Back Pain Treatment Edinburgh
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Back Pain Treatment Clinic In Edinburgh
How common is back pain?
Back pain is very common – it’s one of the 3 most common reasons that people consult their doctor. And lower back pain affects 80% of the adult population at some time in their lives. It’s sometimes referred to as “lumbago”, which doesn’t really mean anything other than “you have low back pain”.
Do you have a sore back? If you don’t, you will know many people who have this problem, whether that be lower, mid, or upper back pain. It almost seems that we humans have a design flaw, doesn’t it? With so many people suffering, it’s hard to believe that there isn’t a fundamental problem with the way we evolved into an upright posture.
The spine is complex but robust
The human spine consists of 24 vertebrae. As children we have more bones (33), but the lower few fuse together so that as an adult you have just the 24. The coccyx – often thought of as your tail-bone – is made up of 4 tiny childhood bones fusing together, and the sacrum is made of of 5 fusing together.
Despite how common back pain is, the spine is a fairly robust structure. It protects the spinal cord and nerves and serves as attachment for 40 individual muscles. These muscles control the position (posture) and movement of the spine. It is widely believed that a lot of back pain is related to muscular dysfunction (see more below).
Isn’t back pain a minor complaint?
Back pain relief – top tips
What causes it?
It’s important that you exclude possible disease processes. These are rarely the cause. But pain can be caused by underlying disease. And a back pain specialist can work out the probability for you by combining your history (what you tell us), with examination findings. At Active X we start to do that before we even see you, by sending you a link to an online form, as soon as you book your appointment. The form includes questions to help determine whether you have an increased likelihood of spinal pathology.
“Non-specific back pain”
Back Pain Diagnosis versus Functional Assessment
Back in pain – prevention
We have more to say on this than we can fit into a short article, but the below tips are tried and tested – and based on the scientific evidence.
Moving often helps to prevent all types of pain. Don’t stay still longer than you have to.
Try to manage the loads you place on your back. If you suddenly increase the amount of load on your back, that’s a good way to injure yourself.
Avoid static postures like sitting or standing for long periods. This is related to the first point above.
Stress is really bad for increasing the risk of long-term pain too. Try to find stress-relieving tactics.
Have a supportive mattress. But make sure it’s not too hard for you either.
Having achieved relief of their back pain, many of our clients opt for a plan for prevention. This means we identify your personal risk factors and you decide which of those you’d like to work on. We will then support you in making those changes. Coaching you to a better, stronger back.
When to see a doctor for your back pain
If you do answer yes to one of the above, please contact us, rather than rushing off to your doctor.
Active X has specialised in relief AND prevention since 1993. Our team, based in the West End of Edinburgh are keen to help you.
Secure your appointment today, by clicking one of the links below.
Back Pain FAQ’s
Sleep in whichever position is most comfortable for your lower back. Make sure you spend time moving around before going to bed (probably best not to slump on the sofa). It may be helpful to take some painkillers before going to bed. Use pillows to support you in bed – sometimes a pillow between your knees helps when lying on your side. A pillow behind the knees may help when lying on your back. Rarely, lying on the front can be more comfortable – especially for those with lumbar disc problems.
How to relieve lower back pain depends on the cause. If your pain is worse when sitting, then it will often feel better walking around, so do this often. If your pain is worse bending forwards, when arching backwards often helps. If your pain is worse bending backwards, then bending forwards may help. Painkillers may help in the short-term. Osteopathy and massage are effective in relieving lower back pain.
Lumbar disc problems can often cause a combination of lower back pain and numbness in your leg. This is a type of sciatica.d There are other possible causes. It’s best to consult a clinician who specialises in sciatica. There are other possible causes of numbness and they may not be related to your lower back pain.
There are a number of possible causes of sharp pain in the lower back. A common one is muscle spasm. If your pain is triggered by an everyday activity which you’ve done many times without pain in the past, then it’s likely that you haven’t done any serious damage – the pain is simply due to muscle spasm. This is your body’s way of preventing you from doing the same movement again. Although the pain can be severe, it doesn’t represent a serious problem.
The best medicine for lower back pain depends on the cause of your pain. The clinical guidelines have recently moved away from paracetamol. They recommend non-steroidal anti-inflammatories (such as ibuprofen) and if that doesn’t help (or you can’t take them), then to try a weak opioid. However, opioids should not be used for more than a few days without consulting your doctor.
You would be better to consult an osteopath specialising in lower back pain; as there is good evidence that manual therapy helps.
Anxiety can certainly increase pain. It is unlikely to be the only cause of a first-time lower back pain. In someone who has had prolonged lower back pain, or many bouts of it, anxiety can trigger an episode of lower back pain. This is due to the functioning of the Central Nervous System. Your brain can effectively “learn” pain, which can then be “turned on” by anxiety.
It depends. If you can cycle without aggravating your lower back pain, then cycling is good for you generally. And anything that’s good for your health is good for your pain. If cycling aggravates your lower back pain, then it’s best to avoid it in the short term. If bending forwards to reach the handlebars aggravates your pain, then it’s likely that sitting more upright, with raised handlebars will be more comfortable. Also, try bending more at the hips. While keeping your back fairly straight.
If you can swim without aggravating your lower back pain, then swim. If swimming aggravates your pain, then it’s best to avoid swimming. You may find that you’re OK with crawl, but breaststroke isn’t good – so, stick with crawl. Often walking in the water is more comfortable and useful exercise without the awkward swimming position. And the water helps to support your weight, taking the strain off your lower back.
If it’s painful to swim, don’t do it.
No. Generally exercise is really good for lower back pain. Which exercise depends on the type of lower back problem you have. Broadly, stick to the first rule, which is “Use it or Lose it, But Don’t Abuse it”. So, any movement that you can do that doesn’t hurt is a good thing. The second rule is “Start Low and Build Slow” (SLABS), which means start at an easy , pain free level and slowly build it up.
Women have all the same problems as men with lower back pain. But they can also suffer lower back pain related to being a woman. Menstrual cramps, endometriosis, ovulation pain, pregnancy, delivery pain, prolapsed womb and/or vagina.
All of these professionals are qualified to deal with back pain. It’s always good to get a personal recommendation. Failing that, it’s difficult to recommend one over another. This is because there’s a lot of diversity within each profession. But broadly, chiropractors do more manipulation, and physios give more exercises and lifestyle advice, and osteopaths are somewhere in the middle in their approach to back pain.
Osteopaths are recommended for back pain. The NHS, large healthcare organisations, and other companies employ osteopaths to help people with back pain.
A number of studies have shown the benefits of osteopathy, and so osteopaths are included in the UK clinical guidelines for the management of back pain. Osteopathy is a statutorily regulated profession in the UK, ensuring that high standards of practice are maintained. Osteopaths will take a thorough case history related to your pain, examine you, provide an evaluation of what’s causing your pain, use manual techniques to relieve your pain, and give you advice on how to relieve your own back pain.
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