Back Pain

Back Pain

back-pain

What is Lower Back Pain?

Lower back pain has many causes. Eighty per cent (80%) of people will experience lower back pain at some stage of their life. It is one of the most common reasons for people missing work and seeing a doctor or physiotherapist.

Your lower back region (otherwise known as the lumbar spine) consists of five vertebrae (L1-L5). Between your vertebrae lie fibrocartilage discs, known as intervertebral discs. Your discs act as cushions between your adjacent vertebrae, while at the same time protect the spinal cord. Your lumbar spine articulates on your sacrum, which wedges into your pelvis. You will find that some authors describe lower back pain as pain arises from your lumbosacral spine.

Nerves stem from the spinal cord, which provides muscles with sensations and messages to move. Your spinal stability is through ligaments and muscles of the back, lower back and abdomen.

What Causes Lower Back Pain?

Most causes of low back pain are musculoskeletal in origin and known as non-specific low back pain. Most commonly, these back injuries reasons are from muscular strains, ligament sprains and joint dysfunction, mainly when pain arises suddenly during or following physical loading of the spine.

The good news is that you can take measures to prevent or lessen most back pain episodes. Your physiotherapist is an expert who treats and can help you to prevent low back pain.
Early diagnosis and treatment is the easiest way to recover quickly from lower back pain and to prevent a recurrence.

The causes of lower back pain are numerous but roughly fall into either a sudden (traumatic) or sustained overstress injuries.

Most people can relate to traumatic injury such as bending awkwardly to lift a heavy load that tears or damages structures. However, sustained overstress injuries are probably more common but also more natural to prevent.

In these cases, ordinarily positional stress or postural fatigue creates an accumulated microtrauma that overloads your lower back structures over an extended period to cause injury and back pain.

Common Causes of Lower Back Pain

Muscle Strains

Muscle injuries are the most common form of a back injury. Muscle fatigue, excessive loads or poor lifting postures are the most common problems. Inefficient back muscles can lead to reduced joint stabilisation and subsequent damage.

More Info about Back Muscle Pain

Ligament Sprains

Ligaments are the durable, fibrous bands that limit the amount of movement available at each spinal level. Stretching ligaments too far or too quickly will tear them with subsequent bleeding into the surrounding tissues, causing swelling and pain. Awkward lifting, sports injuries and motor vehicle accidents are prevalent causes. Just as in other regions of the body, physiotherapy hastens ligament healing and relieves pain so that you can enjoy life again as soon as possible.

More Info about Back Ligament Sprains

Bulging Discs

A bulging disc injury is a common spine injury sustained to your spine’s intervertebral disc. Spinal discs are the shock-absorbing rings of fibrocartilage and glycoprotein that separate your bony vertebral bodies while allowing movement at each spinal level, and enough room for the major spinal nerves to exit from the spinal canal and travel to your limbs.
The annulus is the outer section of the spinal disc. Your disc is mostly several multidirectional fibrocartilaginous layers. The layers are all densely packed create a wall around the glycoprotein filled jelly-like disc nucleus. A disc bulge (commonly referred to as slipped disc), can potentially press against or irritate the nerve where it exits from the spine. This nerve pinch can cause back pain, spasms, cramping, numbness, pins and needles, or pain into your legs.

More Info about Bulging Discs

Bone Injuries

You can also fracture your spine if the force involved is highly traumatic or you have a low bone density (e.g. osteoporosis).

More Info about Osteoporosis

Poor Posture

Poor posture, when sitting, standing and lifting at work, can place unnecessary stress upon your spine. Muscles fatigue, ligaments overstretch, discs stretch, and this puts spinal joints and nerves under pain-causing pressure.

More Info about Poor Posture

How Can You Prevent Lower Back Pain?

While there are no guarantees, it is well known that active individuals who regularly exercise to maintain reasonable flexibility and muscle strength to support their spine have the best chance of avoiding lower back pain.

Healthy spine postures and safe lifting techniques at home and work also reduce your risk of developing lower back pain. Feel free to discuss with your physiotherapist the specific work-postures and activities that you perform daily. They will aim to help you to understand how to position yourself and move with the lowest risk of injury.

Lower Back Pain Treatment

While lower back pain treatment will vary depending on your specific diagnosis, your physiotherapist will have the following aims.

PHASE I – Back Pain Relief & Protection

Managing your back pain is the main reason that you seek treatment for lower back pain. In truth, it was the final symptom that you developed and should be the first symptom to improve.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include ice, electrotherapy, acupuncture, de-loading taping techniques, soft tissue massage.

A course of non-steroidal anti-inflammatory drugs such as ibuprofen may also help in this phase.

