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Understanding and Managing Back Pain

Your guide for World Physiotherapy Day 2024

This video from the UK Chartered Society of Physiotherapy provides a good summary on managing your back pain.

Introduction

Back pain is something most of us have dealt with at some point in our lives. Whether it’s a dull ache after sitting too long or a sharp pain that stops us in our tracks, back pain can be both frustrating and debilitating. But here’s the good news: you’re not alone, and there’s a lot you can do about it. This World Physio Day, let’s explore how you can manage and prevent back pain and why physiotherapy should be your go-to solution.

The Growing Impact of Back Pain

Did you know that low back pain (LBP) is the leading cause of disability across the globe? In 2020 alone, 619 million people experienced LBP—that’s 1 in 13 people. This number has skyrocketed by 60% since 1990, and by 2050, it’s expected to climb to a staggering 843 million. These numbers are more than just statistics—they represent real people whose lives are disrupted by pain.

But here’s the thing: while back pain is incredibly common, it doesn’t have to control your life. Understanding what causes back pain and how to manage it effectively is key to living a healthy, active life.

Why Choose Physiotherapy for Back Pain?

When your back hurts, it’s tempting to reach for a quick fix—whether that’s painkillers, rest, or even considering surgery. But these solutions often only address the symptoms, not the underlying issues. That’s where physiotherapy comes in.

Physiotherapy isn’t just about relieving pain in the short term. It’s about understanding the root causes of your back pain and working with you to create a long-term plan. Through targeted exercises, lifestyle advice, and hands-on treatments, physiotherapists help you strengthen your back, improve mobility, and most importantly, prevent future problems.

In fact, physiotherapy combined with self-care is one of the most effective ways to manage and prevent back pain. Why does it work so well? It’s tailored to your individual needs, ensuring that you’re not just treating the pain, but also rebuilding your confidence in your body’s ability to move and function well.

Debunking Common Back Pain Myths

There’s a lot of outdated and incorrect information about back pain which unfortunately is still commonly trusted and believed. Let’s tackle some of the most common myths:

  1. Myth: You Need a Scan or X-ray to Diagnose Back Pain
    Fact: Most cases of back pain don’t require imaging tests like X-rays or MRIs. In fact, these scans often don’t show the cause of the pain. What’s more, they can lead to unnecessary worry about normal age-related changes in the spine that aren’t actually causing the pain.
  2. Myth: Rest is Best for Back Pain
    Fact: While it might seem counterintuitive, staying active is one of the best ways to recover from back pain. Resting for too long can actually make the pain worse by weakening the muscles that support your back. Gentle movement and exercise help you recover faster and prevent future pain.
  3. Myth: You Should Avoid Physical Activity if it Hurts
    Fact: It’s normal to feel some discomfort when you first start moving again after a bout of back pain. But don’t let that stop you! Movement helps to reduce stiffness and pain, and with the right guidance from a physio, you can safely get back to your regular activities.
  4. Myth: Surgery is the Only Solution for Severe Back Pain
    Fact: Surgery is rarely needed for back pain and is usually only considered when all other treatments have failed. Physiotherapy, along with a good self-management plan, can be just as effective in most cases—and comes with far fewer risks.

Getting to the Root of the Problem: What Causes Back Pain?

One of the most frustrating things about back pain is that it often seems to come out of nowhere. But in reality, most back pain is the result of a combination of factors, rather than one specific cause. These factors can include:

  • Poor Posture: Sitting or standing in the same position for too long can strain your back muscles and lead to pain.
  • Weak Core Muscles: Your core muscles support your spine, and if they’re weak, your back has to work harder, which can lead to pain.
  • Stress and Tension: Emotional stress can cause your muscles to tense up, particularly in your back, leading to pain.
  • Lack of Physical Activity: A sedentary lifestyle can weaken your muscles and make your back more susceptible to pain.

Understanding these factors can help you take steps to prevent back pain before it starts. And if you’re already dealing with pain, addressing these underlying issues is key to getting better.

How Exercise Can Help

When it comes to back pain, movement is medicine. Exercise is one of the most effective ways to manage and prevent back pain. But not all exercises are created equal. Here’s what you need to know:

  • Start Slow: If you’re currently in pain, it’s important to start with gentle exercises that don’t aggravate your symptoms. Walking, swimming, and gentle stretching are all great options.
  • Strengthen Your Core: Your core muscles support your spine, so keeping them strong is crucial. Simple exercises like planks and bridges can make a big difference.
  • Stay Consistent: Consistency is key when it comes to exercise. Aim for at least 30 minutes of moderate activity most days of the week.
  • Listen to Your Body: It’s normal to feel some discomfort when you start exercising, but if the pain gets worse, stop and consult with your physio.

