Acute back pain simply means pain that comes and goes.
Acute back pain what it is
Back pain is considered, by definition as a discomfort, muscle tension or stiffness localized to the area around the lumbar spine. It sometimes can radiate to the inguinal area or groin, buttocks or legs. Acute low back pain can be classified into three categories: serious pathology, patients with radicular nerve involvement and non-specific back pain (this is an exclusive diagnosis)
What are the causes of acute back pain?
There are several causes of back pain like:
- Cancer involving the lumbar spine.
- Inflammatory disease (ankylosing spondylitis )
- Spinal osteomyelitis associated with the use of IV drugs, urinary tract infection, skin infection
- Atypical causes of the back such as gastrointestinal, renal disease (e.g. renal stones, pyelonephritis), abdominal aortic aneurysm, gynecological disease, fibromyalgia, and neuralgia secondary t herpes infection.
How can physiotherapy help with acute back pain
There are different interventions like exercise, manual therapy and acupuncture as part of the physiotherapy management of patients with back pain. The exercises plan has a close relation with the severity and the initial diagnosis.
Early physical therapy is associated with decreased use of lumbosacral injections. If the physical therapy can be initiated within the first six weeks following the diagnosis of low back pain leads to a wide range of improvements in disability, health, psychological disorders.
What Physiotherapy treatments assist (that Physiotherapy offers mostly and Cortisone/Corticosteroid injections otherwise if applicable)
The epidural steroid injections are frequently used in situations of radicular pain and also, to treat nerve compression. But the physiotherapy is very important as part of the management of a patient with back pain. Once a patient is classified according to age, type on injury or diagnosis, the Physiotherapy can lead the non-pharmacological treatment and management.
The best exercises for it if applicable
Back pain can be acute, subacute and chronic. Depending on the duration of the symptoms and the clinical findings we can suggest the following procedures:
- Repeated exercises, or procedures with the goal to reduce the pain. The exercises should be done in a specific direction determined by response to the treatment with analgesics drugs with the aim to develop mobility in the patient and to reduce painful symptoms in patients with difficult movements and abnormal gait.
- Flexion exercises, combined with other interventions like manual therapy.
- Strengthening exercise accompanied by nerve mobilization procedures, and progressive walking, to reduce pain and disability in older patients with chronic low back pain accompanied by pain radiation to the leg. 4. Lower-quarter nerve mobilization procedures with the aim to reduce pain and disability in patients with subacute and chronic low back pain.
It is very important as part of the treatment to consider the health education of the patient and counseling strategies with the objective to promote extended bed-rest or explanations about the cause of the patient’s low back pain. This education should emphasize the understanding of the anatomy of the spine, explains about the pain and how can be percepted, the overall good prognosis of low back pain, the early resumption of normal activities, even when still experiencing pain, and the importance of improvement in activity levels, not only to relief the pain.
The incorporation of exercises need to be progressive, with low-intensity, as part of the pain management.
There are different exercises in relation with posture.
- Exercises to try in case of pain eased by lying down or standing: alternate arm and leg (bird dog), backward bend, bridging, hip flexor stretch, press-up.
- Exercises to try is the pain is eased by sitting down: double knee-to-chest, piriformis stretch, single knee-to-chest
- Exercises to try in case of no position eases the pain:cat-camel, clamshell, curl-ups, front plank, hamstring stretch, pelvic rock, sitting, pelvic rock, standing, pelvic tilt, side plank, beginner, side plank, intermediate, walking, wall sit.