Treatment of Low Back Pain
The treatment of low back pain at Agility Physiotherapy & Exercise Physiology is evidence based, in line with guideline based care and multi-modal. We treat disc-related low back pain, low back pain with leg pain, sciatica, muscle tension and tightness, central and lateral recess stenosis, and radicular and radiculopathy nerve pain.
Lumbar disc herniation, protrusion and/or bulging
Sometimes called a "slipped" or "ruptured" disk, a herniated disk most often occurs in the low back (lumbar spine) and often the intervertebral disc's outer ring may bulge, crack, or tear. Some herniated discs cause no symptoms, whilst others can irritate nearby nerves and result in diffuse low back pain, morning pain and stiffness and symptoms of sciatica including numbness or weakness in a leg.
Acute low back pain
Acute, or short-term low back pain lasts only a few days to a few weeks. Most low back pain is acute and it can resolve on its own within a few days, often if the pain is irritable and constant physiotherapy treatments that focus on pain, joint stiffness and muscle tightness can be helpful. In some cases a few months are required for the symptoms of acute low back pain to disappear. Read more.
Chronic low back pain
Chronic low back pain is defined as pain that continues for longer than 12 weeks, even after an initial complaint or injury of acute low back pain has been treated. About 20% of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year and much of the research supports active interventions.
Low back pain and sciatica
Sciatica is often described as mild to intense low back pain that travels down the leg and beyond the knee, it can also be referred to as low back pain with radicular symptoms. Sciatica is caused by irritation or compression of one or more of the 5 sets of nerve roots in the lower back and symptoms of sciatica include paraesthesia- pins and needles, tingling, burning, numbness or weakness in the leg. Read more.
Facet joint low back pain
The lumbar zygapophyseal joints, otherwise known as facet joints, is a common generator of low back pain. Degenerative changes begin with cartilage degradation, leading to the formation of erosions and joint space narrowing and may present as unprovoked insidious low back pain. The low back pain is localised over the low back area with a non-dermatomal referral pattern. If there is referred pain it is typically around the buttock and thigh and is rarely felt below the knee. Read more.