Low Back Strain Treatment & Causes

Low back Strain Treatment & Causes

The common background for Low Back Pain

A low back strain results from an injury to the dynamic muscle stabilizers or static ligamentous structures of the lower back. At The North Wales Spine Clinic we find many cases of low back strain are associated with mechanical overload or a prolonged abnormal posture. For patients from the Gwynedd, Conwy and Anglesey areas low back strain accounts for 60% to 70% of mechanical low back pain presentations.

Other causes we see in patients with low back pain from areas such as Llandudno, Conwy, Abergele, Bangor and Caernarfon are related to ligamentous or muscular injury from excessive tension or stretching, muscle fatigue from overuse or muscle spasm caused by muscle overload. One very apparent finding in many low back pain patients from the Gwynedd, Conwy and Anglesey areas is spinal muscle deconditioning due to previous injury.

Low back pain treatment bangor menai bridge caernarfon Llangefni Llandudno conwy gwynedd anglesey

Possible causes for Low Back Pain

When we advise low back pain patients from Bangor, Menai Bridge, Caernarfon, Beaumaris, Llangefni, Conwy and Llandudno when they present at The North Wales Spine Clinic we highlight ‘risk factors’ that may contribute to low back pain. These factors include mechanical overload such as training incorrectly in a gym, lifting heavy equipment at work or prolonged seated positions at the desk with poor posture.

Clinical Features of Low Back Pain

Many low back pain sufferers from Gwynedd, Conwy and Anglesey who present at The North Wales Spine Clinic report localized or diffuse non-radiating lower back pain often worsened with abnormal or static posture.

Treatment for Low Back Pain

In initial stages we may recommend nonsteroidal anti-inflammatory medications such as naprosyn or ibuprofen which will help low back pain patients to sleep and become more conformable. Although not a long-term cure for low back pain patients we find Acupuncture to be helpful for symptomatic relief, which we often use, in the early stages.  For low back pain minimal or no bed rest is very important, as ‘movement is a nutrient’ and will help you body to reduce levels of inflammation at the site of injury. As symptoms regress we will often prescribe physical activity within the patient’s pain tolerance and physical therapy including a home exercise program, focused on low back pain control and regaining mobility.  We also find that the use of ice in the early stages of low back pain can help whilst the use of heat should be reserved for later.

Prognosis for Low Back Pain

  • Up to 90% of cases resolve within 2 months
  • Within 3 to 5 years there is up to a 60% chance of recurrence

References

Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001 Feb 1;344(5):363-70.

Panagos A. Rehabilitation Medicine Quick Reference-Spine (ed. Buschbacher R.M.) New York: Demos Publishing; 2010. p. 88 – 89.

Panagos A, Sable AW, Zuhosky JP, Irwin RW, Sullivan WJ, Foye PM. Industrial medicine and acute musculoskeletal rehabilitation. 1. Diagnostic testing in industrial and acute musculoskeletal injuries. Arch Phys Med Rehabil. 2007 Mar;88(3 Suppl 1):S3-9.

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