Understanding and Managing Low Back Pain: A Comprehensive Guide

Did you know that low back pain is the fourth most common reason for visiting a GP and the leading cause of disability amongst Australians? It is a prevalent issue that, if left untreated, can escalate into chronic conditions. Did you also know that it happens to be easily treated by a Physiotherapist when addressed early?

Types of Low Back Pain:

Separated into three distinct groups – serious low back pain, nerve root compromise and non-specific low back pain, Understanding these categories is crucial for effective treatment

1. Serious low back pain – 1% of the total number of cases

Involves conditions like cancer, fracture, or ankylosing spondylitis
If this is the case for you, your physiotherapist will guide you to the necessary next steps
Seek immediate attention if you experience unexplained weight loss, persistent fever, or pain which gets worse at night

2. Nerve root compromise – 5-10% of cases

Includes conditions like cauda equina and radiculopathy
Look out for symptoms such as shooting pain down the leg, numbness or weakness in specific areas
A physiotherapist can help to guide diagnosis and treatment for these conditions

3. Non Specific low back pain – 90% of cases

A miscellaneous group involving muscle spasms and weakness, spinal stiffness and poor muscle control
Common symptoms include localised pain, discomfort with movement and aching in the region
A tailored treatment plan with patient specific exercises and modalities will help symptoms, but also prevent reoccurrence

Treatment

One of the most common questions asked in clinic is how can I fix my back pain fast! Addressing low back pain involves a multi-faceted approach with Physiotherapists playing a pivotal role. Key treatment methods include:

1. Soft tissue therapy

This is performed within a Physiotherapy session by a trained Physiotherapist
Skilled Physiotherapists use their mastery of anatomy to target tight muscles and apply precise and necessary pressure

2. Joint mobilisation

This is also performed within a physiotherapy session
Gentle movements to free up spinal joints, reducing irritation and promoting pain free movements, are key component in physiotherapy treatment
Importantly, there is rarely a cracking of the pack involved; however, it can be incorporated based on individual preferences and comfort levels

3. Heat therapy

Easily performed at home using a heat pack or hot water bottle purchased from a local Pharmacy
This treatment is great for immediate, short-term relief and it is a great way to increase blood flow and relax stiff muscles

4. Exercise

A lumbopelvic strengthening program, tailored by a Physiotherapist, will help to address specific muscle issues
Exercise prescription is key in Physiotherapy treatment at Allied OT

The Importance of Movement: “Motion is Lotion”

A common misconception is that one should avoid activity when experiencing back pain. On the contrary, gentle activities such as walking or light exercise can be beneficial. As our resident Physiotherapist advises: “MOTION IS LOTION – within reason.” Studies show that lack of movement may worsen symptoms, so maintaining some level of activity is essential.

Understanding the nature of back pain and taking the necessary steps for its management and prevention is empowering. If you are experiencing or have experienced back pain, don’t hesitate to consult with a Physiotherapist for treatment with personalised guidance and effective solutions.