Low back pain is a common issue that affects nearly 80% of the population at some point in their lives. In fact, it is one of the leading causes of disability in the United States. But what exactly causes low back pain, and what steps can we take to manage it effectively?
Low back pain can manifest in a variety of ways, ranging from mild discomfort to more severe pain. It may be localized to the lower back with no other symptoms or radiation, or it may extend into one or both legs. In some cases, low back pain is aggravated by specific movements, positions, or activities. Given this complex nature, pain is considered multifactorial, meaning it can stem from various sources.
A thorough assessment and examination can help identify the underlying causes of the pain and guide the treatment plan tailored specifically to the persons needs.
What Does the Recent Evidence Say?
The most recent guidelines from the American College of Physicians emphasize non-pharmacologic treatments as the first line of defense for acute, subacute, and chronic low back pain.
These treatments include rehabilitation exercises, spinal manipulation, laser therapy and other non-invasive interventions.
Additionally, advanced treatment algorithms from physical therapy groups, updated in 2021, employ a classification system based on a patient’s clinical presentation. This allows healthcare providers to customize treatment plans by focusing on specific symptoms and needs, further improving patient outcomes.
Treatment-Based Classifications for Low Back Pain
To help guide effective treatment, several treatment options are used to address the unique nature of low back pain. These include:
1. Manipulation (adjustments): This involves the use of high-velocity, low-amplitude thrusts to restore joint mobility and alleviate pain.
2. Specific Exercise: Targeted exercises are prescribed to address movement restrictions and correct muscle imbalances.
3. Stabilization: Exercises that strengthen the deep abdominal and back muscles to improve stability and prevent further injury.
4. Traction: Mechanical forces are applied to decompress the spine, providing relief from pain.
5. Directional preference: This approach identifies specific movements or positions that relieve symptoms and help restore normal movement patterns.
With a comprehensive history and examination, and by incorporating evidence-based treatment approaches, patients can receive personalized care that targets the root causes of their pain. This approach not only helps alleviate symptoms but also improves long-term outcomes.
Are you in pain and ready for a change? Book using the schedule link above as a “new patient”. You can book with our physical therapist Dr. Ashbeck or with our chiropractor Dr. Tapplin. Both providers stay up-to-date on this topic.
PS: Here is another blog post with a lot of practical advice and links written by Dr. Tapplin.
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