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Can physiotherapists effectively treat back pain?

Back pain is one of the most common conditions reported by patients. Two out of every three people suffer from back pain, the most common type being a disc problem. This occurs where the spine and its vertebrae become twisted or bent forward allowing the back of the joint to open. This lets a disc [...]

Back pain is one of the most common conditions reported by patients. Two out of every three people suffer from back pain, the most common type being a disc problem. This occurs where the spine and its vertebrae become twisted or bent forward allowing the back of the joint to open. This lets a disc bulge backwards, causing pressure on the nerve behind it as it emerges from the spinal cord. It is this that causes inflammation and pain.

The most common way for patients to get this type of injury is from the incorrect lifting of heavy loads. However, just bending awkwardly or prolonged stooping can cause problems for the spine. This highlights the need to follow safe gardening and lifting practices.

Sciatica, (Latin for ‘pain down the back of the leg’), is usually caused by trapping the sciatic nerve in the lower back. It is a relatively common form of back pain. The pain from sciatica can be severe and debilitating but this is not always the case and luckily physiotherapists can do something about it.

By understanding how techniques can affect and change the mechanics of the spine, back pain can be alleviated. Therapists can treat it with a variety of techniques, one of which is the Mackenzie Exercise Regime. The Regime helps to educate patients how to react when they first become aware that their back is in difficulties. Simple stretching exercises and special ‘push ups’ help adjust the mechanics of the back and help move the discs back into the correct position.

Another technique used by physiotherapists is connective tissue manipulation (CTM). It works because the movement of the tissues by the therapist creates a short, sharp, nervous stretch reflex that creates an impulse that spreads throughout the connective tissue. The patient’s brain will translate the impulse as if it were a scratch to the skin. The reflex itself is a small impulse that passes through the fluid in the connective tissue and releases tension. This reduction in tension around the blood vessel walls allows more blood to flow into the damaged area, thus reducing inflammation. Softening the connective tissue allows more movement to occur without irritation and pain to the patient.

If you suffer from back pain, it is a good idea to visit your local physio to see what they can do for you.

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