Postural Syndrome of the Lower Back

A lot of my patients present with reoccurring lower back pain which is caused by regular poor postures.  For most, what they are suffering from is termed postural syndrome and it is becoming increasingly widespread in today’s overly busy society.

Your lower back has a number of supporting structures which includes ligaments, tendons, muscles and connective tissues.  It is the role of all of these tissues to support the joints of your lower back – essentially with good posture in a neutral position.  Maintaining this best length and position makes certain the least amount of stress to the connective tissues of your lower back.  Now, if you slouch in your chair at work or twist or bend over and over again, you do not maintain the suitable position.  This leads to postural syndrome and results in mechanical pressure on the supporting structures of your low back. A sensible way to demonstrate this is to bend your finger backwards until you have the stretch.  Now, if you bend even farther, or hold the stretch for long enough it may absolutely start to hurt – that’s mechanical pressure on the tissue and joints.

So, if you are sitting slouched for several hours, days, weeks and perhaps years, this mechanical strain gathers up and although there is no mechanical damage, these poses become ingrained and thus does the anguish connected with them.

How To Diagnose if You Have Lower Back Postural Syndrome

Individuals with postural syndrome normally have painless motion in all ranges. They will basically experience the pain once they choose a poor position and initially the posture will have to be continued for an prolonged period of time. However, as time goes on it takes less time to experience the pain.

You may have been in the same work for years and only now have pain, and you are therefore questioning why. It’s because it will take time for postural tension to build up – eventually your tissues get overloaded and may no more withstand the load. The type of pain you feel is typically experienced as a dull pain in the lower back in the beginning, and this, if not treated will spread to the mid and upper back sometimes resulting in neck ache and headaches. In early stages, pain is reduced by altering position, as this enables you to remove the stress off the tissue.  But, as time passes the connective tissue fatigues and the pain is more difficult to take care of.

Physiotherapy Treatment

Most sufferers with postural syndrome of the lower back experience no ache once their posture is adjusted. However postural correction is not easy to attain and takes a great deal of effort from both your physiotherapist and you.  It is very important to understand that unhealthy position develops over a long time and that it doesn’t resolve immediately!

You ought to be committed in doing your workouts and your physio must be highly trained in releasing the tight structures which can be now making it difficult for you to have a neutral spine in your selected position.

Here are some ideas to get you started.

Don’t forget

Steer clear of
1.Constant sitting or standing
2.Slouching when sitting or standing
3.Activities that make you ache

1.Postural suggestions from your physiotherapist
2.Heat therapy
3.Right posture

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