Lower Back Pain
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Lower Back Pain






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    Lower Back Pain Lower Back Pain Presentation Transcript

    • Lower Back
    • Today’s session
      • Develop a better understanding of chronic low back pain
      • Learn about the anatomy of the spine
      • Common causes of low back pain (LBP) and injury
      • Chronic/persistent pain
      • How to look after your back and manage your pain
    • Common causes of LBP
      • Disc lesion (bulge, herniation, protrusion)
      • Degeneration of vertebrae/discs
      • Muscular strain/tightness
      • Nerve root compression
      • Instability
      • Postural related pain
      • Wear and tear (osteoarthritis and degeneration)
      • Other.......
    • DISCS
      • Thought to be one of the most commonly injured structure s in the back
      • Extremely strong structures and can bear a lot of force
      • Discs will naturally lose height and degenerate
      • Outside layer is highly innervated with nerves
      • Poor blood supply and heal slower
      • Actually very hard to strain a muscle
      • They can weaken, or tighten, and therefore contribute to pain
      • Fast healers – rich blood supply
      • Important for dynamic stability of the spine
    • JOINTS
      • Also commonly injured in the back
      • Provide static support, so prevent movement in certain directions
      • Joints love movement!!
    • NERVES
      • Composed of neurones (nerve cells) and ligaments
      • May notice pins and needles, numbness, tingling, burning night pain, skin changes (reduced sensation)
      • Nerve compression can occur by the discs and joints
      • Nerves move and slide, and will get irritated if stuck in an area
    • Acute vs Chronic LBP
      • Acute & Subacute – 0-6 weeks
      (can be longer)
      • Tissue healing and inflammation occurs
      • Pain and swelling subsides slowly as tissue heals
    • Chronic Pain
      • Pain lasting longer than 3 months
      • Inflammation no longer
      • Tissue may have already healed
      • So where is the pain coming from??
    • PAIN
      • 5-10 % of people experience ongoing pain after an injury
      • Many people suffer ongoing disability after a back injury
      • Back pain is on of the most common pain complaints and cause of work loss in the general population
    • When it hurts...
      • We are likely to be less active, as we associate movement with pain
      • Avoid certain activities as we believe they may hurt
      • May have the wrong beliefs of what we can and cannot do
    • Tissue injury and pain
      • The pain you feel does not always reflect the amount of tissue damage
      • If you experience pain, it does not necessarilymean you are causing further damage
      • In a nutshell:
      • Pain pathways become heightened immediately following an injury
      • Nerves (in your back) detect painful stimuli much more than they used to (sensitization)
      • The brain learns to recognise pain easier (cortical smudging)
      • Responses are heightened
    • The end result is
      • You feel pain more often, and at times when there is no real threat to your tissues
      • The Brain is extremely clever, and is only doing this to protect you!!
    • How is this affecting recovery??
      • Muscles and joints stiffen and become weak from not being used
      • Core becomes weaker, and strain and tension on spine and ligaments is increased
      • The less you move, the more your brain learns to avoid that movement
      • The sensitization of pain pathways persists, so you continue to feel pain
    • Emotional effects of LBP
      • Decreased mood
      • Loss of motivation
      • Stress
      • Time off work, so more stress!
      • Family problems
    • Management
      • Get treatment
      • If you have never had treatment, get some!
      • Physiotherapists/doctors can help diagnose your condition
      • May be shown useful stretches and exercises to do
      • You will be better educated and prepared to deal with your low LBP
    • Management
      • Exercise!
      • Evidence has shown that general exercise can help improve the general strength of your body and therefore your back
      • Exercise is a great way to de-stress, so you feel great afterwards!
      • Releases endorphins and improves mood, which helps you to deal with pain
      • Recommended guidelines of 30 minutes per day
    • Management
      • Take care of your back
      • Lift CORRECTLY
      • Good sitting and standing posture
      • Frequent changes in posture
      • Work place postures
    • Pain Management Strategies
      • Get to know your pain: knowledge is the great liberator!
      • Know that your hurts won’t harm you
      • Pacing and graded exposure
      • Accessing the virtual body
      • Relaxation techniques
    • Catalyst Injury management
      We can provide you with the following:
      • Supervised exercise program with physiotherapist
      • Hydrotherapy sessions
      • Physiotherapy treatment: assessment and education
      • Pilates assessment and treatment
      • Gym Program
    • That’s all!
      Thank you for coming
      Look forward to seeing
      you next session