About Low Back Pain
Low back pain refers to pain or discomfort in the lumbar region — the lower back — extending from the buttocks up to the 12th rib. It is a common condition, but in many people it becomes chronic, which is why it is classified as acute, sub-acute, or chronic pain. The area contains many of the body's tissues, and the cause of the pain may not be clear, so an assessment by an Orthopaedic Physiotherapist is required.
Symptoms of Low Back Pain
The symptoms that may appear include:
• Pain on movement
• Pain at rest
• Difficulty walking long distances
• Difficulty standing up
• Pain radiating into the leg
• Numbness, reduced sensation
• Muscle weakness
• Functional limitations
• Decline in the patient's quality of life
Factors That Predispose to Low Back Pain
A predisposition develops due to:
• A sedentary lifestyle
• Reduced movement — lack of physical activity
• Muscle weakness — muscular imbalances
• Disc herniation
• Age-related wear of the spinal joints
• Conditions that cause Low Back Pain
Differential Assessment
An assessment by an Orthopaedic Physiotherapist is required, including a medical history, clinical examination, and clinical tests, so that the appropriate treatment can be provided based on the type of Low Back Pain and its likely origin, which may be:
• Muscle weakness
• Muscle spasms
• Radiculopathy
• Muscle strain
• Nerve tissue entrapment
• Facet joint syndrome
• Ligament injury
• A condition that must be referred to a Doctor
What Happens if Low Back Pain Is Left Untreated
If it is not managed appropriately, it leads to a chronic condition with symptoms such as:
• Chronic pain
• Frequent recurrences — lumbago
• Functional limitations
• Decline in quality of life
How Physiotherapy Can Help
Physiotherapy is essential for managing Low Back Pain. First, the acute pain is addressed with orthopaedic manual therapy massage, nerve tissue manual therapy, electrotherapy, and TECAR; then a properly individualised structured exercise programme is provided, which strengthens the muscles, corrects posture, and protects against future recurrences. The interventions applied are:
A structured exercise programme for Low Back Pain includes:
• Core strengthening
• Lower limb strengthening
• Muscle stretching
• Nerve tissue stretching
• An aerobic programme
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Athanasia A.
Mr. Danalis is a true professional who gives the patient and their problem the attention they need. Most importantly, though, the quality and effectiveness of the treatment are outstanding — delivered in a way that is creative and, above all, productive. I recommend him wholeheartedly.
Erifyli S.
Mr. Danalis knows his field very well and takes a personal, dedicated interest in his patient! He has a positive attitude and has helped me so much!! I trust him completely and recommend him without reservation.
Verified user
Mr. Danalis is a wonderful physiotherapist and also a wonderful person. He has helped me with various problems I have had after a car accident. With a personalised systematic program, I am now in the best shape I have ever been in !
How Can I Prevent Low Back Pain
Preventing Low Back Pain requires a monthly programme that includes:
• Orthopaedic manual therapy massage
• A structured exercise programme
You can find more advice on prevention and self-management from the patient's own perspective at the links below:
• Patient perspectives
• Patient perspectives
• Patient perspectives - pregnancy
What Is the Cost of Treatment
The cost of treatment is not high. Usually 6 sessions are needed, in which the treatment programme is adapted each time to the patient's current condition. Once the symptoms have subsided, a structured exercise programme is introduced to prevent any recurrences. The programme is provided to the patient electronically so they can follow it on their own, but there is also the option of online supervision at a low cost. The patient has the ongoing support and communication they need with the Physiotherapist in order to overcome any difficulties.
To treat Low Back Pain, call PhysioDanali today for expert advice from the Physiotherapist!
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George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, Gilliam JR, Hendren S, Norman KS. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021 Nov;51(11):CPG1-CPG60. doi: 10.2519/jospt.2021.0304. PMID: 34719942.
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Corp N, Mansell G, Stynes S, Wynne-Jones G, Morsø L, Hill JC, van der Windt DA. Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain. 2021 Feb;25(2):275-295. doi: 10.1002/ejp.1679. Epub 2020 Nov 12. PMID: 33064878; PMCID: PMC7839780.
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