Low Back Pain – Mechanical and Degenerative Causes
Low Back Pain (LBP) or sometimes referred to as lumbago, is one of the most common musculoskeletal ailment facing us today.
A survey conducted by the Back Society of Singapore found that over the previous 6 months prior to the survey, 18% or 1 in 5 adults had suffered an episode of neck or back pain. 50% of back pain sufferers had experienced an attack at least once a month or more frequently.
Unfortunately, from a relative perspective, the 99% of lower back pain stems from benign musculoskeletal problems such as muscle or soft tissue sprains and strains. Therefore, these cases are referred to as non specific low back pain.
- Apophyseal osteoarthritis
- Diffuse idiopathic skeletal hyperostosis
- Degenerative discs
- Scheuermann’s kyphosis
- Spinal disc herniation (“slipped disc”)
- Thoracic or lumbar spinal stenosis
- Spondylolisthesis and other congenital abnormalities
- Leg length difference
- Restricted hip motion
- Misaligned pelvis – pelvic obliquity, anteversion or retroversion
- Abnormal Foot Pronation
Low back pain caused by spinal degeneration and injury.
Generally, back pain often develops without a cause that your doctor can identify with a test or an imaging study. Hence, conditions commonly linked to back pain include:
- Muscle or ligament strain. Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you’re in poor physical condition, constant strain on your back can cause painful muscle spasms.
- Bulging or ruptured disks. Disks act as cushions between the bones (vertebrae) in your spine. The soft material inside a disk can bulge or rupture and press on a nerve. However, you can have a bulging or ruptured disk without back pain. Disk disease is often found incidentally when you have spine X-rays for some other reason.
- Arthritis. Osteoarthritis can affect the lower back. In some cases, arthritis in the spine can lead to a narrowing of the space around the spinal cord, a condition called spinal stenosis.
- Osteoporosis. Your spine’s vertebrae can develop painful fractures if your bones become porous and brittle.
Experiencing back pain? Click here to find out more about physiotherapy for back pain relief and how Core Concepts can help