Lower Back Pain Physiotherapy

You’ve tried physiotherapy and chiropractic treatment for your back pain before. Why does the pain keep coming back?

Evolution of Chronic Low Back Pain

The lower back is designed to absorb compression, bending, and rotation, but these forces can contribute to injury of the disc, ligaments, facet joints, nerves, spinal muscles, and fascia. We look at your entire body movement habits to see how you have adapted to chronic lower back pain. Your body will try to allow you to move and carry out your daily activities, but the movement capability of injured tissues is impaired.

How do you continue to move? You borrow flexibility from tissues adjacent to the injury. For example, if your initial injury was lifting something heavy a few years ago and you felt your back ”go,” you may have caused a small tear in one of the lower back discs and strained the local spinal muscles. These injuries may heal with scar tissue if normal specific mobility is not restored and tissue healing does not fully progress. Your back pain will come and go until you have used up the adaptive potential of the “helping” tissues. The pain becomes more constant and limits your activities, affects sleep, and begins to require medicine to be more manageable.

Symptoms associated with back pain:

  • Pain across the back that may refer to your legs and is worse when standing
  • One-sided pain that refers to the buttock and is worse when sitting
  • Leg pain or tingling from back nerve irritation
  • Poor posture: bent over or shifted to one side

Lower Back Physiotherapy Results

If this is your first time straining your lower back strain, our treatment goal will be to promote healing of the injured tissues, usually under the painful area. Our physiotherapists will recommend exercises to restore movement and to improve the stability and the strength of these muscles. The results will be great — back pain solved!

With recurrent back pain — pain that you experience once or more a year — there is an unresolved issue influencing your symptoms. It may be the way you use your back. The injured tissues have not healed completely and structures with nerve supply are “complaining,”causing you to feel pain. If treatment only focuses on your back, you will probably never gain the pain relief you are seeking.

How Does Global Physiotherapy Address Chronic Lower Back Pain?

We use a global physiotherapy evaluation to identify the sources of your lower back pain. The Gunn intramuscular stimulation posture exam looks at tight muscle patterns from head to toe. We include tests to evaluate nerve and muscle function. A comprehensive physiotherapy exam is useful for finding out how your body has adapted to chronic pain. The assessment will identify the multiple areas that may require treatment to help you achieve your goal of being active for life.

We have more than 30 years of orthopaedic and manual therapy experience. We have encountered many different combinations of anatomical adaptations of lower back pain. After your assessment at your first visit, we will discuss the various treatment options with you, enabling you to choose how you want to begin improving your long-term back pain. You are an active partner in healing your back.

We will design an assessment and treatment plan specifically for your combination of movement limitations and pain.

See treatment options for acute, sub-acute, and chronic conditions

Gunn Intramuscular Stimulation (IMS)

Intramuscular stimulation with acupuncture needles is effective in treating the tight muscles that have adapted to lower back pain. We often use IMS as an initial treatment approach to make changes in the multiple areas of the body that are contributing to poor back function. Global Physiotherapy uses regenerative photon therapy after IMS treatment to help with the body’s healing response.

Manual Therapy and Spinal Manipulation

Our FCAMPT physiotherapists use specific and safe manipulation of the spine. We use special tests to determine if spinal manipulation is the right treatment for you. The manipulation or adjustment is a quick, localized thrust on the joint to restore normal mobility. Depending on the direction of movement, you may feel a “click” as pressure is released in the joint. However, with chronic low back pain, a quick manipulation may not work on a very stiff fibrotic joint. Specific repeated stretching with manual therapy and exercise can often be more effective when you have tried spinal manipulation in the past.

Laser and Regenerative Photon Therapy (RPT™)

The unique regenerative photon therapy (RPT) system is a healing technology effective at treating chronic pain. It promotes tissue healing at the cellular level. We apply red and infrared lights in a specific sequence to improve cell energy and circulation for healing, and lasers target specific tender points of tissue injury. RPT covers larger areas of the body and can treat multiple sites of pain.

Medical Acupuncture

Medical acupuncture is another modality to reduce the multiple sites of pain related to your chronic lower back pain. We will explain the treatment goals we can achieve with medical acupuncture before starting treatment. We can combine medical acupuncture with manual therapy and RPT for significant healing effects.

For more information or to book an assessment, please contact us.