Lower Back Pain

Lower back pain can be one of the most debilitating conditions to live with. It is a condition that will leave you questioning what caused it, how to be able to get through your activities of daily living, and what is the best way to stop the pain. Back pain can happen at any age for a variety of reasons. As you get older you stand a higher risk of degenerative conditions affecting you. One of the most frustrating things about lower back pain is that if you don’t resolve the underlying condition the back pain is likely to reoccur.

The lower back is a complex area of the body, there are many structures involved that could be the route cause of the pain. These include the vertebrae, discs, spinal cord, back muscles, ligaments, pelvic floor muscles and the nerve roots.

Causes of Lower back pain:

With lower back pain it can be difficult for people to determine what precisely causes the condition. You have mechanical causes such as car accidents or falling, there are genetic causes such as Ankylosing spondylitis, and there is the general poor posture which leads to multiple conditions.

What are the most common conditions that affect the population?

Lower back sprains and strains:

Sprains are when you pull the ligaments of your lower back, whereas strains are where you pull the muscles of your lower back. These two conditions are very common as there is a wide variety of things that can lead to them. Such as Lifting objects incorrectly or that are two heavy, moving rapidly in awkward directions or angles, falling, car accidents etc…

Disc Bulging:

This is a condition where the discs that are the cushioning between your vertebra for some reason one or multiple ones bulge out of their normal space. The problem with disc bulging is that it can push into the nerve roots that come out on either side of your spine. If this occurs you can get neurological symptoms for Eg: burning, numbness, tingling that radiates down the leg, you can also get bowel and bladder conditions that start to form. It is important with any of these conditions that you tell your primary health care practitioner so they can determine how best to treat you.

Lower Back spinal stenosis:

This is a condition where the spinal canal that your spinal cord sits in starts to narrow. This often is a slow process that you won’t notice is happening until you start to get symptoms. The process may be far along by the time you get symptoms. The symptoms may include burning, numbness, tingling that radiates down the leg, you can also get bowel and bladder conditions that start to form, your posture can worsen as the condition progresses.

So how can a Physio help resolve lower back pain?

There are multiple different ways to treat lower back pain these include: Deep tissue massage, joint mobilizations and manipulations, dry needling, strapping, shock wave therapy, core strengthening and pelvic floor strengthening routines, stretching routines, ultrasound, laser therapy, neural tissue mobilization and the most important one being posture correction.

Nicole Fitzgerald

Physiotherapist

Coremedical

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