The 3 Causes of Back Pain
Lumbar Discs
The most common cause of low back pain is a problem with the lumbar discs.
These are cushions in between the bones that act like shock absorbers. They have a jelly like substance on the inside and concentric circles of ligaments on the out side. These outer ligaments are very pain sensitive and if the inner "jelly" starts to push into these outer ligaments then you will experience pain like you can see below.
So we know 60% of low back pain is due to the disc. So how do you know if it is disc pain?
- If the pain goes from your low back below your knee
- You have trouble getting up from a chair
- You’re not actually that tender to touch your lower back
- Just remember that over 50% of people who have no pain have a disc bulge.
Facet Joints
The next most common source of pain is the facet joints there is a 30% chance of these joints causing you pain.
- Firstly if you have pain getting up from a chair then this almost totally rules out a facet joint problem.
- Pain from the facet joints is away from the middle of your spine a little and can be on both sides, almost where the lumbar muscles are.
- Lastly if when standing you run your hand down the back of your leg and you don’t get low back pain this virtually rules out a facet joint problem.
If you’ve found that you do have a facet joint problem then you are best off seeing a Chiropractor as the cause is often what’s called an enlarged neutral zone. That is the amount of movement your brain allows before it becomes aware that the joints are moving.
This extra movement is what causes tissues to stretch and wear, a Chiropractor is able to improve the messages from the spine to the brain and give you exercises to improve your stability.
Sacroiliac Joint
The last structure is your sacroiliac joint.
These large joints can be tricky because they have nerve supply from all of the lumbar and sacral nerves so it can give you very diffuse pain.
However there are three easy tests that can give us certainty as to whether you have a sacroiliac joint problem:
- Fortins finger test. if you can point with one finger to the source of your pain then it is highly likely you have a sacroiliac joint problem.
- If someone presses down on the joint when you are lying facedown and it causes the pain then it may be a sacroiliac joint problem.
- Lastly lie on your back and drop the leg on the side of pain off the bed. if this causes pain it is another test that confirms a sacroiliac joint problem.
So What Can We Do to Help
As a Chiropractor at Platinum Chiropractic Erina the first thing we do is diagnose your problem precisely. If you don’t have a diagnosis then whoever is looking after you is just guessing.
Here is a simple exercise that helps with the coordination of the muscles in your low back.
The Best Way To Get Out Of Pain Fast
The best way to get out of pain fast is to get a specific diagnosis as this way you can target exactly what the problem is.
In our examination we conduct a thorough chiropractic, orthopaedic and neurological examination to find the cause of your problem.
Once we know what the cause is we can create a customized plan for you. This plan includes:
- The number one thing you must do to get out of pain ASAP.
- Specific postural exercises to strengthen and stabilize your problem.
- Neuromuscular re-education once things are stable to stop further progression.
- A specific plan for you to ensure the problem doesn’t come back (60% of people with back pain end up having another episode of pain within 12 months).