Back Pain 3

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80% of us will experience back pain at a given stage of our life. It accounts for $1 billion dollars of
spending and comes only second to the common cold for reasons why we visit our doctor.
Physiotherapists are trained to assess and treat lower back pain with a scientifically proven formula.
This primarily involves taking the time to understand each person as an individual and apply the most
appropriate course of treatment.

Early Stages of Rehab May Include:
– Joint mobilization
– Soft tissue release
– Dry Needling
– Electrotherapy
– Setting up a personalized rehabilitation exercise program

Acute Back Strain/Sprain
Lifting or twisting the wrong way can result injuries to the muscles, ligaments and joints in the spine
leading to pain and reduced range of movement. The pain can be severe for a few days, but improves as
you get moving again.

Disc Injury
This type of injury can be extremely painful and cause severe restriction in range of movement,
especially in flexion (bending forwards) and sitting can also be very problematic. Discs can be
compressed due to excess pressure from lifting and moving poorly. Often the disc gets compressed over
many years and one small insignificant movement is enough to "break the camels back". Treatment
involves McKenzie exercises to decompress the spine as well as massage, dry needling, spinal
decompression and joint mobilization to get you back on track. Kinesio tape can often be used in the
short-term to stabilize the spine.

The sciatic nerve is the biggest nerve in the body and when the lumbar disc becomes inflamed, it can
extend into the nerve. Pain as well and pins and needles and numbness, may be felt right through the
leg and into the foot and toes. Treatment can involve tissue release, trigger point dry needling,
stretching joint mobilization, spinal decompression and a structured home exercise program.

Piriformis Syndrome
The piriformis muscle runs from the pelvis to the back of the hip and its job is to stabilize the the leg and
also turn the leg outwards. Often due to weakness in the gluteal and/or core muscles, the piriformis
over compensates leading to excess tightness. The sciatic nerve which runs very close to this muscle
also commonly becomes compressed when the piriformis gets overly tight.

Chronic Back Pain
When pain has been present for more than 3 months, it is termed "chronic" and a more holistic
approach must be taken. Chronic pain is a complex state and treatment must be multi-factorial. 3
months is generally the amount of time needed for healing of the tissues to take place. After this time,
the nervous system becomes sensitized and there is ongoing perceived threat in the body/mind. This
leads to a sympathetic dominant state, characterized by pain, increase muscle tension, increased heart
rate and blood pressure. Research shows a combination of education, manual therapy and a graded
exercise program is the gold standard for treatment.

Lumbar Radiculopathy
Herniated Disc
Facet Dysfunction
Muscle Spasm/ Tension
Sprain/ Strain
Instability/ Spondylolisthesis
Degenerative Disc/ Joint Disease
Sacroiliac Dysfunction
Pregnancy Related Back Pain
Thoracic Spain pain
Rib Dysfunction
Post Surgical Rehab

If you think we are the right fit for you and you wish to get relief right away, give us a call directly at
780-540-1115. Aspire Physiotherapy We Get Results.