The lower back is a complex structure composed of the vertebrae (the back bones), the nerves which leave the spinal cord at that level, ligaments, muscles and other soft tissues. The back provides support, movement and protects important structures such as the spinal cord. The vertebrae (the lumbar ones at that level) articulate with each other via the facet joints at the back, and are also separated from each other by a cushion, or shock absorber called the intervertebral disc. They are held together by various ligaments, and form the site of attachment of the back muscles. Nerves exit at the side of the backbone at every level. Lower back pain means a back pain roughly between the bottom of the ribs and the top of the legs at the back. Importantly, the pain often radiates to the buttocks, and sometimes further down the leg and even to the foot. When back pain is combined with pain into the leg, traveling down below the knee, it is referred to as sciatica, because the nerve roots of the sciatic nerve at the back are being irritated by pressure on it. There are many mechanisms of back pain , but the most common one is called 'mechanical' back pain or vertebral dysfunction. Vertebral dysfunction occurs due to malalignment between the lumbar vertebrae at the facet joints and/or intervertebral discs. The small degrees of disarticulation are not gross enough to be seen on an x ray but cause painful muscle spasms and sometimes nerve impingements which contribute to symptoms.
Approximately 80% of individuals will experience an episode of lower back pain at some time during their life. Lower back pain is the fifth leading reason for patients visiting a doctor and the leading cause of work-related disability. However, the underlying cause is usually not serious and may not even be identified by the doctor. It is important to approach a spinal specialist like the chiropractors at Perth cbd chiropractic clinic (formally central city chiropractors) Clinic in order to get a firm diagnosis and a treatment plan that will reduce the risk of a reoccurrence in your back injury.
Low back pain is most common in patients between the ages of 20 and 40 years but can be more severe and disabling in elderly patients. Fortunately however, the majority of patients suffering back pain will recover and only 5% go on to develop a chronic condition. Back pain is associated with huge economic costs through medical expenditure and loss of worker productivity.
Men and women are equally affected by lower back pain but the underlying causes of the pain may differ. Women suffer back pain during pregnancy and menstruation or from conditions such as osteoporosis (bone thinning) or osteoarthritis (joint destruction) which are correspondingly more common in females.
Men may be more likely to suffer lower back pain secondary to trauma from sporting or labor-intensive work activities.
At Perth cbd chiropractic clinic (formally central city chiropractors) Clinic we not only believe in treating the symptoms of your back pain, but we also believe in getting to the real cause of the cause of your back pain in order to reduce the risk of a second episode occurring.
Time and time again we see patients at clinic with a history of recurrent episodes of minor back pain over the last few years. It is left to get better on its own, which it invariably it does but then each episode seems to be worse or last longer until finally the patient seeks help, when the back pain will not go away on its own. As I explain to all my patients this last acute episode has not happened on its own, out of the blue. Healthy joints do not become ill, instead the joints, discs, or muscles have been gradually over time becoming less and less able to do the job they are supposed to do. Initially your body is able to compensate and this dysfunction does not have a huge impact on life, in fact you are probably not even aware that a problem is even occurring
Your chiropractor at Perth cbd chiropractic clinic (formally central city chiropractors) Clinic will assess you to determine the best course of care in order to not only improve the acute back pain but also prevent reoccurrence. Back education and rehabilitation is as important as the hands on care that you chiropractor gives you, without it you will probably continue to re-injure you back. At Perth cbd chiropractic clinic (formally central city chiropractors) Clinic your chiropractor will explain how you can better care for your spine and prevent further injury.
Activity modification may be necessary during the initial acute period and occasionally a short period of bed rest is prescribed for certain conditions. Generally the rule is that movement and gentle stretching is very important to encourage healing. Exercise is encouraged later to prevent deconditioning of muscles which is a common cause of chronic back pain. Your Central City chiropractor will also advise you which activities and movements you should avoid to prevent further damage.
Surgery is suitable as a last resort for a handful of patients. Patients with suspected cauda equina lesions (characterized by saddle anesthesia, sensorimotor changes in the legs and urinary retention) and those with worsening neurological deficits should undergo surgical evaluation. Your chiropractor will regularly reassess you condition and refer you for further investigation if required.
If you require any further information on back pain please do not hesitate to contact Perth cbd chiropractic clinic (formally central city chiropractors) Clinic on 94868653. You can either book a free 5 minute consultation or a chiropractor will return your call to answer any questions