends a sudden force through your spine that your body is not prepared for. That force can injure the back in several ways at once.
- Muscle and ligament strain, the most common, from the violent stretch of impact
- Facet joint irritation, where the small joints of the spine get jammed or inflamed
- Herniated or bulging discs that press on a nerve
- Spinal misalignment that keeps muscles tight and movement restricted
Why is my back pain worse a few days later?
This is normal and important. In the hours after a crash, adrenaline masks pain. As it wears off and inflammation builds, the injury announces itself, often the next morning. Feeling fine at the scene does not mean you were not hurt. It is one reason we tell people to get checked even when the pain seems minor at first.
Up to 72 hours
for pain to set in
Back and soft-tissue pain often peaks one to three days after the accident.
When should I worry about back pain after a crash?
Most back pain after an accident is muscular and treatable. A few symptoms need prompt attention.
- Pain that shoots down into your buttock, leg, or foot
- Numbness, tingling, or weakness in a leg
- Pain that is severe, constant, or steadily worsening
- Trouble standing, walking, or getting comfortable in any position
Seek emergency care for
Loss of bladder or bowel control, numbness in the groin or saddle area, or sudden leg weakness. These are uncommon but need immediate medical evaluation.
How does chiropractic care treat back pain from an accident?
We start with a full evaluation, including digital X-ray when needed, to find the source of the pain. From there, a personalized plan may include:
- Chiropractic adjustments to restore motion and relieve joint and nerve irritation
- Spinal decompression for disc-related pain
- Massage and soft-tissue therapy to release muscle guarding
- Shockwave therapy to speed soft-tissue healing when recovery stalls
- Active rehab to rebuild core strength and prevent the pain from returning
Care moves through phases: calm the pain first, restore normal movement next, then rebuild strength so the injury does not become a recurring problem.
Will I pay anything out of pocket?
Usually nothing. In Colorado, Med-Pay on your auto policy, or the at-fault driver insurance, typically covers accident-related care. We check your coverage up front, bill insurance directly, and handle the paperwork. We accept all auto insurance and work on liens and Med-Pay.
Do not wait for it to get worse
Hurt your back in a crash? Your consultation is free. Call (303) 577-2040 or book online in Aurora, Denver, or Wheat Ridge. We handle the insurance. You focus on healing. Hablamos espanol. Chung toi noi tieng Viet.

Diagnóstico Claro. Tratamiento Dirigido. Progreso Monitoreado.
Desde imágenes digitales hasta tratamiento práctico, cada paso está documentado y medido. Sin conjeturas.
Dr. James Doran, DC, Auto Injury Specialist
Doctor of Chiropractic