1Low back pain is a common medical complaint to visit doctor. Low back pain affects most people at some point during their lifetimes. It is the second most frequently reported illness in the world.
Common Causes of back pain
Prolapsed intervertebral disc: Condition when disc between two vertebras that gives shock absorbing effects while spinal loading get prolapsed causing irritation to nerve.
Lumbar Spondylolosis: Degenerative condition of spine like arthritis causing mechanical pain and stiffness.
Ligament strain: Condition when ligament that connects vertebras get strained and causing pain.
Muscular Imbalance: This occurs when muscles of back are weak and a synchronized strength can also cause pain in back. Many other conditions like muscle spasm, facet joint problems, postural abnormalities can cause back pain.
Ninety percent of low back pain is mechanical. This type of low back pain is the result of overuse or straining, spraining, lifting, or bending that results in ligament sprains, muscle pulls, or disc herniations. Mechanical low back pain is the most common cause of work-related disability in persons under 45 years old. While disc problems have gotten much of the credit for low back pain, ligament injury is a more importa source of back pain. In fact, it has been reported that only 4 percent of low back pain is due to a herniated disc.
Mechanical back pain is caused by wear and tear in the parts of the lumbar spine. This type of pain is similar in nature to a machine that begins to wear out. Mechanical pain usually starts from degenerative changes in the disc. As the disc begins to collapse and the space between the vertebrae narrows, the facet joints may become inflamed. Mechanical pain typically gets worse after activity due to strain on the moving parts of the spine. Mechanical pain is usually felt in the back, but it may spread into the buttocks, hips, and thighs. The pain rarely goes down past the knee. Mechanical back pain usually doesn't cause weakness or numbness in the leg or foot, because the problem is not from pressure on the spinal nerves
Treatment options: Physiotherapy is most safe and most recommended treatment method of treating back pain treatment includes pain relieving modalities like interferential therapy, ultrasonic therapy and remedial exercises. When pain get relived its important to strengthen and develop endurance of your back muscles in order to prevent reoccurrence.
Physiotherapy is a reasonable and conservative approach to musculoskeletal low back pain, disc disease, and sciatica. Since physiotherapy is a treatment modality that provides a long term solution rather than just palliation, it should be considered in appropriate patients prior to long term pharmacotherapy or surgical intervention.
Our unique mechanical low back pain solution consists of rectifying the causative factors, correcting muscular imbalance and strengthening core muscle to prevent reoccurrence. Manual therapy approach helps to relive pain and build endurance and strength in patients suffering from chronic back pain. It includes detail assessment and evaluation of causative factors and get them resolved.
Why is low back pain so common?
The reason the lower back is so prone to trouble is not entirely clear but probably relates to the remarkable stresses placed on it over a lifetime. And although the lower back may seem simple enough (especially when it isn't causing any trouble), it has a complex anatomy that allows it to serve several basic functions:
- To protect the spinal cord
- To allow mobility of the lower back
- To provide support for the rest of the spine, allowing upright posture
- To allow attachment of many muscles, including those involved in hip motion that allow sitting, standing and walking
Regular exercises to restore the strength of your back and a gradual return to everyday activities are important for your full recovery. Your healthcare practitioner may recommend that you exercise 10 to 30 minutes a day one to three times a day during your early recovery. They may suggest some of the following exercises. This guide can help you better understand your exercise and activity program supervised by your healthcare provider.