Millions of Americans suffer from back pain. For some, the pain is mild and infrequent; for others, back pain is a chronic and debilitating condition, preventing them from performing everyday activities and severely affecting their quality of life. Although there are many ways to treat chronic back pain, including medication and surgery, physical therapy is the ideal solution for individuals who wish to improve or correct their condition through effective, noninvasive, and natural procedures.
Education
Although many people know what it’s like to experience back pain, few of them are able to accurately identify the source of the pain. It is a common myth that all back pain comes from some type of physical exertion or injury such as bending the back in an awkward position, lifting something too heavy, or pulling a muscle. Although these are certainly factors in the incidence of back pain, they are not the only culprits, or even the most common ones. One of the roles of physical therapy is to educate the patient in the causes for back pain so he or she will be better equipped to prevent future episodes.
Many times, back pain is caused by poor posture, and like any bad habit, can be difficult to correct. Physical therapists help patients become more aware of their posture so that they can self-correct as necessary. Individuals who spend many hours per day in a sitting position such as those who have desk jobs, for instance, are particularly vulnerable for lower back pain. Physical therapists can help these patients learn to sit up straighter at their desks rather than slouching and to perform bending and extension exercises designed to prevent and relieve pain. The therapist may also train the patient in the use of assistive devices such as special pillows, or lumbar rolls, designed to help maintain a natural curvature of the back while in a sitting position.
Manual Therapy
Like any form of physical therapy, the goal of manual therapy is to reduce pain and increase mobility. As its name implies, manual therapy is administered by the hands instead of by machine or device. For example, the therapist may apply pressure to certain areas to stimulate the tissue and break up myofascial adhesions that can cause pain and tension. This procedure is often referred to as soft tissue mobilization, or STM. Other manual therapy techniques such as strain-counterstrain, joint mobilization, and muscle energy techniques (MET’S) involve the therapist taking hold of the patient and moving his or her muscles and/or joints in a way that gradually increases flexibility and provides pain-relieving resistance.
Exercise
Exercise plays an important role in physical therapy, but such a routine cannot begin until a patient’s pain has been adequately managed. Once this has occurred, the therapist can work with the individual to develop a regimen involving both aerobic and strengthening exercises. Aerobic exercises, such as walking or bicycling, not only help stimulate the tissue in the affected area, but also allow important nutrients to reach the area, helping it to heal and restore itself. Typically, these types of activities are prescribed for approximately thirty minutes a few times per week. Exercises designed to strengthen both the back, the legs, and the abdomen are also recommended. The stronger the back is, the better-equipped it will be to tolerate certain postures and activities. Furthermore, leg strength also plays an important role in prevention since strong legs can assist the back in lifting and bending activities. Exercises designed to strengthen the abdomen can help the patient maintain proper balance and posture, minimizing episodic back pain.
Passive Modalities
The term “passive modalities” refers to any physical therapy technique in which the patient does not participate actively. Common passive modalities used to treat back pain include the use of hot and cold compresses, ultrasound therapy, and electric stimulation. Although these methods certainly provide some benefits, especially in the form of pain relief, and are therefore quite appealing to patients, in order for long-term benefits to be realized, passive modalities should be combined with active modalities such as exercise and posture maintenance.
If you suffer from back pain on a regular basis, don’t continue to let it interfere with your daily activities or quality of life. Over-the counter, or even prescription medication, is often ineffective and even addictive; thankfully, it is not the only option. Physical therapy can offer specific treatments targeted towards reducing pain and increasing flexibility and movement, thereby allowing you to enjoy life by doing the things you love without the pain.
References
1. Physical Therapy Programs for Low Back Pain. Spine Universe. Retrieved from http://www.spineuniverse.com/conditions/back-pain/physical-therapy-program-low-back-pain.
2. Specific Manual Physical Therapy Techniques. Spine-Health. Retrieved from http://www.spine-health.com/treatment/physical-therapy/specific-manual-physical-therapy-techniques.