LOW BACK and SPINAL PAIN
Most low back and spinal pain is triggered by some combination of poor posture, overuse, muscle strain, or injury to the sacro-iliac joint, disc and interspinous ligaments and muscles that support the spine.
The causes of pain in the low back tend to add on to one another meaning that after straining muscles, you are likely to walk or move in different ways to avoid pain or to use muscles that aren't sore. This can cause you to strain other muscles that don't usually move that way.
Many experts believe that over time muscle strain can lead to an overall imbalance in the spinal structure and permanent poor posture which leads to a constant tension on the muscles, ligaments, bones, and discs, making the back more prone to future injury or re-injury.
Diagnosis
It is sometimes difficult for a physiotherapist to accurately diagnose the pain-producing structure in the spine or low back. I prefer to look at the mechanics of the spine and alignment of the vertebra and pelvic bones in the first instance as key indicators in formulating a direct treatment plan.
Analysing the mechanics of the spine can indicate the possible injuries, and in the vast majority of cases by correcting this dysfunctional alignment and bio-mechanics, pain relief can be rapid and lasting. This correction is obviously necessary for adequate soft-tissue healing.
Treatment
Treatment of spinal and low back injuries should seek to restore alignment and improve your core stability and posture ie: sitting and moving in the best way possible given your individual circumstances. In addition general fitness and reducing excess weight can also be very effective in easing back pain.
Exercises that clear muscular imbalances, and improve flexibility around the hips and lower limbs can take pressure off the back so stability of the spine can be maintained effortlessly. Ask about including an exercise regime as part of your treatment plan, this will assist greatly in strengthening and rebuilding the core muscles and reduce the risk of re-injury. |
