Low Back Pain

Signs and Symptoms

Low back, or lumbar spine, pain is very common with 70% of the general population experiencing back pain at some stage in their lives.

There are many causes of back pain, most common to present to physiotherapy is an injury to the soft tissue, namely muscles, ligaments, fascia, the facet joints of the vertebra or the disc itself. The nerve roots at each level can be compressed by extruded disc material causing referred pain into the leg and in serious cases muscle weakness and sensory loss.

At Bray Physiotherapy, we take a thorough history to determine the exact location of the pain, it’s aggravating and easing factors and mechanism of onset. A physical examination includes assessment of movement, detection of spasm, stiffness, pain and tenderness in the muscles and joints of the comparable area. A neurological examination is performed if nerve root irritation is described.

Our Treatment & Expertise

The aim of our treatment is to reduce pain, restore movement and function, minimise muscle wasting and to restore our patient to a fully functioning pre-injury state as quickly as possible. We place a huge emphasis on a” Hands-On” approach including massage, manual therapy, and personalised exercise prescription. Electrotherapy including therapeutic ultrasound and interferential therapy helps to reduce inflammation and pain; dry needling or acupuncture can also be used.

Having identified the cause and nature of the problem we aim to correct dysfunction and educate patients to prevent recurrence. If poor posture at home or at work has contributed, we include a postural assessment and offer advice to change the faulty ergonomics of sitting, standing or lifting.

Exercise therapy is a vital component to the treatment of the patient with low back pain. Exercises will restore full range of motion and provide stability to the area as it is healing. A home exercise programme is provided and encouraged, and return to full fitness is desired.