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Lower Back Pain

The lifetime prevalence of low back pain is around 84%, and chronic low back pain around 23%.1

1. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012;379(9814):482-491. doi:10.1016/S0140-6736(11)60610-7

Low back Pain

Lower back pain is most frequently mechanical (caused by the spine, joints, and surrounding soft tissue structures), but can also be non-mechanical (referred pain from somewhere else, or due to a sinister cause, infection or an inflammatory condition).

Causes of mechanical low back pain include

  • Disc herniation
  • Muscle strains / sprains
  • Facet joint injury
  • Trauma (eg. vertebral compression fractures)
  • Structural imbalance (eg. scoliosis)
  • Overuse

Treatment of low back pain

Chiropractic treatment of low back pain is done once referred pain and systemic disease have been ruled out. Imaging is generally not needed, although xrays are sometimes done to look for bony abnormality; other types of imaging are reserved for concerning or progressing pain with certain features. Various types of analgesia have mixed evidence, while movement like yoga and self-management, with appropriate support, shows the most benefit and is generally recommended over invasive treatments.2 Spinal manipulation has shown mixed benefits in studies and may help with both acute and chronic pain.

1. Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018;98(7):421-428.

Our Chiropractic Treatments

Adjustment

This creates movement in the restricted joint in order to improve range of motion and mobility in that joint.

Mobilisation

This includes movement of joints through their range without reaching the point of adjustment.

Soft tissue therapy

  • Active release technique (ART) – applying pressure while the patient moves the affected area;
  • Pin & stretch – applying pressure to a specific point and then adding static stretch;
  • Instrument-assisted soft tissue therapy (IASTM) – scraping tools which break up fibrous muscular adhesions
  • Trigger point release.

Drop piece technique

Similar to, but lighter than an adjustment, using the chiropractic table

Percussion therapy

Applying vibration and rapid short bursts of pressure to a muscle using a massage gun.

Cupping

We use silicone cups applied to the affected muscle. Certain movements are performed by the patient with the cups in place which creates suction that stimulates blood flow in these areas.

Exercise prescription

To strengthen the surrounding musculature.

Suffering from lower back pain?

If you need assistance with your lower back pain please book an appointment and we will see how we can help you.