Lower Back Pain

1in 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 anatomy

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

  • Facet joint

  • Spodylolithesis

  • Arthritis

  • Sedentary lifestlyle

  • Poor lifting technique

  • Stress

  • Overload

  • Pregnancy

  • Hypermobility


  • Subjective assessment. We will ask you lots of questions about the hip itself, about the rest of your body, anypast 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 thatare 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 thepelvic 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.

  • Taping.


Sign up with to the mailing list for the latest news and updates


Suite 204/506 Miller Street
Cammeray NSW 2062
Bookings (02) 8920 9564


Suite 1/34-36 President Ave
Caringbah NSW 2229
Bookings (02) 9387 1011

Bondi Junction

Suite 904/3 Waverley Street
Bondi Junction NSW 2022
Bookings (02) 9387 1011

Byron Bay

Unit 5/ 10 Centennial Circuit
Byron Bay NSW 2481
Bookings 1300 980 348

Copyright © 2020 All Rights Reserved The Physiotherapy Clinic