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Back Pain.
Back pain is becoming increasingly common. Back pain can occur acutely or gradually increase. The most common of these complaints is lower back pain.
Low back pain is located somewhere between the lower rib and the tailbone. In most cases you can clearly describe and pinpoint the pain. Sometimes there is radiation this is usually in one leg and very occasionally in both legs. The leg pain can radiate sharply to the foot. Sometimes with tingling in the leg. Some postures and movements cause more symptoms and in some cases movement is almost impossible.
Anatomy of the low back
The low back is made up of several muscles, nerves and joints. The lumbar spine consists of 5 vertebrae. These vertebrae are often abbreviated as L1 through L5. The low back has a natural curvature. The joints in the back are called facet joints. The facet joints in the low back allow mainly bending and stretching and to a lesser extent turning. Between all these vertebrae are intervertebral discs. Intervertebral discs are of a softer structure and their function is to allow the vertebrae to move smoothly among themselves. In addition to movement, the intervertebral disc also plays an important role in the stability and shock absorption of the low back. There are many muscles in the low back. The function of these muscles is to move and stabilize the spine during various daily movements. There are muscles that run from vertebra to vertebra but also muscles that run over the entire spine. Anatomically, a distinction is made between a local muscle system and a global muscle system. From the different vertebrae nerves run from the lower back into the leg. Nerves have a controlling function towards the muscles in the leg. This is where stimuli from the brain go to the muscles. This makes movement possible. In addition, they also have a sensory function. This means that information such as pain, temperature, pressure and movement stimuli go from the leg to the brain.Â
Causes of back pain
Back pain can have many different causes. In most cases, it is non-specific low back pain. This means that the cause cannot be directly demonstrated by means of, for example, an X-ray or MRI. Usually the cause can then be found in the musculoskeletal system, i.e. in the muscles or joints. Examples are terms such as lumbago and lumbago. These are precisely the complaints where physical therapy is of great benefit.
Sometimes a herniated disc in the low back is the cause of the symptoms. Often these complaints also go away with the help of physiotherapy. A herniated disc involves pressure on the nerve running from the low back to the leg. Generally, the symptoms in the leg are in the foreground. So you have more pain in your leg than pain in your low back. Often this involves a sharp distinct pain going through the leg.
Osteoarthritis symptoms of the low back become more common as we age. In particular, we see that the intervertebral discs show signs of aging. Osteoarthritis of the spinal canal is also possible. We call this a dan stenosis. Osteoarthritis is not always a reason for pain in the low back. If the symptoms match the image on an X-ray, the cause of the pain may well be due to osteoarthritis in the back.
Physical therapy for back pain
During the examination, we look at what possible factors are contributing to your back pain. Based on the examination and interview, a clear treatment plan will be developed. Continued movement is very important to maintain the mobility in your back. We find it very important that you understand how the symptoms arise and what you can take into account to recover as quickly as possible! Besides specific advice, treatment can include increasing the mobility of the lower back through manual therapy, various muscle techniques and training the muscles of the back through exercise therapy and physical training.
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