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Lower Back Pain

What is lower back pain?

Lower back pain is one of the most common disorders within the community with 80% of Australians experiencing this sometime within their life. This condition can be characterised by pain, muscle tension or stiffness located in the lower back and around the gluteal folds. This pain can also radiate into the groin, butt, posterior thigh and the upper thigh. The condition can be acute meaning short term, lasting a few days to a few weeks or chronic in which the condition typically lasts over 12 weeks onwards. There are two different categories for lower back pain this includes specific which can be due to injuries to the spine or muscles surrounding it (i.e. sprains or traumatic injury), congenital (i.e. scoliosis, spina bifida), degenerative (i.e. IV disc degeneration, spondylosis, arthritis), nerve and spinal cord issues (i.e. nerve compression, sciatica, spondylolisthesis, ruptured discs etc.). Lower back pain can also be non-specific which means there is no known pathology which makes up 85-90% of cases.

Cause and Risk Factors

Age: 30-50yr old’s have an increased risk of developing due to a loss of bone strength
Less physically active: weak back, lower body and abdominal muscles
Obesity: stresses the lower spine
Genetics: spondylitis
Occupation: desk workers have an increased risk due to poor posture with insufficient back support. Jobs which require heavy lifting, pushing and pulling can place undue stress on the spine
Smoking: reduces blood flow and oxygen to the discs in our back causing them to deteriorate faster
Uneducated training: lifting heavy loads with poor form
Prolonged standing: poor posture

How can Bites Dietitians help?

Lower back pain can be quite a complicated condition as there are so many different causes, so it’s best to consult with an Exercise Physiologist in order to combat the condition correctly. The first step is to book an appointment with one of our friendly team members who will discuss your symptoms, medical history and any other relevant information. We will perform some range of motion testing to see if there are any discrepancies between sides and to locate the movements which are difficult and causing pain. This information will be used as a tracker along the way so we can monitor your improvements and the changes that occur.

Next we will take you through some basic movement patterns so we can assess your form as this can help identify how your body is moving and formulate a treatment plan accordingly. Our main focus at Bites is educating and retraining your movements so the body moves more efficiently as well as making you more aware of your daily movement/activities. All this information will allow us to formulate the best exercise plan for you possible, targeting the areas which need most work to address the pain. Generally, we will work on core and whole body strength and activation as this will increase the strength of the muscles surrounding the lumbar spine resulting in more support and less stress on the structures of the spine like the discs and vertebrae. We will also likely ask you about where you are feeling symptoms and details about their onset to get a better picture of some of activities that may be adding to or triggering your pain.

It’s very helpful for us to have a clear understanding of your pathology from either reports or scans so that we can understand how best to help you. We may also address the upper leg range of motion especially the ‘hip flexors’ as when these muscles are tight and stiff this can place additional stress onto the lumbar spine through an increase in shear and compressive force. Aerobic exercise can also be quite beneficial for lower back pain as it can increase the blood flow and nutrients flowing to the soft tissues surrounding the spine increasing the healing and reducing stiffness which may be causing the pain.

We want to help reduce your pain using a plan which is enjoyable but functional and tailored to you! So if you’re ready to get moving and push that pesky pain aside to live a happier healthy life, contact us to book an appointment!

Interesting facts about lower back pain and exercise

  • non-training control group
  • Flexibility of the lumbar spine and hamstrings has been shown to significantly decrease chronic lower back pain
  • Aerobic exercise increases the blood flow to the soft tissues surrounding the lower back which can help to heal damage which can be causing the pain
  • Education, core activation and range of motion of the hip flexors are the most important components in combating lower back pain

Improvements to expect from a tailored exercise program

  • Reduction in pain
  • Improvements in mood
  • Increased fitness and strength
  • Reduced recurrent low back pain “episodes” through better physical conditioning
  • Improved movement and range of motion
  • Decrease in risks of chronic conditions

Helpful things to bring/remember before your first appointment

  • Referral from GP or specialist (if you have)
  • Any medical scans and reports i.e. MRI, X-rays, CT
  • List of current medications and dosages
  • Any recent blood test results
  • Positive attitude to get moving

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Contact Details

305/29–31 Lexington Drive, Bella Vista NSW 2153

0452 458 146

info@biteshealth.com

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