Lower Back Pain
1 in 6 Australians are suffering from lower back pain at any one time. It is extremely common and can absolutely negatively impact your quality of life.
The lower back is also known as the lumbar spine. It consists of five vertebrae - L1 through L5. These vertebra connect to each other at facet joints either side. In between each vertebra is an intervertebral disc, which acts like a shock absorbing pad. Behind the disc is a column in which the spinal cord sits, which is made up of lots of nerves. These nerves will exit this column at different points along the spine to supply different things, such as your pelvis or your legs.
Symptoms of lower back pain
Pain in the lumbar spine
Can be a dull ache or a catching type pain
Often aggerated by flexion (bending forwards), especially with rotation as in picking up a baby from a cot orsomething from the floor
Sometimes aggravated by extension, such as bending backwards
Can be across the whole lower back or more on one side or the other
Sometimes referral into the buttocks or into the front of the hips or even down the leg
Sometimes associated with pins and needles or numbness
Disc bulge or herniation
Poor lifting technique
Subjective assessment: We will ask you lots of questions about the hip itself, about the rest of your body, any past injuries or surgeries, about what you do each day, your exercise routine and your health in general.
Objective assessment of the lower back: We will assess how well you move and palpate the area.
Full body assessment: We will always look at the rest of your body as well, to see if there are any areas that are contributing to your lower back pain. A common area that can contribute is the ribs.
Internal examination: This is sometimes required in female patients to ascertain the location of all of the pelvic organs as well as the state of the pelvic floor.
Treatment may include
Connect therapy approach
Muscle releases and soft tissue massage to the lumbar spine
Muscle releases internally to the pelvic floor if required
Facet joint mobilisations
Muscle releases and soft tissue massage to any other part of the body that is contributing to the problem
Use of real time ultrasound for activation of deep abdominal wall (transversus abdominus) and pelvic floorpelvic floor muscles
Individualised exercise program including stretching exercises and strength training