Lower Back Pain

If you’re suffering from lower back pain you’re not alone. It has been reported that more than 80% of the population will at some time in their life suffer from the disabling confines of lower back pain.

Doctors of chiropractic are well equipped in the treatment of low back pain as well as other spinal conditions. At Perth Chiro Centre we commonly see a number of factors that contribute to lower back pain;

  • overall increases in work demands
  • abnormal lower back facet joint dysfunction
  • overall decreases in physical activity
  • increases in prolonged sitting (at the computer, in the car, in front of the television)
  • deconditioned and weak lower back core stability
  • failure to seek care following injury or after painful symptoms commence
  • poor postural habits and lifting techniques
  • a history of activities (work or play) generating high levels of spinal stress

At Perth Chiro Centre we initially try and identify the cause of your symptoms. We then work out the best treatment options specific for your symptoms and life style changes.  Our whole goal is to get you a correct diagnosis to maximise benefit from treatment with minimal treatment visits. We also work with a close network of GPs, orthopaedic surgeons and other health practitioners who we can refer to if necessary.

Treatments for Lower Back Pain

Doctors of chiropractic focus on lumbar facet joint dysfunction, Sacro iliac joint dysfunction, disc degeneration and muscle imbalances which can contribute to lower back pain. At Perth chiropractic we also try to identify and try to correct poor habits and postures that can contribute significantly to lower back pain. At Perth Chiro Centre we try to;

  • Identify The Cause

The first step in treating lower back pain is to determine what has and is causing the pain. Once the causes and contributing factors are identified, a successful treatment plan can be structured to try and eliminate pain and achieve the goals of the patient.

  • Treat the Cause

Dependent on the identified cause of the lower back pain we will use different modalities to try and improve your symptoms. Our range of treatments includes;

  • Spinal and/ or limb manipulation.
  • Spinal and/ or limb mobilization.
  • Soft Tissue Therapy (e.g. Trigger Point Therapy, Dry Needling, Cross friction Massage, Graston Technique and Stretching).
  • Traction and limited traction device known as flexion distraction.
  • Active Care (Supervised Rehabilitation Exercise Programs, Home Exercises).
  • Physical rehabilitation and advice.
  • Referral to appropriate healthcare professionals for further investigations or co management as deemed appropriate.

 

  • Identify Bad Habits and Implement Changes

Another key ingredient to a successful chiropractor lower back pain treatment plan includes the learning of proper postural habits and other techniques. Proper posture is a significant factor in the health of the lower back and proper posture should always be practiced. Techniques common to daily living and work also play a major role in the development or lack of development of lower back pain. This includes proper lifting techniques, telephone techniques, avoidance of repetitive motions, and much more. We can teach you correct habits and techniques which will protect your lower back from discomfort and injury.

Other Therapies

Other manual therapies such as massage and trigger point therapy may be utilized to assist in the relaxation of paraspinal muscles and increase spinal mobility.

Back exercises are commonly prescribed to patients suffering from lower back pain. These exercises are designed to strengthen the muscles of the lower back so that they are less likely to fatigue during the day. When the muscles of the lower back are weak and fatigue easily the risk for injury is increased and the ability to maintain proper posture throughout the day is reduced.

Stretches are commonly provided to stretch the muscles of the lower back as tightness in these muscles can place increased stress on the muscles of the lower back. Exercises and stretches are unique in that they can be performed outside the office without the assistance of the doctor.

Why Us?

  • We are honest and Genuinely CARE about you and your problem
  • We are good at what we do!!!
  • We do after work hours appointments
  • Our fundamental goal is to alleviate your symptoms in minimal visits
  • We work with network of GPs and Surgeons and can bounce ideas between our network and work out what is best for our patients
  • We have HICAPS facilities so private health claims can be made instantly
  • “No Wait Policy”. All of our patients are seen immediately we don’t over schedule appointments so there is no lengthy wait in waiting room.
  • Friendly and courteous staff.
  • We are honest and evidence based
  • We do not over service
  • X Rays are only taken if actually required. We don’t x ray every patient and use the x ray as a tool to scare patients into lengthy treatment schedules.
  • We use Xrays to rule out pathology and arthritic problems. We don’t use them to look at postural stances.
  • Professional but comfortable atmosphere.
  • We have easy parking at the door
  • Large private treatment rooms.
  • Convenient location.
  • Secondary evaluations/opinions.
  • M.D. and attorney referrals.

