LOW BACK PAIN


This is a common disorder affecting around one third of the adult population every year. In May 2009 the National Institute for Health and Clinical Excellence (NICE) developed some guidelines for the early management of persistent non-specific low back pain (LBP).

Persistent LBP is defined as pain predominantly in the region between the lower rib cage and above the buttock creases; pain may radiate into the legs but is usually worse in the back, which has lasted more than 6 weeks and usually less than 12 months.

Non-specific LBP is usually described as tension, soreness and/or stiffness in the lower back region for which it is not possible to identify a specific cause of the pain. The pain is likely to be coming from several structures in the region, joint, muscle, discs, ligaments or other connective tissue.

The NICE guidelines do not cover acute low back pain (lasting for less than 6 weeks) or radicular pain resulting from nerve root compression (e.g. ‘sciatica’).

The aim of the recommendations made in these guidelines is to reduce the pain and impact on the person’s day to day life, even if the pain can not be ‘cured’ completely. The intention is to reduce the number of people who go on to develop disabling long-term LBP, therefore reducing the personal, social and economic impact of this condition.

A strong focus on patient-centred care is strongly recommended and is a key aim of the management approach you can expect at Think Physio. You will have the opportunity to make informed decisions about your management based on your own needs and preferences following a detailed assessment and recommendations from your Physiotherapist.

Informing and educating is a key recommendation in the guideline – providing advice regarding self-management strategies, pacing, continuation of normal activity as far as is possible and participation in physical activity.

Alongside this key component of management the guidelines recommend a trial of:

  • A structured exercise programme
  • Manual Therapy: this includes spinal mobilisation (joint movement within normal range of motion), manipulation (a low-amplitude, high velocity movement at the limit of joint range which takes the joint beyond the normal range of movement) and massage.
  • Acupuncture

Think Physio can offer you, following a detailed assessment, a tailored programme for your specific needs, which may include any of the above recommended treatment modalities.

Please contact us at Think Physio if you would like to find out more about how we can help support you in the management of your low back pain.

WHAT WE TREAT


Back and Neck Pain

Using extensive knowledge from a background in anatomy and physiology, we offer assessment, treatment and rehabilitation ...
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ACCREDITATIONS


Chartered Physiotherapist

All Physiotherapists are registered with the Health Professions Council (HPC). The HPC are a regulator, set up to protect the public...
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YOUR FIRST VISIT


Hitchin Physiotherapy Clinic

Your first visit with us at Think Physio will last between 45 and 60 minutes. You will be asked to complete a short form with your personal ...
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BOOK AN APPOINTMENT


Letchworth Stevanage Physiotherapy Clinic

We are usually able to offer appointments within 48 hours of your initial enquiry and have diary slots to cover daytime, evenings and weekend bookings ...
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Lower Back Pain

FOCUS ON: LOW BACK PAIN


This is a common disorder affecting around one third of the adult population every year. In May 2009 the National Institute for Health and Clinical Excellence (NICE) developed some guidelines for the early management of persistent non-specific low back pain (LBP). Read more...

Hitchin Acupuncture Clinic

FOCUS ON: ACUPUNCTURE


Acupuncture is one of the many treatment modalities utilised by some Physiotherapists. It is usually integrated into a management programme. Read more...