Health Professional Center

*** Please welcome our newest member to the Health Professional Team! ***

Carman_Wong_Head

Carman Wong
Physiotherapist (BCScBiol, BCScPT, FCAMPT, CG*IMS)
Extensive experience in treating neck, shoulder, lower back, knee and motor vehicle accident related pain.

ASK ME A PHYSIO QUESTION


Do You Have Low back Pain?



Over the many years at our active Vancouver clinic our daily patients always comprise of a significant portion of people with neck and low back spinal pain. The statistics for the incidence of low back pain may vary depending on where you find them, but a significant percentage of the patients seen by doctors and physiotherapists today have low back pain. For instance, in 2012 WorksafeBC put out a report and it showed that from 1980 to 2012 the proportion of work related back strain injuries reported to all injuries has ranged between 22% to 26%. Although two thirds of those affected were men a decade ago, the gap has narrowed in recent years between the genders. All ages are affected by low back strain injuries, but most commonly peaked between the ages of 35 and 44.


Most low back injuries will recover and heal in a short period of time. They may be muscle and ligament sprains and strains, and if protected and rested during the acute phase then gradually returned to activity, the back pain usually resolves. In the clinic I will see the early very painful low back injuries, and more frequently the ones that don’t resolve and become chronic. The chronic cases of low back pain are much more complicated in nature and require a very active approach between the patient and physiotherapist/doctor in order to be successful.


4 common questions patients will ask me in the initial assessment are:


1. What is injured and is it serious? What is causing the pain?
To find out precisely what the problem may be, it is important that the patient gives good verbal history of what activity or movement was done when the pain appeared, the location and type of pain is felt, how intense or easily irritated is the injury, what movements aggravate and ease the pain and so forth. Doing a physical examination can give us clues to what may be causing the pain, but often times it is very difficult to pinpoint the exact structure in the body that is hurt. More importantly, knowing the patterning and characteristics of the pain, and a thorough physical examination is invaluable to treating the injury and pain successfully. Muscles and ligament injury, vertebral joints stiffness and injury, disc hernia and injury, sacroiliac joint dysfunction and sprain (pelvic joints) are all common in low back pain.



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