PHASE II – Restoring Normal ROM, Strength

As your back pain and inflammation settles, your lower back pain may feel better. Still, you are more vulnerable to re-injury during this honeymoon period when you don’t have pain, but your muscles and ligaments are weak. During this phase, your physiotherapist will turn their attention to restoring your normal lumbar spine motion, muscle length and resting tension. They’ll then add muscle strength and endurance, proprioception, balance and gait (walking pattern).

Your physiotherapist will commence you on a lower abdominal core stability program to facilitate your important muscles that dynamically control and stabilise your lower back and pelvis. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you, specific to your needs.

PHASE III – Restoring Full Function

Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your back’s function to allow you to return to your desired activities safely. Everyone has different demands for their lower back that will determine what specific treatment goals you need to achieve. For some, it is merely to walk around the block. Others may wish to run a marathon or be a fast bowler. Your physiotherapist will tailor your rehabilitation to help you achieve your own functional goals.

PHASE IV – Preventing a Recurrence

Recurrence of low back pain can occur. The main reason is recurrence due to insufficient rehabilitation. In particular, poor compliance with deep abdominal core muscle exercises. You should continue a version of these back exercises routinely a few times per week. Your physiotherapist will assist you in identifying the best activities for you to continue indefinitely.

Other Back Pain Treatment Options

There are many treatment options that your physiotherapist will discuss with you in the treatment of your back pain. Treatment varies based upon the source of your symptoms.

Back Brace

A back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test relieves your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future.

Back braces are available from PhysioWorks o

Acupuncture

Acupuncture has been a useful source of pain relief for over 5000 years. While we do not fully understand how it works, acupuncture can assist you pain relief. Ask your physiotherapist for advice as most of our PhysioWorks physiotherapists have acupuncture training.

More info: /injuries-conditions/acupuncture/

Massage

Massage always feels lovely, plus it has terrific muscle relaxation benefits. Massage is particularly useful when muscle spasm or chronic muscle tension is present. Regular remedial massage is also a useful low back pain prevention strategy.

More info: http://bit.ly/127Uzlc

TENS Machine

TENS machines are an electronic pain relieving device that will reduce your pain and your need for pain-relieving drugs.

More info: http://bit.ly/We7r61

Posture Supports

Poor sitting posture is a common cause of sciatica. Many simple and effective products developed over time to passively assist your back support. These include Lumbar D-Roll, Bassett frames and kinesio tape.

More info: http://bit.ly/VmdBgC

Weight Loss

Your lower back needs to carry any extra kilos. Losing weight via an exercise program such as walking or swimming, plus an improved diet has to assist lower back pain sufferers. Changing your daily habits is secret. If you require advice, please ask your physiotherapist for their recommended exercise guidelines to burn your fuel or consult a dietitian to help point you in the right direction when it comes to a healthy and straightforward calorie-controlled diet.

More info: Dietitians

What Back Pain Treatment Results Can You Expect?

Most sufferers of lower back pain will recover within 4 to 6 weeks. However, this time can vary. It depends on both the nature of your injury and the treatment plan that you develop with your physiotherapist.

FAQs about Lower Back Pain

Sports Injury Management

You probably already know that a sports injury can not only affect your performance, but also your lifestyle. The latest research continues to change sports injury management considerably.  Our challenge is to keep up to date with the latest research and put them to work for you.

How we treated you last year could vary greatly to how we treat you this year. The good news is that you can benefit significantly from our knowledge.

What Should You Do When You Suffer a Sports Injury?

Rest?

Rest from painful exercise or a movement is essential in the early injury stage. "No pain. No gain." does not apply in most cases.  The rule of thumb is - don't do anything that reproduces your pain for the initial two or three days.  After that, you need to get it moving or other problems will develop.

Ice or Heat?

We normally recommend avoiding heat (and heat rubs) in the first 48 hours of injury. The heat encourages bleeding, which could be detrimental if used too early. In traumatic injuries, such as ligament sprains, muscle tears or bruising, ice should help reduce your pain and swelling.

Once the "heat" has come out of your injury, heat packs  can be used. We recommend 20 minute applications a few times a day to increase the blood flow and hasten your healing rate. Heat will also help your muscles relax and ease your pain. If you're not sure what to do, please call us to specifically discuss your situation.

Should You Use a Compressive Bandage?

Yes. A compressive bandage will help to control swelling and bleeding in the first few days.  In most cases, the bandage will also help to support the injury as the new scar tissue is laid down. This should help to reduce your pain. Some injuries will benefit from more rigid support such as a brace or strapping tape. Please ask us if you are uncertain what to do next.

