Long term back problem

by Marie
(Essex)

My physiotherapist is using manipulation to loosen up the area at the bottom of my spine which he says is inflexible and is causing my back pain. I have recently visited him and he is helping me with my lower back pain.

Is it possible at my age (54) to undo the results of inactivity over so many years? Will I have to continue to have Physio to avoid the pain? Is it possible to rejuvenate the spine?

Hi Marie

Yes, it is possible to do some things that will improve your lower back pain problem, but you may need to make a few positive lifestyle changes!

It's important to understand that simple lower back pain (the most common type of back problem) is rarely caused by one thing; it is far more likely that several different factors are contributing. So in order to treat it effectively you need to address a few different things.

In my experience most people with this problem need to consider several or all of the following 5 things.

1. Reduce any prolonged postural stresses and strains that your spine has to deal with.
2. Improve your backs flexibility with movement exercises
3. Improve the muscular support your spine gets by improving the activity of your 'core stability' muscles
4. Get fitter, better physical fitness improves the circulation through all your tissues, not just your heart and lungs
5. Address any worries and fears you may have about your back problem as these make back pain much worse.


Manipulation may give you short term pain relief but it will not improve your spines mobility over time. Read about spinal manipulation and the research evidence for and against it. In fact reliance on 'passive therapies' i.e. someone doing something too you, as opposed to you doing something for yourself has been found to be unhelpful.

Its funny I should get this question as last month I treated someone with simple lower back pain who had been seeing a chiropractor monthly for 10 years for manipulation. I was astounded and asked her why she had continued to go as it clearly hadn’t helped her feel any better. Her response was that she was afraid she would feel much worse if she didn’t go. In fact with a home exercise programme she is much more confident that she can now manage the problem herself.

I suggest you talk to your physiotherapist about making some positive changes in your life to help you improve your spinal fitness, that you feel you will be able to keep up over time. This will help you manage the problem long term and ensure you do not end up with a dependence on a passive treatment.

By the way - at 54 you are a spring chicken!

Regards

Paula

Ask a Question
Lower Back Pain Toolkit Home Page