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Low back pain is an extremely common complaint in our society today with up to 80% of the population suffering some form of lower back pain in their lifetime. There are many causes of lower back pain. Just like we can tear or strain a thigh muscle we can also injure the soft tissue in our back. This can occur through direct trauma but more commonly through placing too much stress on the structures of our back including discs, joints, ligaments and muscles.
Pain can develop gradually over a long period or come on suddenly and can be quite severe depending on the nature of your injury. Frequently acute injuries arise from lifting with poor technique, lifting beyond our physical capacities, and repetitive activities in a poor posture.
Like any other injury early treatment following a back injury involves management of inflammation present and protection of the stressed tissue.
Subsequent treatment will then depend on the nature of injury and can be quite specific to the tissue involved. For example disc strains will be managed in a slightly differing manner to that of a joint strain. Usually this will involve some hands on therapy to loosen muscle spasm and start gently mobilising any stiff structures. In nearly all cases it is important to maintain or return to normal daily and work activities as quickly as possible, but under the guidance of your physiotherapist who may suggest some initial restrictions. Research has shown that even when you still have soreness early return to activity and exercise significantly aids recovery.
It is also important to strengthen the supportive muscles around the injury as part of your rehabilitation. This has been shown to again aid recovery and is essential for individuals who suffer more severe injuries to provide the spine protection to cope with all heavy activity again. Your physiotherapist will guide you through a comprehensive strengthening program assisting you back to all normal activities.
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