Managing Chronic Low Back Pain with Chiropractic Care and Physiotherapy

Question:

I’ve been dealing with a bad back for almost 20 years. It tends to flare up every three or four months, forcing me to walk in a stooped position for a day or two. Afterward, I have about a week of low-grade pain before I’m able to get back to my regular activities. Even when my back feels okay, there’s a sense that something isn’t quite right—it feels “rusty.” Back pain is common, but I’m wondering what steps I should take to figure out what’s wrong and how to fix it. Should I go to a chiropractor or a physiotherapist? Do I need a referral from my doctor? My wife suggests I take her arthritis medication because it helps her. Any advice?

Answer:

It’s clear that you’re not alone in dealing with back pain. Chronic low back pain is a common issue, especially given our modern, sedentary lifestyles. Long hours of sitting at desks, driving cars, or spending time in front of screens can lead to stiffness, muscle imbalance, and other factors contributing to back pain.

Given your description, here are some suggestions on where to start and how chiropractors and physiotherapists can help.

Why Chiropractors Are a Good First Step

Chiropractors specialize in spinal health, focusing on the alignment of the spine and how it impacts overall well-being. You don’t need a referral from a primary care doctor to see a chiropractor, so you can schedule an appointment directly. A chiropractor can assess your condition, identify misalignments, and create a personalized treatment plan to address your pain. Treatment might involve spinal adjustments, exercises, and lifestyle recommendations to support your back health.

Tips for Finding a Chiropractor:

• Ask friends, family, or coworkers for recommendations.
• Look for licensed chiropractors with positive reviews and a good track record.
• Choose a chiropractor who listens to your concerns and explains their approach clearly.

The Role of Physiotherapy

Physiotherapists focus on rehabilitation and can play a key role in managing chronic low back pain. They work on strengthening muscles, improving flexibility, and correcting posture. Physiotherapy is a hands-on approach that often involves exercises, stretches, and manual therapy to help you build strength and improve mobility.

What to Expect from Physiotherapy:

• An assessment to identify the underlying cause of your pain.
• A customized treatment plan with exercises and stretches to do at home.
• Guidance on posture, ergonomics, and lifestyle changes to reduce strain on your back.

Lifestyle Changes to Support Your Back

Beyond visiting a chiropractor or physiotherapist, you should consider making broader lifestyle changes to support your back:

• Exercise Regularly: Focus on core-strengthening exercises, and low-impact activities like swimming or yoga.
• Improve Your Posture: Be mindful of how you sit, stand, and move. Adjust your work and home environments for better ergonomics.
• Take Regular Breaks: If you sit for long periods, take breaks to stretch and move around.
• Avoid Heavy Lifting: If you need to lift something heavy, use proper techniques to protect your back.

Avoid Self-Medicating

While your wife might suggest arthritis medication, it’s not recommended to take medication without consulting a healthcare professional. Pills might relieve symptoms temporarily but won’t address the root cause of your back pain.

Final Thoughts

Managing chronic low back pain involves more than just a one-time fix. It requires a holistic approach, including chiropractic care, physiotherapy, and lifestyle changes. By focusing on these areas, you can reduce your discomfort and improve your quality of life. Remember, consistent effort and the right guidance are key to keeping your back healthy and pain-free.