Regular exercise not only helps to relieve back pain, but it also reduces the likelihood of it returning. Plus, it has a host of other health benefits, from improving your mood to helping you maintain a healthy weight.

Self-Management Tips for Back Pain

Managing back pain isn’t just about what happens in the physio clinic—it’s also about what you do at home. Here are some self-management strategies that can help:

  • Stay Active: As we’ve already mentioned, movement is crucial. Find activities you enjoy and make them a regular part of your routine.
  • Manage Stress: Stress can make back pain worse, so it’s important to find ways to relax and unwind. Yoga, meditation, and deep breathing exercises can all help.
  • Sleep Well: Poor sleep can exacerbate pain, so make sure you’re getting enough rest. Consider your sleep posture and try to maintain a supportive sleeping environment.
  • Watch Your Posture: Whether you’re sitting at a desk or standing in line, pay attention to your posture. Make small adjustments throughout the day to avoid putting too much strain on your back.
  • Stay Hydrated and Eat Well: A healthy diet and plenty of water can support your overall health and help prevent inflammation, which can contribute to back pain.

Conclusion

This World Physio Day, let’s take a moment to focus on our backs. Understanding the causes of back pain and how to manage it effectively can make a huge difference in your quality of life. Whether you’re dealing with pain right now or looking to prevent it in the future, physiotherapy combined with self-care is a powerful tool. Remember, your back is strong, and with the right support, you can keep it that way.

If you’re ready to take control of your back pain, or if you just have questions, don’t hesitate to reach out. We’re here to help you every step of the way.

Resources for Further Reading

To dive deeper into back pain management, here are some must-read resources:

  1. Low Back Pain: An Overview
    Discover the impact of low back pain on a global scale and why it’s such a pressing health issue.
    Read more
  2. Debunking Back Pain Myths
    Don’t fall for common misconceptions about back pain. Learn the truth and take control of your health.
    Read more
  3. Physiotherapy and Low Back Pain
    Find out how physios can help you manage pain and prevent future issues with a personalised plan.
    Read more
  4. Exercise and Low Back Pain
    Discover the best exercises to keep your back healthy and strong, and why staying active is so important.
    Read more
 

Dry Needling

Dry Needling; relieving joint pain fast

What is Dry Needling?

Dry Needling is a treatment technique used by physiotherapists using acupuncture needles to target a trigger point to help alleviate pain, reduce spasm and return normal movement.  

How does dry needling work?

The needles cause changes within the body, helping to break up adhesions and scar tissue, create a healing response and reducing pain. Common conditions that may benefit from dry needling include back pain, neck pain, headaches, chronic pain and muscle tightness.

Is Dry Needling the same as Acupuncture?

There are similarities but also significant differences between acupuncture and dry needling. Acupuncture is a common treatment technique used in Traditional Chinese Medicine (TCM) used to restore imbalances within the body.  It is suggested that acupuncture can treat a vast range of illnesses as well as reduce pain.

Dry needling is based on modern neurophysiology and anatomy and has been specifically developed for pain relief and musculoskeletal problems.

How is dry needling different?

To understand the dry needling concept, it is helpful to look at the mechanics involved in pain.

Musculoskeletal (muscle and/or joint) pain is often experienced as an area of tenderness at a trigger point site. This tender site is often accompanied by muscle shortening. A shortened muscle can become painful and not work properly. These trigger points may be found in muscles, tendons or ligaments.

The fine needles used in dry needling help release tension and reduce muscle tightness by stimulating your body’s natural pain-relieving chemicals, providing effective relief.
Dry needling goes beyond pain reduction—it also improves mobility and increases your range of motion. By interrupting dysfunctional muscle patterns, it helps restore function and reduce discomfort.

 What does a dry needling treatment involve?

If your physio thinks that you and your condition maybe suitable for dry needling the following steps are involved:

  • Fine sterilised needles are inserted into the tender areas of the muscle
  • You may feel a dull, heavy sensation.
  • You may feel twitches in the muscle.
  • Twitches may correspond with your pain.
  • You may feel sore after the treatment.
  • Maximum benefit often at 24-72 hours post treatment

Dry Needling is effective by itself or when used in conjunction with other physiotherapy techniques.