Low back pain, back pain, lumbar pain, and spinal pain are all terms for the troublesome and very common condition that many of us experience at some point in our lives. Every day, physiotherapists diagnose and treat a vast number of back pain patients, and they provide a variety of treatment options to deal with this condition. Click here for more Grande Prairie Physiotherapy & Massage
Back pain is rarely a sign of a severe underlying medical problem such as cancer, infection, or arthritic disease, but the physiotherapist must be certain that he or she is dealing with a non-serious case of back pain. The physio can ask standard exclusion questions to rule out weight loss, appetite loss, prior cancer history, bowel and bladder control, rheumatoid arthritis, diabetes, asthma, night pain issues, and general feeling ill.
This subjective history informs the physiotherapist that the back problem is mechanical, meaning it is caused by current and previous pressures and strains on the spinal joints. They will then move on to the objective test, which involves looking at the patient naked. The initial assessment begins with the patient entering the room and how they sit for questioning; posture is then noted. While several postural changes are minor, some do match the overall image and improve trust in the correct clinical diagnosis.
Spinal pain normally limits the patient’s ability to perform normal movements, and this pattern of movement loss indicates the type of lumbar problem. The range of lumbar flexion is often restricted, with the lumbar spine remaining rigid and causing discomfort during the movement or at the limit. The physio also checks muscle reflexes, muscle coordination, hip ranges of motion, sacro-iliac joints, and skin sensibility in addition to the other spinal movements. The physiotherapist will palpate the spinal joints to determine the stiffness or pain responses of the lumbar parts.
The treatment objectives and plan will be developed based on the examination results, such as a joint, disc, or postural issue. Gentle exercises, pacing, reducing aggravating causes, and pain relievers can be used to treat a sore spinal joint. Stronger manual procedures and exercises to stretch out sore tissues may help a stiff spinal joint.