Persistent Lower Back Pain

Person with persistent lower back pain, holding their back in discomfort, illustrating the need for effective treatment options

Treatments for persistent lower back pain

Physiotherapy can be successful in the treatment of non-specific low back pain, including persistent lower back pain, and evidence of this can be found in the Australian Physiotherapy Association’s Low Back Pain Position Statement. Move Forward Physiotherapists are up to date with current research in the area of non-specific low back pain and the APA Low Back Pain Position Statement.

Research Evidence

There is evidence to suggest that physiotherapy treatment in a variety of forms can be beneficial in the treatment of acute, sub-acute and chronic low back pain. Physiotherapy assessment can often pinpoint the structures causing the pain and allow early commencement of appropriate treatment and rehabilitation to improve the condition.

Classification of Persistent Lower Back Pain

There are many classifications for persistent low back pain. Often it can be difficult to determine the exact source of the pain. Non-specific low back pain may be wide spread, diffuse, achey, or even have some sharp sensations with movement. Sometimes there may be referred leg pain when the low back pain is bad. Pain may be aggaravated by standing and walking, or bending and sitting.

Physiotherapy Treatment of Persistent Lower Back Pain

The Physiotherapist will use clinical reasoning skills to determine the likely source or causes of the non-specific low back pain. The patient may require hands on treatment to mobilise stiff joints, stretch tight tissues, and mobilise neural structures. Specific exercise prescription may be required to retrain the lumbar spine stabilising muscles and generally strengthen and mobilise the spine. Other exercises may be commenced to retrain movement patterns to take pressure off the painful structures and teach the patient to move in the most efficient manner. The physiotherapist will also encourage patient self management so the patient can be responsible for the daily completion of their exercise program to ensure the chance of re-injury is reduced.