Lower Back Pain treatment

Lower Back Pain treatment

Physiotherapy for Lower Back Pain – Acute | Sub-Acute | Chronic

A Complete Condition-Based Treatment Page (Lumbar Spine)

Acute Lower Back Pain Treatment

Common Causes

  • Acute lumbar strain
  • Muscle spasm (erector spinae, quadratus lumborum)
  • Acute disc herniation / slip disc
  • Ligament sprain
  • Facet joint locking
  • Sudden bending/lifting injury
  • Sciatica (acute nerve irritation)
  • Poor posture or sudden load

Biomechanics in Acute Stage

  • Sudden muscle guarding in lumbar spine
  • Spasm in erector spinae, QL, gluteal muscles
  • Increased disc pressure (especially L4-L5, L5-S1)
  • Reduced lumbar lordosis (protective posture)
  • Nerve root irritation → radiating leg pain
  • Fascial tightness in thoracolumbar fascia
  • Pain with movement, sitting, bending

Our Acute Treatment Approach

Pain & Inflammation Control
  • Cryotherapy (ice packs)
  • Electrotherapy: TENS, IFT
  • Ultrasound therapy
  • Laser therapy for disc & ligament inflammation
  • Gentle lumbar traction
  • Reduces disc pressure
  • Relieves nerve compression
  • Helps in acute sciatica & disc pain
  • (Done only after ruling out red flags)
  • Lumbar support belt (if required)
  • Kinesio taping for lumbar stability
  • Posture correction (avoid bending/lifting)
  • Pelvic tilts
  • Gentle knee-to-chest (if tolerated)
  • Log rolling technique training
  • Neutral spine education
  • Severe neurological weakness
  • Loss of bowel/bladder control
  • Progressive numbness
  • Severe disc prolapse signs

Goal

Reduce pain, relieve nerve pressure, protect spine, and restore safe movement.

Sub-Acute Lower Back Pain

Common Causes

  • Healing lumbar strain
  • Disc bulge / protrusion
  • Sciatica (reducing phase)
  • Muscle imbalance
  • Poor posture (sitting jobs)
  • Core weakness
  • Early lumbar instability

Biomechanics in Sub-Acute Stage

  • Reduced core stability
  • Weak transverse abdominis & multifidus
  • Tight hamstrings & hip flexors
  • Altered pelvic alignment
  • Reduced lumbar mobility
  • Persistent nerve sensitivity
  • Poor movement patterns (bending/lifting)

Our Sub-Acute Treatment Approach

Restore Lumbar Biomechanics
  • Pelvic alignment correction
  • Lumbar mobilization (Grade I–III)
  • SI joint correction
  • Movement pattern retraining
  • Myofascial release for
  • Lumbar paraspinals
  • QL
  • Glutes
  • Hamstrings
  • Fascia release (thoracolumbar region)
  • Ideal for disc healing
  • Gradual decompression cycles
  • Promotes disc hydration
  • Reduces nerve root irritation
  • Improves mobility
  • Transverse abdominis activation
  • Multifidus strengthening
  • Pelvic control exercises
  • Basic core stability drills
  • Hamstring stretching
  • Hip flexor stretching
  • Lumbar extension exercises (McKenzie)
  • Controlled spinal mobility drills
  • Sitting posture correction
  • Lifting technique training
  • Walking progression
  • Ergonomic education

Goal

Restore core stability, support disc healing, and improve movement control

Chronic Lower Back Pain

Common Causes

  • Chronic disc bulge / degeneration
  • Lumbar spondylosis
  • Recurrent sciatica
  • Core weakness
  • Sedentary lifestyle
  • Poor lifting habits
  • Lumbar instability
  • Facet joint arthritis

Biomechanics in Chronic Stage

  • Weak core (deep stabilizers)
  • Overactive superficial muscles
  • Poor load distribution in spine
  • Reduced lumbar endurance
  • Tight posterior chain (hamstrings, glutes)
  • Altered gait & movement patterns
  • Recurrent inflammation cycles

Our Chronic Treatment Approach

Detailed Biomechanical Analysis
  • Lumbo-pelvic rhythm
  • Core strength evaluation
  • Posture & gait assessment
  • Workstation analysis
  • Lumbar mobilization/manipulation
  • SI joint correction
  • Myofascial release
  • Deep tissue release
  • Trigger point therapy
  • Highly effective for
  • Degenerative disc disease
  • Chronic sciatica
  • Lumbar spondylosis
  • Foraminal narrowing
  • Benefits
  • Reduces disc pressure
  • Improves disc nutrition
  • Restores disc height
  • Decreases nerve compression
  • Provides long-term relief
  • Core stabilization (progressive)
  • Functional strengthening
  • Glute strengthening
  • Back extensor endurance training
  • Return-to-work training
  • Sports rehab (running, gym, cycling)
  • Lifting mechanics correction
  • Movement efficiency training
  • Weight management
  • Daily stretching routine
  • Posture correction habits
  • Breaks during long sitting

Goal

Build a strong, stable, pain-free spine and prevent recurrence

Conditions We Treat in Lower Back Pain

  • Slip disc / disc herniation
  • Sciatica
  • Lumbar strain
  • Facet joint pain
  • SI joint dysfunction
  • Lumbar spondylosis
  • Degenerative disc disease
  • Postural back pain
  • Core weakness-related pain

Why Choose Our Physiotherapy Approach?

  • Stage-wise treatment (Acute → Chronic)
  • Evidence-based care
  • Focus on root cause (not just pain relief)
  • Combination of:
  • Manual therapy
  • Electrotherapy
  • Exercise therapy
  • Spinal Decompression Therapy
  • Personalized rehabilitation programs

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