Mechanical Low Back Pain and its Management

Mechanical Low Back Pain and its Management

How does Mechanical low back pain occur?

Mechanic Low Back Pain is described as back pain caused by mechanical factors, such as spinal joints, discs, vertebrae, soft tissues, or even by incorrect mechanics of some other joint.

The Lumbar is the commonest region for mechanical low back pain, as lumbar vertebrae absorb and distribute most of the body’s weight during static and active movements.


Mechanical low back pain can be caused due to

  • sprain,
  • strain,
  • lumbar syndromes such as-
    • disc herniation,
    • vertebral compression fracture,
    • lumbar spinal stenosis,
    • spondylosis, and
    • spondylolisthesis.
  • knee deformity, and
  • Also, ankle or foot deformity, etc.


Mechanical low back pain is characterized by the following symptoms:

  • Lower back pain that may radiate to the buttocks and thigh,
  • Spasm, and
  • Also, The symptoms may exaggerate with bending forward (flexion of the back) and lifting heavy objects, etc.

Physiotherapy Treatment:

  • Therapeutic modalities used to relieve pain are
    • combo therapy,
    • laser therapy,
    • extracorporeal shock wave therapy,
    • TECAR therapy,
    • In addition, thermal therapy (Infrared therapy, microwave therapy, and moist heat (hot packs, infrared therapy) are all examples of thermal therapy.).
  • Physical techniques used are: such as
    • Dry needling,
    • soft tissue massage technique,
    • various spinal mobilization and manipulation techniques (such as osteopathic manipulative treatment, spinal manipulative therapy, chiropractic adjustment, etc.),
    • McKenzie’s method may decrease the recurrence of mechanical low back pain, etc.
  • Therapeutic exercises used are:
    • Strengthen your core with exercises (such as planks, side planks, partial crunches, reverse crunches, abdominal hollowing exercises, etc.).
    • gluteal strengthening exercises (ex-clamps, quadruped kickback exercise, standing hip abduction exercise, bridging, resistive exercises with loop band and thera band, etc.).
    • lower back muscle strengthening exercises (ex-spinal extension exercises, quadruped arm/leg raise exercises, superman exercises, cat/camel exercises, etc.).
    • Also, Stretches for the lower back (such as child’s pose, head-to-toe, forward fold, chest-to-knee, sitting twists, piriformis muscle stretch, hamstring stretching, etc).

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