Transcript Low Back Pain

Stort Physio Academy Jointworks Seminars
Seminar 1 - 10th November 2014
Wendy Emberson MCSP Consultant Chartered Physiotherapist
Low Back Pain
Stort Physio
Jenkins Lane
Bishops Stortford
Herts CM22 7QL
01279 654020
stortphysio.com
What are we going to do today?
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A little bit of anatomy
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A look at the causes of low back pain
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What symptoms do you get?
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How to help yourself
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Questions and discussion
The Lumbar
Spine
1. The last 5 bones of the spine vertebrae
2. These have discs between them
3. The spine sits on top of the sacrum
4. The sacrum is the keystone in the arch
of the pelvis
What causes the
pain?
1. The facet joints
2. The discs
3. The sacro-iliac joints
Back pain is NOT
caused by damaged
muscles!
These are the deepest layer
There are six layers of muscles
They work very hard all day long to
keep you upright against gravity - they
are not usually weak.
To damage them you need to be folded
in half to put any stretch on them
Muscles can work to protect the joints
underneath
3 main causes of low back pain
Sacral dysfunctions
Facet joints dysfunctions
Disc pathology
Spinal nerve root
compression
Intervertebral discs can cause pressure
on the nerve root.
This is a searing, red hot pain down the
leg that does not go away
Sacro-iliac joints
1. 35 different dysfunctions identified
2. If it was muscle or ligament strain - how
does manipulation resolve the pain and
limited movement in 10 seconds?
3. The sacrum provides the platform for
the spine. Problems here will affect the
spine above.
Lumbar
lordosis clip
Sharp pain means joint and/or
nerves
Aching type pain means
inflammation
Self help techniques
1. Heat not ice
2. Move it!
3. Strengthen the muscles
4. Regain the trunk/pelvis control
5. Keep your balance
Nurofen or paracetamol?
Professor Stuart
McGill and Core
Stability
http://youtu.be/qsup3ZvzAjU