Almost everyone experiences discomfort in the lower back at least once in their lifetime. For many, lower back pain recurs after a period—short or long—of being symptom-free or at least experiencing minimal discomfort. Pain and muscle tension occur in the lower spine—in the lower back—and are often described as “lumbago.” In some cases, the pain radiates into the legs, which is then sometimes referred to as “sciatica.” These symptoms limit people in their daily lives, at work, and also when participating in sports.
In acute cases, the affected person often reports a “silly” movement or an atypical strain in the preceding days. In cases of long-standing symptoms, prolonged static strain, such as sitting for long periods in front of a computer, is often cited.
In fact, the majority of back pain is caused by “harmless” poor posture, improper strain, misalignment of the small joints, muscle tension, or muscular imbalance, and is easily treatable. During the medical consultation and physical examination, we specifically assess whether there are any indications of relevant conditions or conditions requiring treatment that necessitate further investigation. These include, among others, herniated discs, vertebral fractures—e.g., following an accident or in cases of existing osteoporosis—as well as inflammatory or rheumatic conditions. Depending on the clinical suspicion, imaging procedures such as X-rays or MRI scans are then ordered, or further blood tests are conducted for laboratory diagnosis.
Identifying the underlying cause and providing clear, understandable information are the first crucial steps in treatment. The majority of patients with so-called “nonspecific” lower back pain are symptom-free within about two weeks with appropriate therapy or at least experience significant relief of their symptoms.
In acute care, the focus is on identifying the cause and administering pain medication. Depending on the findings, additional treatments such as manual therapy (mobilization or manipulation), acupuncture, or targeted injections may be performed. Local injections are often particularly helpful for severe pain.
Given the often recurrent nature of the symptoms, adopting the “right” behavior in daily life and avoiding triggering factors are crucial. As part of exercise therapy, we focus specifically on posture, strengthening, stretching, activating stabilizing muscles, and improving balance. Additionally, trigger points and fascia can be treated, and osteopathic techniques may be employed. Consistent continuation of the learned exercises—the home exercise program—is essential for long-term freedom from symptoms or at least a significant reduction in symptoms even after therapy has ended.
Which treatment methods provide relief?
The most appropriate treatment for back pain depends on the underlying cause. Once the cause has been identified, treatment methods such as physical therapy, shockwave therapy, local injections, mesotherapy, and acupuncture may be used. All of the aforementioned treatment options are offered at the SPORTambulatorium. Treatment is provided by our interdisciplinary team as well as by our spine specialist Dr. Julia Reinhart, a board-certified neurosurgeon.
Neck Pain / Back Pain / Lumbago / Lumbar Spine Syndrome / Iliac-Sacral Joint Blockages
Neck pain, also known as cervicalgia, can occur locally in the cervical spine or radiate to adjacent areas such as the shoulders, arms, and head.
Lumbago refers to pain in the lower back. In acute cases, this involves sudden and severe muscle tension or spasm in the lumbar region. Lumbago is a common cause of back pain and can be very painful. The sooner the symptoms are treated effectively, the faster they usually subside.
Causes of back pain throughout the spine can include:
Injuries
- Falls or accidents: Can lead to bruises or sprains in the lower back.
- Muscle strains or sprains: Caused by suddenly lifting heavy objects, bending down incorrectly or an awkward twisting movement.
- Ligament sprains or injuries: Ligaments that stabilise the spine.
Degenerative Changes
- Degenerative disc disease: Age-related or traumatic wear and tear of the intervertebral discs, which can lead to inflammation and pain.
- Osteoarthritis / Spondylosis: Degenerative joint diseases can also cause back pain.
Poor posture and lack of exercise:
- Prolonged sitting: Particularly when sitting in a poor posture or without adequate back support.
- Weak neck, abdominal and core muscles: Pain occurs due to a lack of muscular stability and support for the spine.
Stress and psychological factors:
- Muscle tension: Caused by prolonged stress or emotional strain.
