Non-Specific Low Back Pain and Physiotherapy Intervention

What Is Non-Specific Low Back Pain?

Non-specific low back pain (NSLBP) is a prevalent condition affecting a significant portion of the adult population. Characterised by pain and discomfort in the lower back without a specific underlying pathological cause, NSLBP presents a challenge for clinicians due to its multifactorial nature. Physiotherapy plays a pivotal role in the management of this condition. Treatment focuses on improving function and reducing discomfort through personalised care and prevention of recurrence.

Symptoms

  • Dull, aching pain in the lower back

  • Stiffness or reduced range of motion in the lumbar region

  • Muscle tightness or spasms around the lower back

  • Pain that worsens with prolonged sitting, standing, or bending

  • Discomfort that may radiate to the buttocks but not below the knee

  • Mild to moderate pain intensity, varying throughout the day

  • No associated neurological symptoms such as numbness, tingling, or weakness

  • Occasional difficulty in performing daily activities due to pain or stiffness

Diagnosis and Treatment

Diagnosis begins with a detailed patient history to identify pain onset and causes. A physical exam assesses movement, nerve function, and daily activities to exclude serious conditions like infections, cancer, fractures, or cauda equina syndrome requiring urgent care. Treatment includes:

  • Early return to activities prevents stiffness and weakness, promoting functional recovery.

  • A personalised exercise plan targeting mobility, strength, and endurance is essential to optimize healing.

  • Manual therapy can provide short-term pain relief when integrated with an active rehabilitation program.

  • Pain management using NSAIDs or paracetamol should adhere to clinical guidelines and be combined with therapeutic exercises.

  • If symptoms persist beyond 6 weeks, referral to a multidisciplinary team is recommended for comprehensive care.

  • Psychosocial factors must be addressed, employing cognitive behavioural strategies when appropriate to support recovery.

An integrated approach combining education, exercise, manual therapy, and psychosocial care underpins effective and sustainable recovery outcomes.

How can we help you?

Physiotherapists are essential partners in managing non-specific low back pain (NSLBP), guiding you toward lasting recovery and improved well-being. If you are experiencing pain, stiffness, or challenges with movement, it’s important not to delay seeking support. At The Physio Garage, we offer personalised treatment plans tailored to your unique needs, helping you regain comfortable mobility and enhance your quality of life. Reach out to us today and take the first step on your journey to recovery and optimal health.

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