Physiotherapy for Low Back Pain

Physiotherapy for Lower Back Pain

Does physiotherapy really work in getting relief from low back pain?

Low back pain is one of the most common health issues faced by people all over the world. This pain is often depressing and exhausting and physiotherapy is one of the widely acknowledged treatments for it. Today, almost every patient suffering from any type of lower back pain is advised physiotherapy for a certain time period as an initial conservative treatment option.

The role of physiotherapy for low back pain is considered to be the safest, quickest and most effective. Physiotherapy is used to decrease the back pain, increase function and teach the patient a maintenance program to prevent future reoccurrence of back problems.

Now, to know how physiotherapy helps in reducing the lower back pain, firstly we must know the causes of low back pain. Low back pain has a number of causes such as:

  • It can occur due to a trauma, repetitive poor movement patterns or inactivity.
  • Other than this, back muscle strains, ligament strains, poor posture, and bulging discs can also result in low back pain.

Now, most of the low back pains caused due to above-mentioned reasons will respond positively to physiotherapy treatment. But accurate and early assessment from a Chartered Physiotherapist is the only key method of tackling it effectively. Once a pain or injury is present for a long period of time, it becomes harder to treat it with simple physiotherapy sessions. Moreover, specific treatments are also provided depending on the causes. Depending on your particular injury, electrical stimulation, dry needling and therapeutic massage are advised and can prove to be effective.

Lastly, it is advised to get diagnosed as soon as possible. Detecting the cause of the pain at an early stage will help you get complete relief from the pain. Your physiotherapist will help in getting your low back pain reduced and will also work together with you to ensure that it doesn’t return in the future. Apart from this, it is also advised to continue the set of exercise prescribed by your physiotherapists. With an accurate set of exercise and physiotherapy session for the low back pain, you can finally get the relief from the pain.

Call Naas Physio Clinic for further advice today on: (045) 874682

Low Back Pain: Are Sit-Ups Appropriate?

Sit-Ups Not Recommended for Low Back Pain

Patients will often ask me what the best exercises to do for low back pain. Oftentimes, they fail to ask which exercises would be best to omit from the programme. If certain exercises help to relieve back pain, then there are others which may slow recovery or predispose to reoccurrence. If you suffer from low back pain and are wondering what exercises to do to help then I would suggest omitting sit-ups from your programme. Sit-ups are an extremely common exercise; however, in terms of back pain prevention & improving movement quality they are of questionable benefit.
Most people these days spend too much time sitting at a desk in a slouched position. The last thing these individuals require is to reinforce this rounded posture by performing sit-ups at home or in the gym. I often find extremely poor core stability in individuals who perform this exercise on a regular basis. Such individuals can barely hold their legs up while maintaining a neutral spine despite all the ‘core’ work the individual may be doing on a regular basis.
This overactivation of superficial abdominal muscles without activating the deep stabilising muscles can encourage the development of low back pain & instability.


Does back pain resolve itself?

Back pain is sometimes reported as having a self-limiting course. This is true in some cases; however, the incidence recurrence has been reported to be much higher than previously believed. 
Back Pain recurrence

Back Pain has High Recurrence Rate

Professor Chris Maher, a professor at the Sydney Medical School reports that “Back pain has a high recurrence rate, with roughly 50 percent of patients experiencing a recurrence within a year”.
Croft et al. (1998) collected data on this area & his findings suggest that recurrence levels may actually be higher than this. His research was ‘consistent with the interpretation that 90% of patients with low back pain in primary care will have stopped consulting with symptoms within three months.’ However most will still be experiencing pain and related disability one year later.
This highlights the importance of appropriate management & early intervention in the management of symptoms. Optimal physiotherapy management for low back pain should involve a component of exercise rehabilitation.

In a recent study published by the Cochrane Library it is reported that motor control exercise is another strategy to reduce pain and disability caused by lower back pain.