Greater Manchester


Lower Back Injury Treatment (Lumbar Spine)

Patients with lower back pain are by far the greatest proportion of our caseload so we have a massive wealth of experience on the assessment, diagnosis, treatment and rehabilitation of these conditions.  There is a lot of misunderstanding about the management and treatment of lower back pain, so we hope this provides very useful advice. Lower back pain is rarely serious, but it is important to recognise when it is and any of the below symptoms indicate you should seek emergency help immediately;

  • Loss of feeling between your inner thighs or genitals.
  • Numbness in or around your back passage or buttocks.
  • Altered feeling when using toilet paper to wipe yourself.
  • Increasing difficulty when you try to urinate.
  • Difficulty when you try to stop or controlflow of urine.
  • Loss of sensation when you pass urine.
  • Leaking urine or recent need to use pads.
  • Not knowing when your bladder is either full or empty.
  • Inability to stop a bowel movement or leaking.
  • Loss of sensation when you pass a bowel motion
  • Change in ability to achieve an erection or ejaculate.
  • Loss of sensation in genitals during sexual intercourse

Back pain – myths and advice

  • Myth 1 – moving will make my back pain worse – Although some movements can be uncomfortable when you have back pain, it is well established that returning to movement and work as soon as you are able, is better for recovery and preventing recurrence than bed rest.  This is not a new concept but it is an unfortunate common misconception.
  • Myth 2 – I should avoid exercise, especially weight training – Exercise is accepted as the best treatment for all types of back pain including high load resistance training. No specific type of exercise proves to be better or worse, so simply do what you enjoy and can tolerate! Gradually build up as your confidence and ability improves.
  • Myth 3 – a scan will tell me exactly what’s wrong – The latest research shows that results of scans correlate poorly with symptoms and interestingly that people without pain have changes on scans and x-rays. This does not mean that scans are irrelevant but it does mean they are not always helpful and in some cases, having a scan can make situations worse.
  • Myth 4 – pain equals damage –  The level of pain experienced is rarely proportional to the injury sustained as pain is a complex experience.  It is now understood that pain reflects how threatened a person perceives themselves to be.  Past experiences, general health factors, beliefs, sleep, exercise levels and psychological wellbeing, all play important parts in how much pain we experience.

We hope this dispels any poor advice you may have been given and we would love the opportunity to show you our expertise on the treatment and management of back pain so feel free to contact us to book an assessment.

By far the most common causes of back pain are related to either the lumbar discs or the lumbar facet joints.  Less common conditions are Lumbar Spondylosis and problems with the Sacroiliac joint.  So, for more details about specific lower back conditions please click on the name of the condition below which will provide an explanation of the condition, causes of the condition, list of possible symptoms, how physiotherapy is used to treat these conditions and some self-help advice.

If you are unsure which condition you have and whether physiotherapy can help you, or you would just like to speak to somebody about your condition then please get in touch here or call 0161 745 7551.