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 a prolonged sitting (at the computer, in the car, in front of the television)
- De-conditioned and weak lower back core stability
- Failure to seek care following an injury or after painful symptoms commence
- Poor postural habits and lifting techniques
- 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 specifically for your symptoms and implement lifestyle changes. Our whole goal is to get you a correct diagnosis to maximize 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, Sacroiliac 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 lower back pain treatment 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 is 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 practised. 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 the correct habits and techniques which will protect your lower back from discomfort and injury.
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. We are trained in dry needling and Graston Technique.
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. Stretches and exercises for lower back pain are unique in that they can be performed outside the office without the assistance of the doctor.
We Have Flexion Distraction Tables
The secret to managing sciatica and back pain related to a herniated disc is the chiropractic technique called Flexion Distraction.
This leading form of non-surgical disc injury management is now available at Perth Chiro Centre.
Flexion Distraction is an advanced, traction based therapy commonly used to manage the symptoms of disc injury, and various other low back complaints with great success. It is a very effective, safe, gentle, non-force, and non-surgical procedure used for sciatica pain treatment.
Among different chiropractic techniques, Flexion-Distraction is superior in managing herniated discs and sciatica.
Anatomy of the Lower Back
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 is 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.
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 and what causes back pain in women. It happens during pregnancy when hormonal changes and pressure from the forming fetus increase the stress on these joints.
To book an appointment please call us;
Greenwood Clinic (08) 9342 1211
Wembley Downs Clinic (08) 9341 3002
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