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Overview

Lower back pain is one of the most common reasons people seek physiotherapy. It can develop suddenly after lifting or twisting, or gradually over time due to posture, repetitive movements or reduced physical activity. While most cases improve with the right management, persistent pain can affect work, exercise and everyday life.

Symptoms

Symptoms can vary depending on the underlying cause and may include:

  • A dull ache or sharp pain in the lower back
  • Stiffness or reduced mobility
  • Pain when bending, lifting or standing for long periods
  • Muscle spasms
  • Pain that may spread into the hips or buttocks
  • Difficulty with everyday activities such as getting out of bed or putting on shoes

Causes

Lower back pain can result from many different factors, including:

  • Muscle or ligament strain
  • Poor posture or prolonged sitting
  • Repetitive lifting or bending
  • Sports or workplace injuries
  • Age-related changes to the spine
  • Reduced strength or flexibility
  • Previous back injuries

Assessment

Your physiotherapist will begin with a detailed assessment to understand your symptoms, medical history and goals. This may include:

  • Discussion of your symptoms and lifestyle
  • Assessment of posture and movement
  • Range of motion testing
  • Strength and flexibility assessment
  • Neurological testing where appropriate

If further investigation is required, your physiotherapist may recommend referral for imaging or to another healthcare professional.

Treatment Options

Treatment is tailored to your individual needs and may include:

  • Hands-on manual therapy
  • Personalised exercise programs
  • Strength and mobility training
  • Postural and ergonomic advice
  • Education about pain management and recovery
  • Return-to-work or return-to-sport planning

The aim is not only to reduce pain but to improve movement and help prevent future episodes.

When to Seek Professional Advice

You should seek professional assessment if:

  • Your pain lasts longer than a few days or continues to worsen.
  • The pain is affecting your work, sleep or daily activities.
  • You experience recurring episodes of back pain.
  • The pain follows an injury or accident.
  • You develop numbness, weakness, changes in bladder or bowel function, or severe pain. These symptoms require urgent medical assessment.

Frequently Asked Questions

Do we accept Medicare Care Plans (CDM/EPC)?

Yes.

Please send it to us, ideally, before your first appointment. Your physio will write to your GP after the first visit to detail how we will work together with you to address your issue. At the end of treatment program, your physio will write again to the GP with a discharge summary.

Chronic Disease Management plans allow you a Medicare rebate for up to 5 visits over a 12 month period. You can choose which health professional you use those visits at. The 5 visit total is across all allied health disciplines though, unfortunately. So if, for example, you need to see a dietician and a physio for your condition, those 5 visits will be shared between the 2 practitioners.

If you use a care plan to subsidise your physio treatment, you cannot also use your private health fund for the same visit. Rehabilitation for complex conditions usually take greater than 5 visits to manage, and so if you have private health cover, you can use this to subsidise the treatments once you have used up your care plan.

Do we bulk bill Care Plans (EPC/CDM)?

No.

We provide at least a 30 minute appointment and up to 60 minutes for pelvic floor condition assessments. There is also associated paperwork which is a compulsory government requirement.

Medicare rebates do not adequately recompense for this time spent.

Do we do Dry Needling?

Yes.

Several of our physiotherapists have completed further training to ensure they have the qualification to safely deliver this treatment modality, should they think it suitable for you. We also have an electrical stimulator which can supplement dry needling.

Please ask our admin team which therapists have this qualification when booking if Dry Needling has worked for you in the past. There are multiple ways to address muscular issues but if you & your physio decide dry needling is the preferred treatment and your physio doesn't do it, they will refer you to one of our therapists that do.

What is Osteopenia?

Osteopenia is also known as low bone mass, this is the range between normal bone mass and osteoporosis. This is considered a warning zone for action to maintain and if possible build your bone mass.

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