Elevation?

Gravity will encourage swelling to settle at the lowest point.  Elevation of an injury in the first few days is very helpful, especially for ankle or hand injuries.  Think where your injury is and where your heart is. Try to rest your injury above your heart.

What Medication Should You Use?

Your Doctor or Pharmacist may recommend pain killers or an anti-inflammatory drug. It is best to seek their professional advice as certain drugs can interfere with other health conditions, especially asthmatics.

When Should You Commence Physio?

In most cases, "the early bird gets the worm".  Researchers have found that intervention of physiotherapy treatment within a few days has many benefits.  These include:

  • Relieving your pain quicker via joint mobility techniques, massage and electrotherapy
  • Improving your scar tissue using techniques to guide the direction it forms
  • Getting you back to sport or work quicker through faster healing rates
  • Loosening or strengthening of your injured region with individually prescribed exercises
  • Improving your performance when you do return to sport - we'll detect and help you to correct any biomechanical faults that may be affecting your technique or predisposing you to injury

What If You Do Nothing?

Research tells us that injuries left untreated take longer to heal and have lingering pain.  They are also more likely to recur and leave you with either joint stiffness or muscle weakness. It's important to remember that symptoms lasting longer than three months become habitual and are much harder to solve.  The sooner you get on top of your symptoms the better your outcome.

What About Arthritis?

Previously injured joints can prematurely become arthritic through neglect. Generally there are four main reasons why you develop arthritis:

  • Previous injury that was inappropriately treated (eg old joint or ligament sprains)
  • Poor joint positioning (biomechanical faults)
  • Stiff joints (lack of movement diminishes joint nutrition)
  • Loose joints (excessive sloppiness causes joint damage through poor control)

What About Your Return to Sport?

Your physiotherapist will guide you safely back to the level of sport at which you wish to participate.  If you need guidance, simply ask us.

What If You Need Surgery or X-rays?

Not only will your physio diagnose your sports injury and give you the "peace of mind" associated, they'll also refer you elsewhere if that's what's best for you. Think about it. you could be suffering needlessly from a sports injury.  Please use our advice to guide you out of pain quicker . and for a lot longer.

If you have any questions regarding your sports injury (or any other condition), please contact your physiotherapist to discuss. You'll find our friendly staff happy to point you in the right direction.

Acute Sports Injury Clinic

PhysioWorks has established an Acute Sports Injury Clinic at our Ashgrove, Clayfield and Sandgate practices to assist with the early assessment and management of acutely injured sports injuries.

The acute sports injury consultation fee is significantly lower than a routine assessment and treatment consultation. In most cases, your private health will cover the full cost of your full acute injury physio assessment fee.

How to Best Care for Your Sports Injury?

There is never an excellent time for an injury. But we do know that most sports injuries occur over the weekend! That's why at PhysioWorks, we have established an Acute Sports Injury Clinic at a selection of our clinics on a Monday and Tuesday.

Why Use an Acute Sports Injury Clinic?

Your Acute Sports Injury Assessment Consultation allows us to provide you with:

  • A quick and accurate diagnosis. One of our Sports Physiotherapist's or an experienced sports injury-focused Physiotherapist will confidently guide your new injury management.
  • Early acute sports injury care, professional advice and education. What to do this week?
  • Fast referral for X-rays, ultrasound or MRI scans to confirm your diagnosis.
  • Prompt referral to Sports Physicians, GPs or Surgeons with whom we work if required.
  • Immediate supply of walking boots, braces and rental crutches if needed.
  • Low-cost professional service.

Book Online Now! 24-Hours

Ashgrove Ph 3366 4221     Clayfield Ph 3862 4544     Sandgate Ph 3269 1122

sports physiotherapist brisbane

Who is a Sports Physiotherapist?

Sports Physiotherapy is the specialised branch of physiotherapy which deals with injuries and issues related to spokespeople. Practitioners with additional formal training within Australia are Sports & Exercise Physiotherapists.

What is Sports Physiotherapy?

Sports injuries do differ from common everyday injuries. Athletes usually require high-level performance and demand placed upon their body, which stresses their muscles, joints and bones to the limit.  Sports physiotherapists help athletes recover from sporting injuries, and provide education and resources to prevent problems.

Each sports physiotherapist usually has sport-specific knowledge that addresses acute, chronic and overuse injuries. Their services are generally available to sportsmen and women of all ages engaged in sports at any level of competition.

