Lower back joints
are called lumbar facet joints. These are a common cause of lower back pain.
Lumbar facet joint syndrome (one of the main causes of Lower back pain) is a painful irritation of the lower back that is commonly attributed with arthritis (wear and tear) of the lumbar facet joints. Individuals usually come to us with localised lower back pain with the onset of the injury being sudden after a certain misjudged movement, heavy lifting or arising from a seated position. Lumbar facet joint pain (lower back pain) is caused by the synovial folds within the joint capsule becoming entrapped as well as the degeneration of the lower back joints (facets).
Risk factors for developing lumbar facet joint pain/ lower back pain:
Other causes of Lower back pain:
- Age: Prevalence increases as you get older
- Traumatic injury
- Disc Degeneration
- Poor diet
- Lack of exercise
- Overloading of joints such as heavy lifting
- Poor posture
Common tests use to diagnose a patient involve an absence of neurological defects, the absence of trapped nerve root tension signs and the presence of localised pain when performing a certain tests. Disc bulges, tears in the lower back disc or muscle strains.
Signs and Symptoms
Management of Lower back pain
- Persisting point tenderness overlying the inflamed lower back joint
- Discomfort during bending backwards
- Relief of pain forward bending and sitting
- Low back pain radiating down the buttock and the back of the thigh
Lumbar facet Joint Pain can be treated using adjustments of the joints in a side postured position, which increases the articular space within the facet joints. Cold laser therapy/low level laser therapy can also be utilized in the treatment of the condition. Cold Laser therapy is commonly adopted to reduce the firing of nociceptors/pain receptors and modulate the inflammatory response to encourage a faster healing time. It’s a medical intervention used in many health professions, mainly in chiropractic and involves penetration into the deep tissues below the skin without any surgical incisions.
Protocol of Cold laser therapy for Lower back pain
The protocol for the treatment of Lower back pain caused by lumbar facet joint dysfunction via cold laser therapy/low level laser therapy involves two stages, an inhibitory phase and a tissue repair phase. The inhibitory stage is associated with reducing the firing of nociceptors (pain receptors) and reducing the likelihood of any muscle spasms developing and requires 2-3 sessions per week of 10-20 minutes duration with the emitter placed on a specific segment for 3 minutes at a time. The secondary phase consists of 1-2 sessions per week with 10-15 visits recommended of 2 minutes on each painful segment, and is used to improve microcirculation within the joint and inhibit inflammation to enhance a strong repair of tissue.
Cold laser therapy reduces pain and inflammation by inhibiting nociception (pain receptors) and improving blood supply to the joints and tissues. It’s used in the management of many disorders including lumbar facet joint syndrome. So if you’re presenting with any of the signs and symptoms as mentioned above or your GP has diagnosed you with lower back pain cause by joint strain/sprain, Lakeside Laser is here for you. Centrally located in Perth’s North, Lakeside Laser is east of the Joondalup shops on 3/45 Central walk and has many visitors from all over Perth including Yanchep, Alkimos, Sinagra, Yokine, Wangara, Balcatta, Osborne Park, Kingsley and Woodvale. If you would like further information or would like to book an appointment feel free to give us a call on 9300 0095 or head to our website www.lakesidelaser.com.au. Our team look forward to hearing from you very soon.