The traditional method of treating low back pain involves a "fit it" approach, identifying and repairing the damaged area. However, chronic conditions like low back pain require a broader perspective. Using a progressive model like the one employed in tendinopathy rehabilitation, we can gain valuable insights into why a long-term management strategy is necessary and more effective for chronic low back pain. This understanding shift has led to the creation of rehabilitation protocols that focus on gradually loading the tendon to stimulate its recovery and adaptation. This management strategy encourages patients to actively participate in their recovery, promoting a healthier, more sustainable relationship between patients and their bodies.