Lower back pain - A familiar Problem More than 80% of us will experience some form of lower back pain within our lifetimes. It is a common problem although at times a difficult one to recover from due to the many potential causes and structures that may be involved are many. The main structure of the lower back, or lumbar spine is made up of the bones that make up the spine, the sacrum and coccyx (tailbone) at the bottom. Around the spine lie an interconnected network of muscles, ligaments, nerves and tendons which act to stabilise as well as move the parts of the spine. The spine itself is made up of the vertebral bones with discs between them that act as shock absorbers as well as allowing for movement for your spine to bend with nerves and blood vessels that distribute to the lower part of the body exiting the spine close to these discs What is causing your lower back pain? Although lower back pain is very common there are many potential causes and at times it can be difficult to specify the actual structure that may be causing the pain. Some potentially serious but relatively straight forward causes of lower back pain. These include: Discogenic low back pain. Pain coming from damage to the discs which may put pressure on the nearby nerves. Fracture. A break or crack in the bones. Spondylolisthesis. Where one vertebrae slips forward on top of the other. Osteoarthritis. A condition related to the wear of the joints. If you are experiencing any loss of bladder or bowel function, numbness, tingling or shooting pains you should see your GP or health professional as soon as possible to rule out any serious injury. In the majority of cases the causes are not considered serious. Pain often results from the inflammatory reaction in the tissues and joints and the acute reactions of the muscle and fascia. Your Health Solution Quality & professionalism, Community, Innovation, Continuous Improvement © February 2014 by Activ Therapy Pty Ltd What tests should I do? If pain isn’t settling or if a serious condition is suspected then X-rays, CT scan or MRI will help pin point the problem. In most cases your GP or therapist will perform an assessment to specify what type of lower back injury you are dealing with. An assessment will include a comprehensive history and tests of your spinal movement as well as specific tests to determine the contribution of other structures such as nerves, discs, ligaments and muscles. What if my back doesn’t improve? In a relatively small percentage of people, lower back pain will persist despite treatment. If appropriate investigations and assessment have taken place and treatment has not returned you to function then it may be appropriate to speak to your GP about further options. These could include injections or surgical procedures. Clinic Services Physiotherapy & Chiropractic Spinal manipulation Active Release Techniques What can I do to prevent and manage my back pain? The challenge for many with low back pain is not the management of acute episodes. It is often the challenge of preventing future episodes from occurring. This is where your physiotherapist or chiropractor can help. Some of the ways they can help you prevent future exacerbations include: Specific exercises to improve movement and strength. Education regarding posture and lifting techniques. Advice on modifying problematic activity. Management of secondary issues that may lead to back pain such as hamstring flexibility, weight management, foot posture and gluteal function. Most importantly, pay attention to your symptoms and see your health practitioner if they persist. Post-surgery rehab Sports injury Work injury Dry needling Kinesio-taping Postural analysis Sports taping Casting Visit our Website to find out about other conditions & treatment techniques www.Activtherapy.com.au Your Health Solution Quality & professionalism, Community, Innovation, Continuous Improvement Like Activ Therapy on Facebook © February 2014 by Activ Therapy Pty Ltd