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Over the next few months, I am going to discuss low back pain and the most prominent causes seen in a chiropractic office.  I will start by addressing potential sources of low back pain and then get more specific into certain diseases or conditions.  And at the end, I will tie these all together and discuss how they all can be potential sources of sciatica. 

Low back pain is a very common condition and can present as acute, subacute or chronic.  Symptoms can range from a dull ache to very sharp or radiating pain, sometimes with numbness or tingling into the leg.  Low back pain can be specific (known cause) or non-specific (unknown cause).  

 In Canada, the cost of medical care for low back pain is estimated at $6-12 billion annually and even more if you consider the loss of workplace productivity.  Globally, low back pain is the single most leading cause of disability and the condition that most people can benefit from rehabilitation.  Most people will experience low back pain at least once in their lifetime (WHO.int).  

 Low back pain is considered pain that occurs between the bottom rib and the buttocks, and may occur with or without leg pain.  There are numerous structures within this area to consider as a potential source(s) of low back pain.  The exception to this then comes from some visceral sources that are known to refer pain to the low back.  The table below lists all of the anatomical structures found within the area identified as the low back that can be a potential source of pain.  

*Indicates the structure is out of the region, however, the patient may report it as part of their low back.   

As you can see, there are several structures located in the low back region that can be potential sources of pain.  And often there may be multiple structures involved in an injury.  In addition, not listed here, are the multiple surfaces within 1 vertebrae.  Watch for our first Heath Highlight this month as I review all the anatomical structures on a vertebrae which are all potential pain generators.  

Over our next few newsletters, I will discuss muscle strains and joint restrictions, degenerative joint disease vs degenerative disc disease, disc injuries, and then tie all these together as sources of potential leg referred pain or sciatica.  During our Health Highlight emails, I will include short tips, exercises and other informative details.  

If you are experiencing low back pain, please contact us at 905.529.2911 or use our online booking system to book in your initial visit or reassessment if you are an existing patient.  Simply click the Book Now button below.  I look forward to helping you move better, feel better and perform better.