Chronic Lower Back Pain

Chronic lower back pain is defined as pain lasting more than 3 months. As opposed to acute lower back pain chronic pain is usually the result of a more significant initial injury to the spine and its associated tissues or longstanding degenerative changes (wear and tear).

Work or leisure related activities may also perpetuate the condition. Chronic lower back pain is a very common presenting complaint at chiropractic clinics and chiropractic management has been scientifically proven to be both safe and effective.

Chiropractic Treatment

After a thorough interview and examination the chiropractor will determine if chiropractic care is suitable for your condition. If deemed necessary, x-rays, scans or blood work can quickly be arranged at our clinic.

A treatment plan will be agreed upon and patients “understanding” is emphasised. Most chronic lower back pain syndromes are mechanical in nature and are effectively treated with chiropractic care. Improvement should be noted within 2-4 sessions. If adequate progress is not being made you will be referred to one of the medical Consultants at our clinic for further investigations.

Chiropractic care consists spinal manipulation, soft tissue treatment and advice regarding “over the counter” medication, ice / heat and other factors that are of relevance to the individual patient.

Most chronic lower back pain patients have an underlying muscular weakness which will necessitate a strengthening programme in order to restore maximal spinal health. Exercise is carried out under supervision at our clinic gym. Advice regarding work, leisure, and sport related activities will of course be reviewed.

Evidence and Safety

In May, 2009 the National Institute for Health and Clinical Excellence (NICE) published its much anticipated guidelines relating to Early Management of Persistent Non-Specific Low Back Pain. Chiropractic management of these patients was recommended as a first choice option. Chiropractic treatment was deemed to be effective, safe and cost-effective. Similar conclusions were reached in a Pan-European Guideline Panel, European Guidelines for Acute Nonspecific Low Back Pain.