Is physiotherapy effective in treating lower back pain? 

Low back pain can be due to various reasons such as mechanical low back pain, pain due to postural dysfunction, muscle spasm, sciatic pain, degenerative disc disease, Spinal stenosis, disc herniations and many more. Physiotherapy is preferred as the first line of treatment for the lower back pain. Your doctor may refer you to a physiotherapist or you might arrange an appointment yourself in the times of severe back pain or spasm. Your physiotherapist may recommend exercises, modification in lifestyle, wide range of treatments and techniques and change in ergonomic activities which may help to improve your pain and restricted range of motion. If your back pain has lasted more than a few weeks, it’s always recommended to book and appointment with our physiotherapists. They are specialized and trained in McKenzie methods of treatments towards back injuries and have more Hands On manual therapy approach in treating the patient.  

How many sessions do I need for lower back pain treatment?

A lower back pain treatment generally requires 8 to 10 sessions depending upon the severity and the cause of the back pain. An acute low back muscle spasm or pull may need fewer sessions than a disc Herniation or nerve compression causing the back pain. On your 1st visit the physiotherapist usually does a detailed assessment followed by treatment and explains you the treatment time required to heal the problem.

When should imaging being considered?

Don’t do imaging for low back pain within the first six weeks, unless red flags are present. (Red flags include, but are not limited to, severe or progressive neurological deficits (e.g., bowel or bladder function), fever, sudden back pain with spinal tenderness, trauma, and indications of a serious underlying condition (e.g., osteomyelitis, malignancy). The majority of disc herniations will regress or reabsorb within eight weeks of onset. 

 How do I know if the low back pain is muscular or nerve related?

It’s important to know that one of the biggest differences between nerve pain and muscle pain is chronic pain. Chronic pain has long-lasting side is ongoing and constant. The damaged tissue that causes nerve pain often leads to chronic pain.

Nerve Pain

Muscle Pain

Your Registered Physiotherapist usually does a detailed assessment and discusses with you a proper management protocol.

What other treatment options do I have?

Spinal Decompression / Lumbar Traction for the spine

Corticosteroid injection

Nerve blocks around the nerve root

Back Brace for support

12% of Americans with low back pain AND depression had seen a psychologist or psychiatrist in the past year, and only 8% were prescribed cognitive behavioral therapy.