Contact Us 

To book an appointment please call us;

Greenwood Clinic                (08) 9342 1211

Wembley Downs Clinic       (08) 9341 3002

Alternatively click here to book online.

Anatomy of the Lower Back

Lumbar Vertebrae

The lumbar spine contains 5 moderately large vertebrae which sit atop the sacrum. These bony segments act as attachments for muscles and ligaments in the lumbar spine and also encase and protect the lower spinal cord and lumbar nerve roots.

Because the lumbar vertebrae are located between the pelvis and upper torso, the degree of stresses endured by the lumbar spine are great. These abnormally high degrees of stress result in frequent lumbar facet joint dysfunction– improper motion patterns of the lumbar vertebrae which can cause pain.

Lumbar Intervertebral Discs

The lumbar discs connect adjacent lumbar vertebrae to one another and cushion the spine as well as permit motion between the individual vertebrae. As stated above, the lumbar spine is a “transitional” area between the pelvis and upper torso, thus, resulting in high degrees of spinal stress. This results in the 4th and 5th lumbar discs suffering more injuries than all other spinal discs combined.

Disc herniations in the lumbar spine are the most common causes of “sciatica”, meaning pain running down the back of the leg in the area of the sciatic nerve. Possible symptoms include pain, numbness, tingling or weakness in the legs and/or feet.

In rare cases, a lumbar disc herniation can compress the spinal nerves which provide motor control to the bowel and bladder. Although rare, if you’re having back pain and experience a loss of bowel and/or bladder control, immediate medical intervention is required. Without immediate decompression the loss may become permanent.

Lumbar Facet Joints

The facet joints in the lumbar spine allow for considerable amounts of flexion but a much lesser degree of extension and rotation. These joints must withstand large amounts of stress from the body and as a result are prone to acute and repetitive injuries and degenerative arthritis.

Facet joints are most commonly injured during movements involving a rotational or twisting component. When injured, pain is often sharp and localized to the area of the affected facet joint. Later in life, if spinal problems have been allowed to linger without appropriate rehabilitation, arthritic changes can occur.

Lumbar Spinal Nerves

The lumbar spinal nerve roots exit openings formed between adjacent lumbar vertebrae termed the intervertebral foramina or IVF. The weakest aspect of the spinal disc is unfortunately in close proximity to the IVF. Thus, disc injuries commonly result in discal materials compressing, stretching or irritating the nerve roots exiting the IVF’s.

Because the nerve roots exiting the lumbar spine innervate structures in the lower extremities, any compression, stretching or other irritation can result in numbness, tingling, pain or weakness in the leg(s) and/or feet.

Lumbar Spinal Musculature

The paraspinal muscles in the lumbar spine attach to the spinal vertebrae and pelvis to provide the torso with movement. These muscles must be strong to control the upper torso about the pelvis and thus are frequently overworked and injured. The pain associated with paraspinal muscle injury is generally a dull, boring, generalized ache in the area of the lower back.

Sacroiliac Joint

The sacroiliac joints are located between the sacrum and the ilium bones of the pelvis. These joints may also become irritated or injured resulting in lower back pain, buttock pain, and occasionally leg pain.

This condition tends to be more common in women, especially during pregnancy when hormonal changes and pressure from the forming fetus increase the stress on these joints.

Contact Us 

To book an appointment please call us;

Greenwood Clinic                (08) 9342 1211

Wembley Downs Clinic       (08) 9341 3002

Alternatively click here to book online.