A considerable body of evidence confirms the benefits of physiotherapy in the management of low back pain, with interventions to reduce pain, improve physical function and assist in the prevention of back pain.

Physiotherapy management of low back pain

Low back pain is one of the most common conditions with which patients present to a physiotherapist – and for good reason. Evidence-based research continues to assert the effectiveness of physiotherapy interventions in the management of both acute and chronic low back pain.

Significant evidence shows that patients with more acute pain recover faster by remaining active and with light activity prescribed by a physiotherapist. While structured exercise may not be recommended early on for patients with acute pain, some specific exercises are appropriate when carefully selected and instructed, and may lead to a reduction in the recurrence of pain and disability in the future.

For patients with chronic pain there is strong evidence that physiotherapy management that includes supervised exercise programs – such as those prescribed by the skilled physiotherapists in our practice – deliver valuable results: faster return to work rates, reduced recurrence rate, less sick leave being taken, reduced pain and increased mobility.

Spinal manipulative therapy (SMT) is another physiotherapy intervention supported by scientific evidence. An analysis of clinical guidelines and systematic reviews reports that SMT improves clinical outcomes for acute and sub¬acute low back pain especially within the first six weeks. However, SMT is typically not recommended as a first-line treatment for some presentations of chronic pain (for which there is stronger evidence for exercise interventions).
The physiotherapists in our practice integrate clinical expertise with evidence-based research, in the assessment and management of movement disorders.

Let our trained professional help your patients with low back pain, with techniques to control pain, increase flexibility and mobility, and improve muscle strength and control. To enhance recovery and help prevent further injury, we can advise patients and prescribe a tailored exercise program to meet their individual lifestyle needs.

Rebbeck, T. Low Back Pain Evidence-based Clinical Statement – Australian Physiotherapy Association, 2002.