Treatment of Low Back Pain
Our treatment aims to identify and eliminate possible causes, e.g. poor posture, abnormal biomechanics. Reduce pain and inflammation, restore full range of movement, achieve optimal flexibility and strength and maintain fitness. There is no one treatment that is appropriate for all cases of low back pain. The ideal treatment regimen requires an integrated approach. The type of treatment depends, to a certain extent, on the degree of low back pain present and its irritability.
Types of treatment used by Stockport Physio are:
- Correction of predisposing factors
- Mobilisation and Manipulation
- Massage Therapy
- Dry Needling
- Neural Mobilisation
- Exercise Therapy
Correction of predisposing factors
Correction of factors causing low back pain is the most important component of the treatment programme. This may be sufficient to alleviate current symptoms and prevent recurrence. If the cause is not identified and eliminated, symptoms may persist and the likelihood of recurrence is high. In athletes, correction of abnormal biomechanics that may predispose to low back pain such as running with an excessive lumbar lordosis or lack of pelvic stability is required. Other possible causative factors include poor posture while sitting or standing, poor lifting techniques, working in stooped positions or sleeping on a bed with poor support.
Mobilisation and Manipulation
Mobilization and manipulation may have two advantageous effects on the patient with a soft tissue injury to the lumbar spine. They act to reduce pain and to restore movement to the stiff intervertebral segments detected on examination.
Abnormalities of the muscles and fascia are found in association with low back pain. The longer the low back pain has been present, the more widespread and severe are the abnormalities. Treatment is aimed at eliminating these abnormal areas of muscle tissue and, therefore, restoring normal function.
Long standing cases of low back pain are characterised by the presence of multiple active trigger points. Dry needling to inactivate these trigger points will reduce pain and muscle tightness, thus facilitating mobilization and manipulation of the underlying joints and, ultimately, exercise rehabilitation.
Abnormal neural tension is often found in patients with low back pain. Correction of joint and soft tissue abnormalities frequently results in an improvement in neural tension and in neural range of motion.
Exercise therapy is an essential component of the treatment of the patient with low back pain. Exercise therapy acts to help restore and maintain full range of motion as well as providing additional mechanical support to the low back. Exercises include stretching, range of motion, strengthening and stability exercises.
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