Physiotherapy should be considered as treatment for back pain in the first few days of onset. It is a VERY common condition and is characterised by pain emanating from the lower back, pelvis and buttock region. The Physiotherapists at Core Body Clinic we are experts and well known for treating back pain.
It affects a staggering 85-95% of the developed world population and pain can occur at any point in a lifetime, mostly affecting the ages of 25-55 yrs. The vast majority of back pain, although painful, is actually non-life threatening with only 1-2% of all back pain accounting for serious pathology. Most of the pain types experienced by people with back pain are felt as a 'minor' niggles or 'sharp twinges', although some people are reduced to a bed ridden state. Most back pain will get better with little intervention and full recovery may be seen in a few weeks. Therapy, like Physiotherapy, can help speed the recovery process and in many cases prevent a recurrance of future back pain. Lumbago, Slipped Disc, Sciatica, Spinal Degeneration, Spinal Stenosis and Facet Joint pain are other common terms used to diagnose back pain.
Back pain can manifest in a number of different ways. A low grade ache is often complained of when sitting at the laptop for too long, or when driving a car, or sitting on the sofa. Sudden movements may elicit a sharp pain when twisting or when lifting an object. A common activity is when stooped over cleaning your teeth with this often bringing on a sudden sharp sensation.
Burning, sharp pains, spasm, and stiffness are all common complaints associated with back pain. The feeling of impending locking or weakness are other common feelings.
Pain can spread into the buttocks, backs of legs, coccyx, thighs and even abdomen. It is always best to get pain checked out by a healthcare practitioner like a physio.
Possible structures causing pain might be: Disc, facet (or zygapophyseal) joint, ligament, muscle or the pelvis (the SIJ or Sacroiliac joint). Research indicates we may never know the exact structure causing the pain in any one episode. Non-Specific Lower Back Pain is the preferred term and suggests that while painful, it may not be necessary to focus on the exact structure. At Core Body clinic we will often use a combined movements model to determine the 'most' likely structure to enable a working diagnosis. We have found this to help optimise recovery.
Physiotherapy treatments will focus on symptom relief and the cause of pain by modification of the pain drivers, removal of aggravating factors, like ergonomics (sitting habits), and educating patients about pain.
Exercise and manual therapies (like spinal manipulation or mobilisation) can help stop pain, reduce fear of movement and re-engage patients with activity. Our treatments are directed at restoring the brain's confidence of back mobility and re-conditioning of spinal movements. 'Core' exercises like 'Core' Stability regimes - are helpful in re-educating the whole body to move in an appropriate manner. Core stability is best thought of as motor control exercise where the brain and muscles are strengthened and 're-educated' to be more reactive to movement.
Treatments offered at Core Body Clinic:
Advice can also be given on:
Imaging (Xray, MRI)
Spinal joint injections (facet joint injections, Nerve Blocks).