Members of Sports Physiotherapy Australia (SPA) have experience and knowledge of the latest evidence-based practice, skilled assessment and diagnosis of sports injuries, and use effective 'hands-on' management techniques and exercise protocols to assist recovery and prevent future damage. SPA members have access to the most recent advances in sports physiotherapy. You'll be pleased to know that most of PhysioWorks physiotherapists and massage therapists have a particular interest in sports injury management.

Sports Physiotherapy Brisbane

Ultimately, your safe return to sport will be determined by your sports physiotherapist, doctor or surgeon. They will take into consideration your tissue healing and how well you have progressed in your rehabilitation. Returning to sport too early can delay healing and prolong recovery and pain. Your physiotherapist will aim to speed up the process via some hands-on treatment techniques, exercises, electrical modalities, plus most importantly, strength and agility exercises to replicate your sport. Sometimes bracing or taping may allow an early return to sport. As a general rule, most soft tissue injuries and bone injuries will take at least six weeks for scar tissue to mature or your bone to strengthen. Therefore, caution is required and is best discussed with your sports physiotherapist, doctor and coach.

FAQs

Common Physiotherapy Treatment Techniques What is Pain? Physiotherapy & Exercise What Causes Post-Exercise Muscular Pain? What are the Best Core Exercises? Barefoot Running: Your MUST READ Guide to the Pro's and Con's. Can Kinesiology Taping Reduce Your Swelling and Bruising? Heat Packs. Why does heat feel so good? How Can You Prevent a Future Leg Injury? How Do You Improve Your Balance? How Does an Exercise Ball Help Back Pain? Post-Operative Physiotherapy Rotator Cuff: What is it? Sports Injury? What to do? When? What are Common Adolescent / Children Leg Injuries? What are the Early Warning Signs of an Injury? What are the Signs of an Unsupportive Pillow? What is a TENS Machine? What is Chronic Pain? What is Nerve Pain? What is Sports Physiotherapy? What to expect when you visit PhysioWorks? What's the Benefit of Stretching Exercises? When is the Best Time for a Pre-Event Massage? Why do your Joints Click? Why Kinesiology Tape Helps Reduce Swelling and Bruising Quicker

Why Do Physiotherapists Prescribe You Exercises?

The prescription of exercise appropriate to you and your injury or fitness level is one of the many professional skills of a physiotherapist. Whether you have suffered an acute injury, chronic deconditioning or are recovering from surgery, the correct exercise prescription is essential. That's why your physiotherapist's knowledge and skills will personalise your exercise dose. Your physiotherapist not only is educated in injury diagnosis but also exercise physiology or the science of exercise. This training enables your physiotherapist to assess and diagnose your injury, plus also to prescribe injury, fitness or age-appropriate activities targeted to you now.

What Exercises Should You Do?

Your exercises shouldn't be painful. Please take caution with some overzealous exercise prescribers who believe that the more painful the activity, the better. Thus simply isn't true—notably, the frail, immunosuppressed, deconditioned or post-operative person. You'll find that your physiotherapist will thoroughly examine you and prescribe a series of exercises suitable for you in quantities that will not injure you further. Please seek an exercise expert, such as your physiotherapist, when you are planning your rehabilitation.

What Happens When You Stop Exercises?

Without some simple exercises, we know that specific muscles can become weak. When these supporting muscles are weak, your injured structures are inadequately supported and predispose you to linger symptoms or further injury. You can also over-activate adjacent muscles that may lead to further damage. It is also essential to understand that even if you are "in good shape", you may have crucial but weak localised or stability muscles. When you have an injury, you should perform specific exercises that specifically strengthen the muscles around your injury and the adjacent joints. Your physiotherapist will assess your muscle function and prescribe the right exercises specific for your needs. The exercises prescribed will usually be relatively simple, and do not require any special weights equipment, and can be performed safely at home.

Would You Stop Your Daily Prescription Drugs?

Your physiotherapist will prescribe your individualised dose or exercises. They are using their professional expertise to optimise your exercise dose. Would you just stop taking your regular blood pressure medication because you were too busy or didn't think it was working? We would hope not! Exercise, when prescribed by an expert such as your physiotherapist, should be treated as your recommended dose. Just like when you don't take your blood pressure medication, you can't expect the drugs to work of you don't take it as prescribed by your health professional. So, next time you skip your "exercise dose" just remember that you are not putting your health first. If you have any questions, please contact your Physio Works physiotherapist for your best care.

Olympic Injuries

The Olympic games are the pinnacle of an athlete's career, where the fastest, strongest and elite compete for the podium finish. But just like you and me, they too suffer injuries, both career-ending and career limiting. How do they recover? In the 2008 Beijing Olympic games, out of the 9572 athletes, 1055 injuries were reported with the most common place of injury at the knee. The table below shows a grasp of the injuries sustained by athletes at the 2008 Olympic games and 2010 Winter Olympic games. Let's focus on the summer sports for the purpose of this article. If you guessed soccer, taekwondo, field hockey, handball and weightlifting as your top 5, you win the GOLD! Source: Scientific American, 2012

What're the Safest Olympics Sports?

