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Sayer Clinics
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Lower Back and Sacroiliac Joint Pain

information & treatment

If you experience back pain from a pinched nerve in your lower back or if your spine is twisted, stiff, locked or has muscle spasm due to nerve compression, disc bulge or prolapse, then our aim is to help you get back on track quickly and painlessly without injections, long-term drugs or surgery. 


Lower back pain may arise from joints, discs, muscles, ligaments, nerves, posture, injury, degeneration, stress, poor movement patterns or prolonged sitting. 


Sacroiliac joint pain involves the joints between the sacrum and pelvis and may refer pain into the buttock, hip, groin or thigh.


Back pain may be referred to the hip, groin, buttocks, the leg and foot as sciatica. 


The basic causes of low back pain are muscular weakness and postural strain due to being overweight, sitting too much, lack of exercise, unequal leg-length, trauma or over-exercise. Sometimes it is the disc between spinal bones (intervertebral disc) which bulges (herniates) and compresses spinal nerves.  Pain can occur when you lift something too heavy or overstretch, causing joint locking or displacement (subluxation) or a sprain, strain or spasm in one of the muscles or ligaments in the back, or a disc may prolapse or bulge. This can put pressure on one of the more than 50 nerves rooted to the spinal cord that control body movements and transmit signals from the body back to the brain. 


Caution 

Occasionally, low back pain may indicate a more serious medical problem. Pain accompanied by fever or loss of bowel or bladder control, pain when coughing and progressive weakness in the legs may indicate a severely compressed nerve or other serious condition. People with diabetes may have severe back pain or pain radiating down the leg related to neuropathy. People with these symptoms should contact their Chiropractor or GP immediately to reach a diagnosis and find the optimal help to prevent more permanent damage.


Assessment and treatment

Treatment may include chiropractic adjustment or gentle mobilisation, sacroiliac and pelvic treatment, lumbar soft-tissue therapy, massage, hip and gluteal work, movement retraining, strengthening, stretching and practical advice for sitting, lifting, sleep and exercise.


The aim is to identify the mechanical and neurological factors maintaining pain, restore movement, reduce irritation and help patients return to confident daily function.

Book Your COnsultation and Treatment Here

Your first consultation includes a full medical history, clinical examination, diagnosis, consented digital X-ray where clinically indicated, first treatment session and clear aftercare advice. Treatment is always adapted to your condition, examination findings, medical history and comfort level. Where symptoms suggest a condition requiring medical investigation, we will advise appropriate referral.

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