Mechanical LBP

Question 1

What is mechanical LBP?

Answer 1

Refers to back pain arising from discs, joints and soft tissues

Question 2

Pattern

Answer 2

Eases with rest
Agg by standing, walking
Activity dependent
Fatigue element
No RF, no neuro signs

Question 3

Objective Ax

Answer 3

ROM- flexion, extension, R/L side flexion
Tiptoe walking, heel walking, single leg dip
LL neuro Ax

Question 4

Treatment

Answer 4

Strengthen surrounding muscles- trunk, glutes, quads

Keeping active, use of heat/cold therapy, see GP for pain medication

Question 5

Use of lumbar supports and back belts

Answer 5

Not recommended- negative effect on back pain beliefs

Question 6

Vicious cycle of low back pain

Answer 6

Pain -> avoiding activities that cause pain -> brain learns specific movements cause pain which increases sensitization -> reduced activity -> less activity causes weakness -> muscles get weaker and tighter -> increases pain on movement