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Back Pain

Most back pain can be improved with physiotherapy treatments.

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Back Pain

It is common

80% of adults will experience episodes of back pain in their lives, though the severity and intensity is usually mild and short-lived.  Having back pain is as common as getting tired at some times.

Usually unrelated to bulging disc and pinched nerves

X-ray, CT scan or MRI results do NOT necessarily correlate to your back pain.  Someone can have a “not so good” scan findings yet with no pain at all, while another person can have agonising pain with relatively “normal” scan reports.

 

Disc degeneration, facet joint arthrosis do not predict low back pain.  

 

In fact, with bulging disc, you are about 2.5 times LESS likely to have back pain. The strongest single predictor for low back pain is depression instead.

Behaviours associated with low back pain

Fear avoidance and catatrophisation is common among people who have experienced back pain.

Any negative belief about activity will cause harm or further damage to the back and surrounding tissues will not help with the recovery of low back pain.  Such catatrophisation will only reinforce the symptoms and prolonged recovery time from the pain and associated disability.

Fear avoidance can cause changes in movements either with an adaptive or maladaptive way.

In the case of adaptive movements, the person will perform a task in a manner in order to protect the musculoskeletal system and or the body’s physiological processes.

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Common Myths Around Back Pain 

It is caused by weak core muscles

Weak core muscle is not the cause for back pain.  People who have strong core muscle also experience back pain.   We need core muscles to perform specific tasks such as planking exercise, but not necessarily in all everyday activities.  Sometime holding core muscle will restrict our normal movements and cause discomfort in some instances

We have back pain because it is “out of alignment”

There is no scientific medical evidence to suggest that back pain is related to the spine  being out of alignment.  The resting position of the spine does not predict back pain.