Back Problems

If you have back pain at the moment and you require the right diagnosis and management on how to deal with it, Lesley has had over 35 years of experience in this area.

Lesley has had 35 years of experience dealing with the following back conditions and working through your particular requirements for sport, biomechanics or just working at your desk.

  • Discs intradiscal/ Prolapsed disc / bulging/ degenerative joint and disc osteophyte bars
  • Spinal canal and spinal nerve stenosis/ compression ( trapped nerves)
  • Sciatica and other leg/ foot pain related to lumbar spine.
  • Post laminectomy and microdiscectomy
  • Locked facet joints and muscle spasms
  • Sacroiliac joint dysfunctions
  • Inflammatory arthritic conditions including Ankylosing spondylosis
  • Spondylolisthesis
  • Stable and healed Fracture
  • Hypermobility
  • Osteoarthrosis and osteopenia
  • Scoliosis 2ndry to biomechanical problems from the foot upwards.

Discs

About 80% of low back pain has some sort of discal element to it and it is important to differentiate from other sources of back pain as the treatment can be dramatically different.

Posture

Back pain can arise gradually without incident at 0 mph sitting at your desk, day in day out, in the wrong posture (even with the best of chairs!) causing strain to the ligaments or discs.

Then often the final straw can occur such as lifting awkwardly and/or bending forwards and twisting.

Intradiscal Pain

This is often missed and wouldn't show on an MRI or X Ray and depends on the expertise of the clinician's understanding how the different tissues behave.

This is vital in helping the healing process and vital in preventing further injury progressing to a herniated disc or prolonged recovery.

Herniated discs

Where the nucleus pulposus presses through fissures in the injured annular fibrosus may need immediate diagnosis / intervention and neurological examination.

This will be required to determine compression of the spinal nerves causing sciatica. It will be important to rule out more central problems to the cauda equina or severe compression of spinal nerves affecting the muscle strength of your leg which would need.

What can be done if you have a herniated disc that doesn't need surgery?

Manipulations are contraindicated but relief of Posture through:-
Gentle palpation of the nerves / release of adhesions around the spinal nerves stuck down to capsular facet tissue / specific exercises to help reduce the nerve compression and strength work to act as a shield to the back and absorb the shock on the back and pain relief via electrotherapy may be an important part of recovery.

Bulging Discs

Due to a degenerative process lose their ability to absorb forces and act as shock absorbers and often associated with a previous fall. These too can be helped by specific exercises designed to take the load of the discs and those that act as a shield. Mobilising joints higher up the spine also can help reduce any influence from rotation to the lower part of the back and specific exercises to help build up the bone interface of the disc.

For more information or to arrange an appointment, call now on 020 7627 8890 (Clapham)/07711 419858 (The Strand) or email: lesley@kingphysio.co.uk

Back to top