Back Pain

Back pain a common complaint throughout the general population, across all age groups, often related to issues such as poor posture or a lack of support when sitting down.

Typically, the severity of lower back problems can be assessed by looking for any signs or symptoms spreading down to the legs. Pin and needles, numbness, a burning sensation or a feeling of heaviness in the legs can be possible signs of nerve involvement.

Generally, inflammation is the first thing we need to manage. Heat pack or ice pack, rest, and anti-inflammatories are options to reduce pain. Gradually, with stretching exercises, flexibility and freedom of movement can be restored. However, long periods of time resting in bed is not good for muscle strength, length, or flexibility. Therefore, very specific exercises need to be commenced as soon as possible once the pain is settling down.

In terms of long-term management, core muscle strength is required to share the load of the upper body together with the back muscles. Moreover, stabilizers such as transverse abdominis (TA) and multifidus should be strengthened to increase the control of movement, and to decrease the risk of further episodes of back pain in the future. Evidence clearly shows us that core strengthening and general conditioning is the key to decreasing the risk of recurrent back pain.

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