Acute Low Back Pain

Acute low back pain is usually of sudden onset and is often triggered by a relatively minor movement such as bending to pick up an object. This minor incident may be more indicative of fatigue or lack of control, rather than tissue overload. The pain may develop over a period of hours due to the development of inflammation. Patients with chronic low back pain may also have acute episodes that may become more frequent and require less initiation over time. The pain is usually in the lower lumbar area and may be central, to both sides, or to one side. It may radiate to the buttocks, hamstrings or lower leg. Sharp, stabbing pain in a narrow band down the leg is radicular pain and is associated with nerve root irritation, sometimes as a result of a ‘slipped disc’. More commonly, the pain the patient feels in the buttock and hamstring is referred from the lumbar spine - with the patient complaining of a deep seated ache.

Management of Severe/Acute Low Back Pain
Initially the patient should always adopt the most comfortable position. Movements that cause unbearable pain should be avoided, while movements that are uncomfortable, have no effect or reduce the pain are encouraged. We advise our patients to remain as mobile as possible as we have found this results in more rapid resolution of symptoms. Pain killers and anti-inflammatories should be taken to control pain and, therefore, reduce associated muscle spasm. Prolonged postures (such as sitting) should be avoided.

Your Physiotherapist can provide you with individual advice regarding the best management of your acute lower back pain. As your symptoms resolve, your Physiotherapist can teach you progressive stretching, strengthening and core stability exercises to minimise the risk of a reoccurrence.

Bring an end to your back pain and contact Manchester Physio now!