Pain originating from the lower back may spread to other adjacent areas. The pain may spread up the back, or more commonly down to the buttocks, to the sacrum and coccyx area, and also down into the legs. Pain spreading into the legs may not necessarily be due to pinching or irritation of nerves, but may come from deeper structures in the back that tend to produce a deep dull aching type of pain spreading elsewhere. The pain may spread down as far as the feet. It often may be difficult to determine where the pain is coming from, but sometimes the pain may be reproduced by pressing on various tender spots in the lower back and pelvis area. Thus there are two types of referred pains; radicular (nerve irritation) and somatic.
Treatment options for back pain at Shethna Spine Clinic include:
Management of back pain initially involves taking an active approach. No more than 2 days bed rest is advisable as staying in bed too long results in muscles wasting and becoming weak and the spine becoming stiff and uncomfortable. Manual therapy can provide good short term relief to help you get moving and advice about the right sort of exercise can help you back on your feet. Core strengthening including Pilates can help prevent recurrences of back pain and lessen the severity of acute attacks. For persisting pain specialist advice and a multimodal approach is recommended.
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