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Carmen Andrews Physiotherapy

Most common forms of lower back and sacroiliac joint pain

Most important first step is to establish the cause of your pain

  • Mechanical (nerve, disc, joint, ligament) associated with movement
  • Inflammatory for example ankylosising spondylitis or sacriilitis
  • Referred pain for example a kidney infection, Irritable Bowel Syndrome, Diverticulitis, inflammation of an ovary or Endometriosis

Physiotherapy is extremely effective in managing acute back pain and most importantly is effective in preventing a chronic lower back problem.

Because we understand biomechanics and can relate your mechanics to your injury while treating it – by how easily it flares up, the protective muscle spasm or muscle inhibition - we can identify and teach you how to safely and effectively change your mechanics.

Pain that has its source in the lumbar spine does not necessarily cause lower back pain but rather buttock pain, groin pain, thigh pain, knee pain, calf pain and even foot pain.

Some common causes of lower back pain:

  • Arthritis (osteoarthritis).
  • Facet joint sprain.
  • Muscle spasm and trigger points.
  • Acute disc injury (“slipped disc”).
  • Degenerative Disc Disease.
  • Nerve Impingement (“pinched nerve”).
  • Piriformis Syndrome.
  • True Sacroiliac Joint Dysfunction.
  • Sciatica.
  • Scoliosis.
  • Spondylolisthesis.
  • A “weak back”.
  • Poor posture and work station set- up (ergonomics).

Signs and symptoms that must be evaluated

  • Pain down leg (with or without lower back pain).
  • Pins and needles into leg.
  • Unexplained weakness in lower limbs.
  • Change in bladder/bowel control.
  • Persisting pain.
  • Pain which wakes you up at night.

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