Wednesday, July 25, 2012

Managing simple acute low back pain


HOW TO MANAGE SIMPLE ACUTE LOW BACK PAIN

80% of people at some point in there life will experience back pain.  Most people will experience low back in isolation, worse with certain movements and postures.  It is hard to determine the exact cause however usually it is a “straw that broke the camels back” scenario.  An accumulation of overuse or underuse of your back can lead to stiffness within the low back joints and tightness within the muscles.  With the back not moving efficiently the joints can become irritated and occasionally inflamed, leading to pain.  For protection your back muscles will often spasm and tighten and so the cycle continues.  This blog will give you advice on how to break that cycle and get you back to your day-to-day activities and function. 

Low back pain can take 6-8 weeks to settle however with the correct management techniques you can keep it within the time frame or even shorter. 

INITIAL PAIN MANAGEMENT

In order to restore movement as quickly as possible find a way to reduce your pain.

·        Pain Relief
By reducing the pain you will be able to return to movement much quicker braking the stiffness cycle.  Take the fully recommended dose regularly (normally every 4-6 hours) to stop the pain from getting out of control.  Most people find over the counter painkillers most effective.

When taking medication you may wish to seek advice from your GP or pharmacist especially if you are already taking other medications or have medical conditions.

·        Postures
Find positions of comfort.  Use pillows behind your back while sitting and between your knees when lying in bed, walk regularly or simply lying on the floor.  Whatever works for you.

·        Movement
The idea here is to reduce episodes of low back stiffness.  This could be as simple as walking to the toilet and back.  Move little and often and change position regularly as your pain allows.

·        Use of ice or heat.
Try either over your lower back what ever gives you the most relief.
Ice can be in the form of frozen vegetables or an ice pack, make sure you wrap it in a damp towel and don’t use for any more than 10 minutes every 2 hours.  Ice can burn your skin so be careful.
Hot water bottles or wheat bags covered in a towel over your low back.   Ensure your skin is protected and place on your back for no more than 20 minutes.  Warm baths and showers can also be useful

·        Physiotherapy/Osteopathy
To help guide you further with these pain-relieving strategies and provide you with exercises and treatment to gain optimum movement make an appointment with your Physiotherapist or Osteopath.  At Framework we provide treatment in the form of soft tissue massage, joint mobilizations and home exercises for mobility.  Don’t delay making that call the sooner we can help to get you moving and back to function the better!



Do you need further investigations?

Only in very few cases are x-rays or MRI scans required for people with low back pain.  They don’t usually help with the management of ordinary low back pain and are therefore not carried out regularly.  Discuss this with your Physiotherapist or Osteopath if you are concerned.

Experiencing other types of low back pain?

Our blog content will be expanding.  If you are experiencing leg pain related to your lower back or your low back pain has been around for a long period of time we will give you advice on how to help manage these.  In the meantime contact your Physiotherapist or Osteopath to ensure we get you on the right path.

Framework Clinics:   Bridge of Allan 01786 831100
                                    Tillicoultry 01259 750960
                                    Livingston 01506 202526


Post-operative Physiotherapy



Post-operative Physiotherapy
There are many reasons for us to require orthopaedic surgery.  Joint replacement surgery, surgery following injury and surgery to help improve body biomechanics.  Following any surgery effective recovery and rehabilitation is essential to ensure return to optimum function.  Optimum function is individual and more than achieving improved joint movement.  Physiotherapy can facilitate you through the journey prior to surgery, if this is an option, to achieving your specific goals.  
SETTING YOUR GOALS
Every individual has different goals following surgery whether it is return to sport, return to work or simply being able to manage day-to-day tasks.  It’s important your goals are set with your physiotherapist to create a rehabilitation programme tailored to your needs and adjust it as you progress.  The process may take a little while but the effects should be long-lasting.
If possible, having a physiotherapy assessment prior to surgery can be helpful with goal setting, especially if you continue to see the same therapist following your operation.  Knowing your expectations and ability before the surgery can help your physiotherapist provide you with a plan tailored just for you.
PRIOR TO SURGERY
Not everyone has the opportunity to attend for rehabilitation pre-operatively however if you do have the chance it is worthwhile.  You can be educated by your physiotherapist what to expect during and after the surgery experience.  
Waking up from your operation sometimes with tubes, drips and dressings can be a daunting experience.  It can also often be the case that you are expected to mobilise with the physiotherapists on the day or the day following surgery.  Knowing what to expect can help with those first few steps to recovery.
In our experience having a specific exercise programme prior to the surgery can prepare your muscles and joints for the journey ahead.  These exercises will often be similar to the programme you will receive after surgery.  
MOBILISING AFTER SURGERY
Following lower limb surgery achieving an efficient and effective walking pattern is part of returning to optimum function.  A poor walking pattern can result pains to other joints or reduced function on your surgical joint.  If you are given crutches or walking sticks after your operation it is important you use them appropriately as instructed by your physiotherapist.  Generally patients are keen to “ditch the sticks” as soon as possible, unfortunately this can often be the wrong thing to do.  Walking aids when used properly are there to assist your walking pattern by reducing the load and improving your balance.  Don’t see them as a hindrance more of a help!
SUMMARY
With your physiotherapist set your individual goals and follow your rehabilitation to the end.  It can be a hard long road but with the right guidance you can get there.  Where possible preparation and education is the key so if you know you are having surgery physiotherapy before hand will be of great benefit to you.  
Framework Clinics can provide all of these services for you.  We have physiotherapists with a wide range of experiences and access to the majority of rehabilitation protocols.  See our website for more information www.frameworkclinics.co.uk