Lower Back Pain
Lower Back Pain in Sports
Lower Back Pain is something you don't want to take "wait and see" approach
It's well documented in the research that the earlier you have your lower back pain attended to, the more favorable your outcome will be and less downstream related medical costs incurred!
Lowe back pain can be tricky as it's still not that well understood in the research. It can often be difficult to determine the exact structure which is causing your lower back symptoms, even if you have extensive investigations and scans. There is some research that categorizes different structural causes of pain in the lower back, for example:
Discogenic Lower Back Pain
This is when your symptoms are potentially coming from one or more of the discs in
your lower back
The spinal disc is an essential component of the spinal column. It is a round, flat cushion-like structure that sits between the vertebrae (the bones that make up the spine). The disc consists of two main parts: the outer ring (annulus fibrosus) and the inner core (nucleus pulposus).
"Bulging Disc", "Herniated Disc", "Slipped Disc" - There are often talked about quite commonly and will regularly
appear on MRI findings, even for people without lower back pain! Numerous studies have been
carried out where researchers will scan the lower backs of people without any lower back pain, and
often there discs will appear herniated, degenerated, protruded etc etc. But they have no Pain!
(See table below)
What's even more strange, is that often those who present with "textbook" discogenic lower back pain, will have no "abnormal" findings on MRI!
So how do we go about determine where your symptoms are coming from to direct our treatment?
This is often where the clinical assessment will come in. There are a number of functional and clinical tests we are able to perform to aim to identify the potential source of pain, or the structure which may be causing your pain, so we can therefore direct our treatment accordingly.