Back Pain Physiotherapy | Move Physiotherapy Fremantle
Back pain affects 85% of the population at some point throughout their lives. It is the most common disability experienced by those under the age of 45, and the most expensive health care problem for those aged between 20 and 50 years.
At Move Physiotherapy, we understand how your back pain can impact your daily work, lifestyle and recreation, placing an incredible burden both physically and emotionally on yourself and your loved ones. Our physiotherapists are experts in back pain physiotherapy. We offer 60 minute initial assessments in order to provide a comprehensive assessment, clear diagnosis and detailed treatment plan to get you out of your pain and back to the activities you love the most.
LOW BACK PAIN FLOWCHART
The above flowchart is a basic guide for self-diagnosing your lower back pain. Please click on the picture to expand the image.
Based on the mechanism and history behind your lower back pain it aims to provide you with an insight into your potential diagnosis. However, please note that this is by no means an exhaustive list of pathologies that can result in low back pain. This flowchart is simply a guide on the most common causes of short term lower back pain, such as discogenic pain, facet joint sprains and muscle strains. It also outlines common causes of sciatica including nerve root irritations and piriformis syndrome.
It is important that if you are experiencing neurological symptoms that are extending into both legs (e.g. pins and needles, numbness, weakness) that you consult a physiotherapist or medical practitioner immediately as this may be a sign of a more sinister pathology.
If you are experiencing recurrent pain it is important to get this assessed by your physiotherapist. Minor incidents of pain should be treated as a warning sign of a potentially more significant event.
Also bear in mind, that if you are dealing with chronic/long term lower back pain, we need to shift our focus towards ‘why’ structures in your back are becoming overloaded/tight/painful. With more chronic conditions, our treatment will be aimed towards appropriate exercise rehabilitation to strengthen muscles (e.g. core or glutes) which will reduce the strain being placed onto your lower back.
Move Physiotherapy Fremantle are your experts in back pain physiotherapy. Click the link at the top of the page or follow the link here to book your appointment online.
COMMON CAUSES OF SHORT TERM LOW BACK PAIN
Discogenic back pain refers to pain which is triggered by innervated fibers of the intervertebral disc.
The symptoms of this type of injury typically include pain which is aggravated by forward bending, sitting and flexion based movements, and eased by backwards bending or extension based movements. This pain is typically experienced in the central lumbar spine however can refer pain into the buttock or leg if a disc bulge impacts on a lumbar nerve root. Bracing, coughing and sneezing can also increase pain.
Discogenic back pain is often triggered by stoop lifting, sitting in a slouched posture for a prolonged period of time or performing repetitive activities with a rounded lower back. Although the stigmatism associated with discogenic back pain is quite bad, these injuries are common and simply treated. Your physiotherapist can provide you with treatment and advice to remove your pain in a relatively short timeframe.
Your facet joint is the bone on bone articulation of the spine. These joints may also be termed your zygopophyseal, apophyseal or z-joint.
Typically, facet joint pain is sharp and catching. It is experienced on one side of the lower back and can refer into the buttock and hamstring area, but does not cause any altered sensations, pins and needles or numbness. Pain can be aggravated by movements that ‘close down’ on the facet joint, such as rotation, twisting to the affected side and extension, or movements that stretch the facet joint, such as twisting and rotating away from the affected side.
In more pronounced episodes of low back pain, a disc bulge can impact on an exiting lumbar nerve root and trigger sharp, lancating pain in conjunction with pins and needles and numbness that extends into the lower leg.
In some cases there may be a feeling of weakness in the affected leg, which can impact your walking. As with discogenic pain mentioned previously, this pain can be aggravated by bending forwards and sitting for prolonged periods, along with factors that increase intra-abdominal pressure such as coughing, sneezing and even deep breathing.
If you are suffering from nerve root pain, the sooner you can commence treatment the better your prognosis. It is also important that if you are experiencing pins and needles, numbness or weakness into both legs at the same time that you consult a medical practitioner immediately.
Your physiotherapist will combine techniques such as joint mobilisation and manipulation, in conjunction with soft tissue therapies such as massage and dry needling. You will also be given a series of stretches and exercises to be completed at home in order to get you pain free as quickly as possible. Click the image above to read more about our physiotherapy service.
Move Physiotherapy Fremantle are your experts in Dry Needling treatment, and commonly include this method of treatment in their physiotherapy sessions. Click on the image above, or follow the link for more information about our dry needling treatments.
WE CAN HELP WITH THE FOLLOWING CONDITIONS
- ‘Slipped Discs’
- Disc Bulges
- Facet Joint Pain Syndrome
- Fractures of the Lumbar Spine
- Nerve Root Compressions
- Stress Fractures of the Pars Articularis
- Hip Labral Tears (Can Manifest as Low Back Pain)
- Joint Sprains
- Muscle Strains
- Gluteal Trigger Points
- Piriformis Syndrome
FREQUENTLY ASKED QUESTIONS
Do I Need a Referral From My GP?
Your physiotherapist is a first contact practitioner. Furthermore, in many instances your GP will simply recommend that you receive physiotherapy treatment for your back pain. However, your GP can assist treatment if you require additional pain relief for your back pain.
Your physiotherapist can advise you whether attending your GP is appropriate, especially in instances where imaging studies (e.g. MRIs or CT scans) need to be taken.
Especially in instances where your pain is simply experienced in just the lower back with no referral of pain, pins and needles, numbness or weakness, we recommend that you simply book in for a physiotherapy assessment of your back pain.
Are There Instances Where I Should Go To a Doctor/Hospital?
In instances where you are experiencing pins and needles into both legs at the same time, weakness affecting both legs at the same time and constant pain with no changes in pain intensity regardless of your activity, we recommend that you consult with your GP.
In these instances, imaging studies such as X-Rays, MRIs or CT Scans are generally taken prior to commencing treatment.
I Have a Disc Bulge. Should I Be Worried?
Disc bulges are common!
Infact, a lot of the findings which are shown on imaging studies are not necessarily correlated with pain whatsoever. Take for example the following degenerative changes that are seen on completely asymptomatic subjects:
This study shows that 50% of the population above the age of 40 have a disc bulge, yet experience no pain whatsoever!
Imaging studies can actually demonstrate a number of red herrings. For this reason, we can not simply look at a scan and know exactly the source of your pain. Your physiotherapist will always perform a comprehensive assessment in conjunction with looking at your scans to determine whether your disc bulge is the source of your pain.
Why Should I Get My Back Pain Treated at Move Physiotherapy?
At Move Physiotherapy Fremantle, we consider ourselves to be experts in Back Pain Physiotherapy.
We spend longer with you during your first appointment (60 minutes compared to 30 or 40 minutes at competing clinics) in order to comprehensively assess not only the source of your back pain but also the contributing factors underlying your injury.
We also take the time to understand how your injury is impacting you, and work with you to formulate a plan to get you from pain and injury back to performing at your peak.
Our first appointment always includes treatment, whether this be joint mobilisation, massage, dry needling or simply advice.
Furthermore, if you are not happy, we offer a complete money back guarantee.