For the risk adverse, you top 5 sports to get you to and from the Olympics are Sailing, Canoeing/Kayaking, Rowing, Synchronised swimming and diving. Having said that, I've seen all of those sportsmen and women with injuries at PhysioWorks! But the injury is not necessarily the end of your Olympic aspirations. You can see from the chart above that most athletes were able to recover and compete.

How Do Olympians Recover So Quickly?

When you’re at the elite level, you generally have an overabundance of medical assistance. You are closely monitored in terms of your daily health and any “niggles” are seen to immediately - not to mention the multiple physiotherapy sessions they can have in one day! Furthermore, they have access to state of the art medical technology which can assist diagnosis and speed up recovery. So what would be a 6-week injury for the local athlete (“Elite”) could potentially be under 4 weeks for the Olympian. They are also well in-sync with their bodies and consistently perform the recovery tasks mentioned below to ensure they are ready for their events and speed up their recovery.

What Do Olympians Do to Recover Quicker?

As mentioned earlier, a considerable portion of the Olympic athlete's recovery can be attributed to their access to medical assistance. The athlete does the training, has a natural talent, but there is also a proactive and readily available medical team behind them ensuring they stay at the top. We cannot undermine the athlete’s proactivity in performing their own recovery - regular stretching, not ignoring “niggles”, performing rehabilitation and “prehab” as prescribed. These are done so consistently but also with technical precision - not accepting poor quality.

How Do Olympians Prevent Injuries Between Events?

Competing at the Olympics isn’t a one-off event. More often than not, each sport has heats followed by a final series - sometimes even on the same day! To ensure the athletes are in their finest form to compete, they implement all the tricks of the trade - most of which we have access to! Compression gear, physiotherapy, massages, stretching, foam rollers, adequate nutrition and active recovery. Active recovery is often overlooked by the local sporting athlete but can so easily be the difference between being 80% and 100% recovered for your event. This can be done by a simple warm down jog/walk, stretching, pool recovery (water walking, light swimming) and nutrition. As the name suggests, the warm down is the opposite to the warm-up, we aim to gradually lower the heart rate and body temperature following physical activity. Simultaneously, it removes waste products created during exercise, including the dreaded Lactic Acid - which can cause cramping and tightness in muscles if it is not effectively removed. Inevitably, the tightness and soreness in muscles restricts movement and can limit the athlete's ability to perform at their top level.

What Does PhysioWorks offer that the Olympic Athletes have access to?

At Physioworks, we believe that every athlete whether competing in 5th-grade rugby or premier grade netball should have access to the same medical team services that elite athletes do. A team approach, with you at the centre, ensures your recovery from injury or event is undertaken effectively and efficiently. By offering access to physiotherapists, dietitians, massage therapists, exercise physiologists, hand therapists, acupuncturists etc as well as supplying products to potentially speed your recovery (protective equipment, compression garments, Tens machines and many other products), we are giving our patients every opportunity to ensure their quick and safe recovery. Of course, there is the body’s natural healing ability but, if we can place it in the optimal healing environment, you too can heal like an Olympian. GO AUSTRALIA!!

Private Health Insurance Rebates

PhysioWorks Physiotherapy and Remedial Massage are more affordable than you think. Your Private Health Insurance (PHI) usually pays for the majority of your treatment fees, leaving you with only a small gap payment.

However, Private Health Funds do vary their rebates payable depending upon the level of cover that you have taken. Some funds have kept up with the costs of modern medicine whereas, sadly others haven't, with rebates similar to what they were a decade ago.

HICAPS - Instant Health Fund Claims


Most health funds are members of the HICAPS instant claims system.  Swipe your health insurance card at our reception counter, and you can instantly claim your physiotherapy treatment via our online Hicaps System. Remedial Massage is claimable via Hicaps for some but not all funds. For more information, please visit Hicaps for the latest funds which can use their instant claiming system.

Private health insurance rebates are available for all of our physiotherapists. Instant claims are possible via our in-practice Hicaps system.

Third-Party Insurers

PhysioWorks practitioners are registered providers for government, Workcover and insurance companies including:

  • Workcover
  • InjuryNet
  • Australia Post; Coles Myer; Woolworths
  • Medicare
  • Department of Veterans' Affairs
  • CTP & Sports Insurers
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