Back Pain

Posted January 25th, 2011 by Kirrian Steer

Back pain is one of the most common presentations to our clinic. Most cases of back pain resolve quickly and only require a couple of treatments. Only a small percentage of back problems are more serious.

The back consists of vertebrae which form the spinal column. Between each vertebra are the discs, blocks of cartilage providing shock absorption. Ligaments, muscles and tendons surround the spine providing support and stability and also controlling movement.

Most back pain presenting to our clinic is termed ‘mechanical low back pain’ associated with a sprain/strain of muscles or ligaments or dysfunction of the intervertebral joints of the spine due to some form of trauma, eg. a fall, prolonged activity (gardening), lifting heavy objects. Back pain of this nature is often acute and will resolve within a few days to weeks.

Chronic back pain which lasts for more than 3 months may be degenerative in nature.

Common back conditions include:

Ligament and Joint injury or muscle spasm: are often caused by heavy lifting or prolonged/repetitive activity (such as gardening). Pain is often experienced in the low back and you may experience some radiating pain into the buttocks or thigh. Osteopathy treatment for this complaint may reduce healing time and prevent recurrences.

Disc Bulge (also referred to as herniation or ruptured disc): the disc between the vertebrae may bulge and put pressure on or irritate the surrounding nerves. Symptoms that you may experience include back pain, leg pain, and pins and needles. Physical therapy such as osteopathy is often indicated. On some occasions an MRI maybe required to demonstrate the extent of the disc involvement.

Sciatica: is caused by pressure or irritation of the sciatic nerve. This nerve exits the spine in the lower back and travels down the leg. This is often caused by a disc bulge, muscle spasm or poor posture. Correct diagnosis is important for correct management of this complaint. Your osteopath will be able to diagnose the causative factor and treat appropriately.

Postural back pain: is one of the most common causes of back pain, often related to sleeping position, work ergonomics and standing posture. Patients suffering from this type of back pain often have weak abdominal and back muscles. Your osteopath can provide you with ergonomic advice and strengthening exercises to treat this complaint.

Degenerative changes: Wear and tear of the joints and discs can develop over time and progress gradually and may become chronic. Stiffness and muscle tightness is common with these spinal changes. Osteopathy can help with maintaining mobility in your joints by utilising muscle lengthening and joint mobilising techniques.

Osteopathic treatment for your back pain may involve joint mobilisation, soft tissue and muscle lengthening techniques. Your osteopath will also advise you on appropriate lifestyle and dietary changes and provide any specific exercises to aid in your recovery.