Chronic Low Back Pain Treatment

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Understanding Chronic Low Back Pain

Chronic low back pain (CLBP) is characterised by persistent discomfort in the lower back that persists beyond 3 months or 12 weeks, regardless of whether an injury or underlying cause was treated initially. This condition may develop independently or be accompanied by sciatic pain, which results from compression of the sciatic nerve. It is common for individuals to experience episodes of acute low back pain lasting from a few hours to several days at some point in their lives.

CLBP significantly impacts functional capacity and daily occupational activities. Psychological factors such as depression, anxiety, and stress can also influence its severity. The primary symptom is enduring pain in the lower back, typically located at the back of the waist, aggravated by standing and alleviated by lying down. Additional symptoms may include:

  • Persistent lower back pain
  • Radiating pain extending to the inguinal area, thigh, or buttock
  • Difficulty in walking

This condition typically emerges around age 40 due to spinal degeneration and is a leading cause of work absenteeism and visits to orthopaedic surgery and trauma services.

JOGO's Digital Therapeutics offers cutting-edge treatments for chronic lower back pain. Our expert team uses advanced diagnostics to identify the underlying causes of your pain, providing customized treatments to reduce discomfort and restore movement, helping you live a more comfortable life.

Causes of Chronic Low Back Pain

Chronic back pain commonly arises from age-related factors or previous injuries. Many individuals with chronic back pain also have arthritis, or they may experience additional wear and tear on the spine due to various reasons, including:
  • Prolonged sports or work activities
  • Previous fractures or injuries
  • Surgical interventions
Other potential causes of chronic low back pain include:
  • Spinal stenosis, characterised by the narrowing of the spinal canal leading to nerve-related pain.
  • Spinal curvature abnormalities like kyphosis or scoliosis
  • Medical conditions such as rheumatoid arthritis or fibromyalgia
  • Piriformis syndrome, a condition involving pain stemming from the piriformis muscle in the buttocks
  • Disk-related issues like bulging or herniated disks
  • Myofascial pain syndrome, characterised by tenderness and muscle pain without a clear underlying cause
In certain instances, pinpointing the precise cause of chronic back pain can be challenging.

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Complications Caused by Chronic Low Back Pain

Chronic back pain can lead to a range of complications, both psychological and physical, that impact various aspects of life:
Nerve Damage
Chronic back pain, often resulting from conditions such as a herniated or slipped disc, can exert excessive pressure on spinal nerves. This pressure may lead to nerve damage that extends beyond the back, causing weakness and pain in different parts of the body. A common example is sciatica, where the sciatic nerve is compressed.
Work-Related Disability
Severe back pain is frequently cited as the primary reason for missed work and disability among working adults. The pain can impair the ability to perform basic functions like standing, bending, or sitting for extended periods, potentially jeopardising employment status.
Weight Gain
Persistent pain can hinder physical activity, which is crucial for maintaining a healthy lifestyle. Limited mobility from back pain often results in weight gain and muscle loss while the body adjusts to maintain a position that minimises discomfort, adversely affecting overall posture over time.
Depression
Chronic pain is not merely an inconvenience. It can lead to significant psychological distress. Depression is a common outcome, manifesting as a persistent low mood exacerbated by the inability to engage in daily activities or social interactions.
Insomnia
Intense pain can disrupt normal sleep patterns, leading to insomnia. Lack of sufficient sleep can further contribute to feelings of challenges and irritability in managing daily tasks.

Treatment for Chronic Lower Back Pain

Home Exercise & Physical Therapy
Exercise is a cornerstone of chronic back pain management. It is recommended as one of the initial treatments under the guidance of our spine physical therapist and physician. Exercises are tailored specifically to your condition, comfort level, and symptoms, emphasising the importance of maintaining a regular exercise routine at home. Consistency in your home exercise program is also crucial for enhancing spine stability and strength. Types of physical therapy for chronic back pain may include core strengthening exercises, posture retraining, flexibility and stretching routines, pain tolerance testing, and aerobic exercises performed at a comfortable pace.
Meditation and Mindfulness
Managing chronic back pain involves addressing both the emotional and physical challenges associated with the condition. We might refer you to a rehabilitation psychologist who can offer strategies such as yoga, tai chi, and meditation. These practices help strengthen your control over your nervous system and its response to pain, addressing the psychological impacts of chronic pain such as irritability, depression, and frustration.
Dietary Changes
Achieving and maintaining a healthy weight can reduce the pressure on your spine, thereby alleviating back pain. Consulting with a nutrition specialist can provide you with personalised dietary advice, helping you access balanced meals and develop eating habits that support your health objectives.
Lifestyle Modifications
Identify and avoid activities that exacerbate your back pain while increasing engagement in low-impact, enjoyable activities. It's also vital to minimise detrimental habits such as smoking, which can impede healing and intensify pain. Set achievable and realistic goals for lifestyle changes, focusing on one at a time for better manageability and consistency.

JOGO’s Treatment Plan for Chronic Low Back Pain

JOGO therapy offers a noninvasive treatment plan tailored specifically to each client's individual needs. Specialists meticulously guide every aspect of the treatment, ensuring a personalised approach to pain management.
Book an Appointment
Conduct Initial Assessment
Set a Therapy Goal for the Individual Patient
Complete the Treatment
Get Discharged
Regardless of gender, you can depend on the proven effectiveness of JOGO's clinically tested methods for chronic low back pain treatment.

Frequently Asked Questions On Chronic Low Back Pain Treatment

How is chronic low back pain diagnosed?

Chronic low back pain (CLBP) often remains undiagnosed with traditional investigations. Fewer than 10% of cases are diagnosed using magnetic resonance imaging (MRI) and radiography. Conditions like degenerative changes, spondylolysis, and spondylolisthesis are also not reliable indicators, as they occur as frequently in individuals without pain as in those with CLBP. Typically, diagnosis is primarily based on a patient's history, followed by a physical examination and assessment of clinical outcomes.

How does chronic low back pain manifest?

The primary symptom of chronic low back pain is persistent pain located in the lower back, specifically at the back of the waist. This pain is often triggered when standing and typically improves significantly when lying in bed. It may also radiate to the groin, genitals, buttocks, the back and side of the thigh, and less frequently to the calf, side of the leg, and heel. The pain typically does not follow a straight path but appears in patches or "in pieces" across these regions. Difficulty walking due to pain in the lower back and limbs may also occur.

What is the prognosis for chronic low back pain?

Chronic low back pain is a long-term condition, and outcomes largely depend on the patient's ability to improve physical conditioning. Patients who maintain or achieve a healthy weight, strengthen their muscles and avoid strenuous spinal movements generally have a better prognosis. Those who are overweight, have weak muscle tone or exhibit a prominent abdomen may experience worse outcomes. Lumbar fusion surgery, when indicated, shows high success rates with over 90% fusion success, limited lumbar mobility, and a high percentage of patients returning to daily activities.

When should I see a doctor for back pain?

>While lower back pain often resolves on its own, it is important to seek medical advice if it persists for four weeks or longer, continues to worsen, or is accompanied by other concerning symptoms such as fever, significant weight changes, weakness, bladder issues, or loss of limb function. These signs may indicate a more serious underlying condition that requires professional evaluation.

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