Low back refer to lumbar region below rib cages, and pelvic region between two hip joints, can also be neuropathic pain.
Low Back Region Basic Anatomy
Low back region covers lumbar spine and part of the pelvic region. Lumbar spine is composed of five spine vertebraes, and body weight is distributed through lumbar spine to pelvic and sacrum.
The low back stability is fulfilled by co-ordination of transverse abdominis and segmental tonic muscle.
Common Back Pain Reasons:
Back pain can be deliberating, affecting up to 80% of the population suffering from significant back pain at some point during their life. There are certain factors predisposing for back pain, overweight, poor sitting posture, weak body muscle for keeping good spinal alignment, sitting for long time, etc. Most of the back pain cannot be diagnosed with clear pathology, and it would be marked as "Somatic Pain". However, there are few source that might be able to account for the most known reason of back pain.
- Sprained / Strained low back muscle
- Prolapsed Inter-vertebral Disc
- Sprained / Strained ligament
Intervertebral Disc Herniation, Protrusion, Extrusion, Sequestration
Intervertebral disc pathology has the progressive degree of displacement. Intact of annulus fibrosis and degree of nucleus pulpous displacement indicate the severity of intervertebral disc pathology.
Here is DO and DON'T for PID patients. Do beware of posture when PID are suspected or diagnosed; Don't bending forward with turning trunk, as it would further push nucleus pulposus displaced. Do sitting with supported upright posture, it would help to relieve pain and back muscle tightness; Don't sit on sofa, as the collapsed sitting posture would further deteriorate the condition. Do core muscle training, it should start ASAP; Don't sit for long time, or putting on corset for too long time, as it will weaken back muscle and make the back pain become chronic.
How Traditional Chinese Medicine and Physiotherapy Help?
Correct posture, and practise stretching and strengthening exercise.
Acupuncture and Dry Needling1
Pain relief and promote circulation to the affected area.
Release muscle tightness and promote circulation.
Massage and Manual Therapy
Release muscle tightness, improve joint alignment and function.
Traditional Chinese Medicine
Improve body energy level, promote balance of health.
Core muscle training and stretching. Promote injured tissue healing, improve stability and flexibility of lower back region.
1)The American College of Physicians recommended acupuncture as a first-line treatment for both acute and chronic low back pain, and suggested it as an unusal guildline for daily practice.
Qaseem, A., Wilt, T. J., Mclean, R. M., & Forciea, M. A. (2017). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine, 166(7), 514-530. doi:10.7326/M16-2367(Read)
Generally, treatment is based on the stage of patient's condition. For example, aims of treatment in acute stage include pain and inflammation control. While conditions progress into sub-acute and chronic stage, target would change to swelling subside, recovery of function, and back to premorbid stages.