Physiotherapy is an important component of the treatment regimens worldwide for lower back pain (LBP) and similar conditions. The principal role of physiotherapy here is to get you mobile again and restore you to normal levels of activity as soon as possible. If your back problem has lasted for more than a few weeks, it is important that you visit a physiotherapist. Various modalities of physiotherapy will help you to relieve pain, improve movements of the spine, and strengthen the back muscles. Ideally, physiotherapy sessions are started as soon as the pain appears. Heat and cold therapies, ultrasound therapy, exercise therapy, and hydrotherapy may be included in the treatment plan for lower back pain.
What are the benefits of physiotherapy in lower back pain?
With our Perth physiotherapists, you will learn how your back works, what can possibly go wrong, and how to protect your back from daily stresses and strains. You will also learn exercises aimed at restoring your mobility. Furthermore, you will be exposed to appropriate posture, movement, lifting and carrying, and use of a variety of techniques to produce relief by your own.
Our Perth Physiotherapy clinics utilize a variety of techniques to resolve the lower back pain and to regain full functional mobility.
Heat and Cold Therapy
Heat and cold therapies are particularly helpful to relieve pain and relax the muscles of the lower back so that exercise therapy, manipulations, and tractions can be done easier. The common hot moist packs are used to supply heat to the lower back region. Usually, physiotherapists do not choose other heating options. Both shortwave and microwave diathermies are avoided.
Ultrasound therapies are quite helpful in treating soft tissue injuries. However, these are rare cause of lower back pain except in cases of sport injuries. Ultrasound thus has a very limited place in the treatment of low back pain.
Exercise therapies are the most important component of the entire physiotherapy regimen to help you regain full functionality of your back. Exercise therapies are used to improve three major functions of the lower back region.
- To improve the range of movement
- To strengthen the paraspinal muscles
- To improve the posture generally
Improved range of motion enables the patient to move the area more efficiently in a much better pain-free range. A more stable spine is achieved with strengthening the paraspinal muscles. Physiotherapists usually recommend the following three types of exercises for lower back pain clients.
1. Extension exercises
In the types of exercise, your back is arched by the extension of extensor muscles.
2. Flexion exercises
In the type of exercise, the back is progressively flexed. Flexion exercises are avoided in patients with impeding lumbar disc prolapse because there is a high chance that they ‘squeeze out’ a pathological disc.
3. Isometric exercises
While lying supine the muscles are tightened but there is no discernible movement of the back.
In addition, the physiotherapists may use mobilization exercises that are in fact is a mixture of the above exercises, which are sometimes more easily accomplished in a hydrotherapy pool. Maitland manipulations are certain manipulative techniques used by physiotherapists together with exercise therapy. In cases of subsiding chronic back pain, the client will be given advice about correct posture and ‘back discipline’ related to bending, lifting, and carrying weights. It is important to note that a client with acutely painful back is not expected to carry out exercises that might aggravate pain.
Simply stated, hydrotherapy is exercise therapy carried out in a deep pool. The exercises are done in a very common yet specially designed pool where the water is kept warm at around 36 degree Celsius to encourage muscle relaxation. This enables the patient to carry out exercises which he would otherwise find it impossible to carry out. It is especially beneficial for the wholly stiff or painful back.
It’s interesting to note that almost 30% of the patients who visit a physiotherapist are for lower back pain complaints. The overall aim of the physiotherapy is to bring back the normal functionality to your lower back area. In addition, some exercise tips from your physiotherapist would help you prevent the recurrence of lower back pains in the future. A physiotherapist is the one that offers a human aspect with understanding, compassion, and encouragement with regard to your lower back pain.
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