Low Back Pain
Back pain is the largest single cause of disability in the UK, with Lower Back Pain alone accounting for 11% of the total disability of the UK population. These statistics are taken from the NHS National Back Pain Pathway. It is estimated that 80% of the adult population will experience back pain at some point in their life.
When a person experiences Lower Back Pain this can lead to anxiety (will I cause further injury) and / or depression caused by the lack of movement and the individual unable to do things that they have done previously.
The lumbar spine supports the upper body and transmits the weight of the upper body to the pelvis and limbs.
Most people experience Lower Back Pain due to overuse, strain or injury. This can be caused by sports, incorrect manual handling or due to twisting.
Lower Back Pain is pain that you would normally feel from the pelvis to the lower ribs, although the pain can refer to other parts of the body. The lumbar spine & soft tissues may refer pain to many regions
including the lower thoracic spine, sacroiliac joint, thigh & leg, knee joint & foot.
What can cause Lower Back Pain?
Lower Back Pain can be caused by a number of things including:
- Leg Length Inequality (LLI)
- SI Joint Syndrome
- Lumbar Ligament Sprain / Muscle Strain
- Lumbar Facet Syndrome
- Lumbar Instability
- Spondylolisthesis (lumbar)
- Lumbar Disc Herniation
- Lumbar Stenosis
- Cauda Equina Syndrome
- Lumbar Degenerative Joint Disease
Here is an explanation of a few of the conditions above.
Disc Degeneration / Prolapse / Bulge
The function of the inter-vertebral disc is to act as a shock-absorber distributing and absorbing some of the load applied to the spine, to hold the vertebrae together and allow movement between the bones, to separate the vertebra as part of a functional segmental unit acting in concert with the facet joints and, by separating the vertebrae, to allow the free passage of the nerve roots out from the spinal cord through the intervertebral foramina with age, the percentage of spinal length attributable to the discs decreases as a result of disc degeneration and loss of hydrophilic action in the disc.
Facet Capsule Irritation
Lower Back Pain due to inflammation or degeneration of the facet (zygapophyseal joint) and/or joint capsule often aggravated by hyperlordosis (increased curve) or extension movements
Muscle Strain / Ligament Sprain
Soft tissue damage (stretch or rupture) to the ligaments, muscle & fascia surrounding the lumbar spine, sacrum & pelvis. This can be caused with muscle fatigue, de-conditioning or rapid unguarded movements of the trunk and results in tissue damage. Tissues damaged include: • Ligaments – posterior longitudinal ligament, Interspinous & Supraspinous ligaments. Muscles – erector spinae, multifidus, rotatores and quadratus lumborum.
Our sports massage treatment may help you.