Any pain observed in and around the lower back area or lumbar area, is referred to as Low Back Pain.
The anatomy of spine consists of 4 sections, starting from neck and walking down. So, these sections include the cervical spine (neck), thoracic spine (upper back), lumbar spine (lower back) and the sacral region.
In the lumbar area, the vertebrae are separated by a disc. The lumbar spine typically curves slightly inward, which is known as lumbar lordosis.
Large muscles of the lower back support the spine and help in twisting and bending movements. Strained lower back muscles are a common cause of lower back pain.
The facet joints connect the vertebrae in the spine and allow them to extend and bend.
The two lowest sections (L5 and S1) of the lumbar spine bear the most weight and move more than the other three vertebrae. This makes these two sections the most prone to injury.
Since the lower area of the spine both, moves the most and bears the most weight, the discs in this area are more likely to herniate or degenerate which can further lead to low back ache radiating pain into the legs and feet.
The spinal cord travels from the base of the skull to the joint at T12-L1. The nerve roots of the spinal cord branch out here to form Cauda Equina. The nerve roots can be compressed by certain conditions causing radiating pain in the lower extremities which is called Radiculopathy.
Back pain commonly originates from strain, tension or injury. The frequent causes include:
Activities that can cause strain and spasm are:
Some every day activities or poor postures can also lead to low back pain. Few examples of such movements are:
Some medical conditions can lead to back pain.
Main symptoms of low back pain is an ache anywhere in the low back area, sometimes all the way down to the buttocks and legs.
Some back issues can cause pain in the other parts of the body depending on the nerve affected.
The following factors are linked to a higher risk of developing low back pain:
NOTE: low back pain can be observed more commonly in women than in men, possibly due to hormonal factors, stress, anxiety and mood disorders.
Common reasons of mechanical back pain are:
Conditions responsible for non mechanical low back pain are:
Common features include-
The diagnosis can be done in the following ways:
TESTS FOR THE ASSESSMENT OF LBP
For neurological dysfunction:
For lumbar instability:
For joint dysfunction:
Many times, it happens that it is not always the joint structure which is completely involved but it is the secondary involvement, the primary being the soft tissues. Due to the involvement of the soft tissue structures, which causes Low back pain. The back muscles, hip muscles and the thigh muscles get shortened and tensed which alters the posture, or compresses the spinal structures. In 90% cases our expert treatment helps to resolve the problem completely.
There are various advanced techniques available these days which gives a better and complete recovery from the ailment. As compared to with the conventional and traditional treatments which are available with most of the therapist, these new techniques give the best results in the long run.
In these treatments, we work on the muscles and fascia. Basically, whenever there is pain, inflammation, injury, postural imbalance, due to overstretching or over-contraction etc. result in taught band formation known as trigger points. These points are basically reducing the length of the muscle which impairs the joint function and ROM. Every muscle has a trigger point patter. We are working on the faulty biomechanics by releasing these trigger points. Releasing the trigger points results restoring the normal biomechanics, with normal ROM and joint function.
These techniques include: