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Physiotherapy for Lower Back Pain

Posted Jul 15th, 2021 in Conditions & Treatment, General, Health & Fitness, Work & Office Health

Lower back pain is a very common experience and can range from a wild discomfort, to impossible to ignore. While this pain can often go away on its own, the best way to make sure it won't return in the future is treating it. Regardless of your lower back pain's severity, our team of physiotherapists at Motion Works Physiotherapy & Sports Injury Centre are here to walk you through how we can help you recover and prevent it from arising again.

What is lower back pain?

Lower back pain is a commons source of discomfort in people. It can be caused by a wide range of behaviours or habits, from sitting for extended periods of time to chronic health issues, poor physical fitness and improperly carrying heavy objects. When you identify lower back pain as a problem for you and ask your doctor about it, they will commonly prescribe a month-long course of physical therapy to help strengthen your body and relieve your pain. If physiotherapy isn't successful, other treatment options up to and including surgery may need to be considered.

Lower back pain comes in two varieties, localized and radiating pain. Localized pain is felt only in your lower back and in your buttocks, radiating pain can be felt down one or both of your legs and in your feet as well. Radiating pain can also manifest itself as a numbness in either leg or a tingling sensation. If you experience any of these symptoms, it might be worth looking up a physiotherapy center and inquiring about physical therapy treatments for your condition.

Risk Factors for Low Back Pain

Lower back pain can be caused by a variety of factors. Poor posture (especially during sitting - at work, home, or in the car) is a very common one.

So is tight hamstrings: when hamstrings cannot stretch enough for a forward bend, the back will take the ’stretch/load’. After a while, with repetition, this can result in a strained back. Weak core muscles are a significant risk factor too, and often require deep abdominal and spinal stabilization (Transversus Abdominis) to resolve the issue.

In other cases, if the Thoracic (rib cage and spine) is not mobile enough for rotation and sports/movements, your lower back will try to compensate. The problem in these cases is that the lower back joints only have 1 - 3 degrees of movement each, and only 5 segments (5 - 15 degrees of rotation), so this compensation can very easily lead to joint damage and injury.

Finally, it is also important to note that pain in the legs can also often be related or directly caused by problems with the back, even if you aren't actually feeling any back pain.

The long and short of it all is that where it hurts IS NOT always where the problem is, and conversely, just because you are not experiencing any back pain, it does not mean there is not an issue with your back that needs to be resolved in order to resolve pain elsewhere.

Should I Wait For My Pain To Go Away On Its Own?

The answer here is a resounding no! While lower back pain will eventually subside, if your pain is untreated it will likely flare up again later. This pain may even become chronic if it is left for long enough as the root cause of your pain continues to affect your body. The quicker you are able to get help through treatment of your back pain, the better.

Physiotherapy for your lower back help to strengthen your body and prevent you from being injured or experiencing pain again, not only dispelling your discomfort, but ensuring you have the exercises and tools to prevent it in the future. 

Kinds of Physical Therapy Treatments for Lower Back Pain

There are two general categories of physiotherapy which can be used to treat lower back pain: passive and active physical therapies. 

Passive physical therapies involved things being done to you as a patient. These can include electrical stimulation of muscles in a painful area, or clod and hot pack applied to those areas. Active physical therapies focus on specific exercises and stretches targeted at your injury or source of discomfort. In most treatment plans formulated for lower back pain, active physical therapies take the center stage.

Your physiotherapy treatment plan will be specifically targeted at the source of your pain and your needs, however most physiotherapy treatment plans for lower back pain will include manual therapy and movement exercises. Manual therapy involves your physiotherapist using hands-on techniques to loosen stiff joints and muscles in and around your spine. Movement exercises help to restore motion, flexibility and strength in your body, alleviating pain the process. These exercises will be shown and taught to you by your physiotherapist and then prescribed for you to do on your own as well. 

Physiotherapy for Lower Back Pain And Surgery

While physical therapy can often completely alleviate and prevent future lower back pain, sometimes the issues are more difficult to fix. Particularly severe instances of chronic back pain, or pain that is caused by a source which cannot be entirely addressed by physiotherapy, will need surgery to be truly alleviated. 

That being said, there is substantial evidence indicating that physiotherapy both before and after surgery of any kind improves its efficacy and quickens your recovery time. Your body will heal better if it is active and healthy. Unless there are reasons why you would not be able to do so, usually your doctor will prescribe your a treatment of physiotherapy for your lower back pain before considering surgical intervention. 

You should visit your doctor when you begin experiencing persistent lower back and speak to them before pursuing physiotherapy so they have an opportunity to assess you for causes such as a fracture or tumor, which may not require, or even inhibit the effectiveness of physiotherapeutic treatments. 

Is your lower back causing your pain and discomfort?

Our team of specially trained physiotherapists are here to help you recover.

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