Back Pain

Solutions for the commonest of aches and pains

Low back pain

Low back pain can be caused by many factors including muscle spasm, changes in the disc or facet joints, ligamentous changes and well as bone changes which may press onto the nerves.

It is important to understand in each case which factors are the major source of the problems and then create a strategy to deal with this.

Spinal stenosis

This is a narrowing of the spinal cord or channels where the nerves pass out from the spine caused by a disc bulging out of place, the facet joints becoming overly enlarged and the ligaments of the back closing down the space where the nerves should usually pass through.

Physical therapy along with prescriptive exercise is very effective at improving symptoms arising from this problem.

Treatment options or combinations

Sciatica

Sciatic pain is caused by irritation of the sciatic nerve which passes out from the spinal cord in lower back and down the leg. This can become irritated by a disc pressing onto the nerve or by the nerve getting stuck or tethered as it passes down the leg.

Physical therapy along with prescriptive exercise is very effective at improving symptoms arising from this problem.

Treatment options or combinations

Lumbar spondylolisthesis

Lumbar spondylolisthesis is a condition where one vertebrae moves slightly forwards over one below. It can be caused by age related changes in the discs or by a defect in the one or both of the supportive pars articularis bones of the spine. Typically grades 1-2 of this condition respond very well to physical therapy and especially targeted spinal exercises.

Treatment options or combinations

Facet joint disease

Facet joint disease is the term used for degenerative changes in the small joints which are the side of every level of the spine and guide and control its motion. If the body does not load appropriately through these joints then the joint itself changes and this can cause pain. Facet joints can be effectively supported through a programme of therapeutic exercise.

Treatment options or combinations

Degenerative disc disease

Degenerative disc disease is the term used to describe what happens within our spinal discs as we get older and the discs become thinner and hold less water. This process of degeneration can be helped by maintaining good strength and balance of the muscles that support the spine.

Treatment options or combinations

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