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Acute / post-traumatic lower back pain

Lower back pain can refer to a wide range of back injuries or conditions. However, we are proficient at treating all of them. 

One common cause of acute back pain, can be a kind of ‘whiplash’ caused by a sudden, sharp straightening of the spine. It is important to check if there are any compressed nerves in these cases, which usually present in combination with severe stabbing pains around the nerve’s location. In most of these cases, sufferers will also feel muscular pain in the back as well leading to problems sleeping at night, which in turn can worsen their condition. 

X-Rays are frequently used in diagnosing these injuries, although MRI or CT scans may also be used if your doctor suspects intervertebral disks may be involved. 

We have a great deal of experience in treating these kinds of injury with physiotherapy, with sports massage and muscle toning exercises are particularly effective. Selective strengthening exercises and core strengthening are also very effective here in reinforcing the muscles required to support the back and reduce instability. 

One thing which must not be overlooked when dealing with back pain and these ‘whiplash’ style injuries is the patient’s habits. How much time they spend sitting down and whether they have recently gained weight can be major factors in these cases. 

Lower back pain - Rehabilitation

Lower back pain can be divided into acute or chronic depending on the mode of occurrence but both have common features characterized by the presence of pain localized to the lumbar region, more or less marked block in some movements in flexion/extension especially in the morning and difficulty maintaining the same position for a prolonged period of time.

The therapeutic protocol in both cases is similar, the only difference consists in the timing of healing. The primary objective of the rehabilitation program is to reduce muscle tension and pain, through physical therapies such as laser, TENS, massage therapy and hyperthermia decontracting lumbar paraspinal, quadratus lumborum, iliopsoas myofascial and reflexology piriformis.

Reduced muscle contracture it is possible to recover the motion and mobility through muscle stretching of the adductors, the psoas, gluteus, hamstrings and TFL; as soon as possible, it is useful to perform aerobic activity permitted (walking on treadmill, elliptical) but only after the postural correction of the spine, spoiled by analgesic contractions and incorrect attitudes acquired over time.

Once the pain is reduced you can begin the most important phase of the Protocol that of muscle toning, through exercises for the transversus abdominis, gluteus, quadriceps, rectus abdominis, obliques and core muscles. You will be proposed isometric exercises at first and gradually will be included elements to improve control and the difficulty as Bobath and unstable platforms balloons.

The rehabilitation program ends with the last stage, on the field, with exercises to restore vestibular function and perception of the body and the technical specifications according to the fundamental rule of the sport practiced.

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