I believe that’s because the lower back is really only designed to bend forwards and back, but it’s trapped between two areas that twist – your ribcage and your pelvis. And if one of those areas becomes twisted and stuck, then your lower back is often forced to move suboptimally. Over time, poor movement patterns become habits, and habits cause wear points and injury.
My job is to work out whether the problem is coming from your ribcage or pelvis (and if it is, what’s causing the ribcage or pelvis to be twisted?) or from your low back itself. Is it acute (in which case, I often have to treat the low back first) or can I go straight to the cause and treat that?
Each back problem has its own specific cause, and therefore the best way to treat each back may be completely different.
When I treat you, we’ll start off by discussing when your back hurts: all the time, just when you’re sitting down or doing yoga, or when you’re super stressed. I then look at your posture and your movement patterns throughout your whole body, especially with regard to the activity or posture that hurts you most, in order to work out where your problem is originating from. We can then begin back pain treatment.
Once we work out what’s going on, we can put together a treatment plan. The plan will be completely individual to you: based on whether your back is the cause of your problem or whether it’s compensating for a problem elsewhere in your body, on your own goals and priorities, your diary, and how much time you’re able to devote to your recovery.
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I’ve been keeping a close eye on the COVID-19 situation and I’m delighted to announce that I will be reopening my Liverpool Street physiotherapy clinic on 5 October, with everything wipe-clean and COVID-safe!
However, the current government advice is that I have to see patients online before I can see you in clinic, and that I should only see you face to face (or mask to mask!) if we both agree that the benefits of hands-on treatment outweigh the risks of coronavirus transmission. If this is not the case, then I do plan to continue to offer online treatment for the foreseeable future.
But if you want to be one of the first people to see me in clinic on my return, call my team on 0207 175 0150 and book an online session before 25 Sept.