Lower Back Pain

Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. Pain can vary from a dull constant ache to a sudden sharp feeling. The symptoms of low back pain usually improve within a few weeks from the time they start, with 40-90% of people completely better by six weeks with our treatment methods.

Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks).

The condition may be further classified into three areas;

1. Mechanical pain: is the general term that refers to any type of back pain caused by placing abnormal stress and strain on muscles of the vertebral column. Typically, mechanical pain results from bad habits, such as poor posture, poorly-designed seating, and incorrect bending and lifting motions. Mechanical pain may include pain from nonspecific musculoskeletal strains, herniated discs, compressed nerve roots, degenerative discs or joint disease, and broken vertebra.

2. Nonmechanical back pain: Back pain caused by tumours, inflammatory conditions such as spondyloarthritis.

3. Referred Pain: is usually felt in the low back area and tends to radiate into the groin, buttock and upper thigh. The pain offers involves the nerves of the lower lumbar or sacrum. An injury to any of these structures can cause pain to radiate – or be “referred” – to any of the other structures.

We will provide you with a clear understanding of your:

Diagnosis (exactly what the pain is)

Prognosis (how long it will take to get better)

Treatment Plan (how you will get better).

 

Sole Therapy Podiatrist’s can help back pain with modalities such as;

  1. Orthotic therapy to help correct faulty foot posture. Our orthotics balance out your feet to your hips so spinal health improves. They also strengthen foot posture and core with every step.

  2. Exercise Rehabilitation Therapy to help core stability

  3. Dry needling, Western Acupuncture and Soft-Tissue Therapy

  4. Rocker Bottom Cushioned Rehabilitation shoes

  5. Referral to other trusted allied health experts.

MOST COMMON CAUSES OF LOWER BACK PAIN

SCIATICA

Sciatica is a medical condition characterized by pain going down the leg from the lower back. This pain may go down the back, outside, or front of the leg. Onset is often sudden following activities like heavy lifting, though gradual onset may also occur. Typically, symptoms are only on one side of the body.

LOWER BACK MUSCULAR STRAIN

Lower back muscle strain symptoms include localized lower back pain and tenderness, pain that is intensified with movement, and usually on rest results in stiffness.

DEGENERATIVE (or bulging) DISC PROBLEMS

Degenerative bulging discs are sometimes linked to degenerative disc disease, a condition common with aging. As we age, the wear and tear from a lifetime of physical activity causes certain components of the spine to deteriorate.

LUMBAR SPINAL STENOSIS

Lumbar spinal stenosis (LSS) is a medical condition in which the spinal canal narrows and compresses the spinal cord and nerves at the level of the lumbar vertebrae. This is usually due to the common occurrence of spinal degeneration that occurs with aging.

L4-S1 NERVE ROOT PROBLEMS

The most common place for a disc to herniate is at L4-L5 or L5-S1 because of the amount of weight these segments carry and due to their range of motion. When the disc herniates, the inner portion leaks out and touches the nearby nerve root, causing pain to radiate in the lower back and down the legs.

SIJ (Sacroiliac Joint) DYSFUNCTION

SI joint irritation is a common cause of low back pain. Dysfunction in the sacroiliac joint, or SI joint, is thought to cause low back and/or leg pain. The leg pain can be particularly difficult, and may feel similar to sciatica or pain caused by a lumbar disc herniation

LOWER BACK CONDITIONS WE TREAT

SCOLIOSIS & SPINAL CURVE

Scoliosis is a condition in which the spine is bent abnormally, either to the right or to the left. If left untreated, the condition can lead to serious damage.

PELVIC TILT

Pelvic tilt is the orientation of the pelvis in respect to the thighbones and the rest of the body. The pelvis can tilt towards the front, back, or either side of the body. Anterior pelvic tilt leads to poor posture which will increase the risk of knee pain, lower back pain/injuries, and other musculoskeletal disorders.

NUMBNESS/TINGLING IN THE FEET

Numbness and tingling sensations in the toes is referred to as paresthesia of the toes. Numbness of the toe can occur because of injury to the foot, nerve damage in the spine, and poor circulation or neuropathy to the foot (such as with diabetes and peripheral vascular disease)

LEG LENGTH DIFFERENCES

A common biomechanical factor associated with lower back, hip or knee pain, which is often overlooked, is anatomical leg length in equality and is the difference in actual bone and joint length of the legs. Leg length plays a significant role in the normal posture of our body as it ensures that our pelvis is level. It is normal to have a small difference in the lengths of each leg, however a difference greater than 5mm is considered significant and can be a causation factor of lower back pain.

PELVIC ROTATION

Pelvic torsion means that one side of the hip is more rotated than the other. It can either be rotated forwards or backwards in relation to each other. Symptoms include low back pain that is localised, buttock pain on one side, back pain that shoots into the ankle or the foot, a more exaggerated spinal curve (scoliosis).

DECREASED MOBILITY AND MUSCLE WEAKNESS

Poor posture places strains on all elements of the body — the joints, muscles, and ligaments. Pregnancy changes posture and can lead to lower back pain as well as loosing less mobility as we age. Weight gain and lifestyle factors can also influence muscles and joint weakness.