Physiotherapy treatment for Back Pain
What causes Lower Back Pain
Low back pain may be caused by a sprain of a ligament or muscle or it may be due to a minor problem with the disc, joints or other soft tissues structures in the lower back. It is usually impossible to say exactly where the pain is coming from, or exactly what is causing the pain.
To some people, not knowing the exact cause of the pain is unsettling. However, what we do know is that the majority of people with low back pain do not have a serious problem or disease of the back or spine and that about 80 per cent of people experience low back pain at least once in their lifetime.
How is it diagnosed?
Diagnosis is usually made from a patient's history and a simple examination if required. Tests such as MRI scans are rarely needed for pain localized to the low back area only and may be advised only if there are symptoms to suggest that there may be a serious underlying cause for the symptoms.
Seven golden rules of back pain management
Keep moving: Your back is designed to move – studies show that longer periods of rest and avoiding activity actually leads to more pain, longer recovery times and longer time off from work.
Keep living and working normally
Avoid bed rest during the day
Exercise: This might make your back feel a bit sore at first but it doesn't cause any harm. Start off slowly and gradually increase the amount you do. Over time, your back will get stronger and more flexible and this should reduce your pain.
Don't sit down for too long
Don't be afraid to take simple painkillers in order to return to your usual. Pain medication such as paracetamol and ibuprofen or anti-inflammatory gels may be helpful to control the pain and allow you to continue exercising. Discuss this with your GP or pharmacist.
Stay active and remember to reintroduce activities
Are there any signs or symptoms to be concerned about?
Low back pain is rarely a sign of a serious problem, however if you experience the following complaints you should seek urgent help via your nearest emergency department for urgent assessment.
Inability to pass urine when you feel the need to go
Inability to stop a bowel motion or leaking
Numbness in or around your back passage, buttocks or between your inner thighs
A change in ability to get an erection
Have pain in both legs and/or worsening weakness in the legs