Chronic Low Back Pain- eNews November 2014

Chronic Low Back Pain (CLBP) is a common complaint amongst the community. It is defined by pain lasting longer than three months that is located in the lower back. Best estimates from current research suggest a prevalence of 22% in the community.

85% of LBP is non-specific, no known anatomical cause. Patients presenting with NSCLBP (non-specific chronic low back pain) have large variability in their posture and muscle control. Historically, this has resulted in difficulties in managing these patients and applying effective treatment.

image taken from www.orthoinfo.aaos.org 27.11.14

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A new approach to CLBP has been developed by a Perth based physiotherapist, Peter O’Sullivan. This involves a classification based system where patients are grouped into categories and specific treatment is applied to each group.

This multi-dimensional approach considers all possible contributing factors in CLBP such as posture, work demands, past trauma, psychological inputs and patient beliefs in relation to movement.

Results from this approach are encouraging on a case by case basis, although further research is required to establish strong evidence.

Other research has shown that exercise such as pilates and general strengthening can be an effective form of treatment in some individuals.

All Physica staff are trained in the O’Sullivan classification system for CLBP. We will consider all contributing factors and classify your condition and apply a targeted rehabilitation program to return you to optimum health.

At Physica we are also involved in delivering the ASCEND Pain Management which is a multi disciplinary team care approach to chronic pain for not only the lumbar spine but also for other regions such as neck, shoulder, arm and whole body pain.

The Precision Ascend staff includes specialist pain physicians, pain nurses, physiotherapists, clinical and health psychologists, and occupational therapists.

Other Physica News

Daniel Zwolak from the Ringwood practice presented the second installment of his shoulder summary at this months PD meeting. Daniel spoke about rehabilitation principles for various shoulder pathologies.

Chris Tubb from the Ringwood practice participated in Movember this month. Chris managed to raise over $700 with support from staff, family, friends and patients. All funds are used for the betterment of mens health including research into prostate cancer, testicular cancer and mental health.

Physica was well represented at the recent Spinal 2 course run by the APA this month. Darren Ross and Greg Collis-Brown from the Ringwood practice lectured on Thoracic Spine disorders and Sian Smale tutored on the practical session.