All about low back pain

What are the symptoms of low back pain?

The
low back pain
o
low back pain
is a discomfort that appears in the lower back and may be mild, moderate or disabling. It is one of the main causes of sick leave and functional limitation in adults.

The most frequent symptoms include:

  • Localized low back (lower spine) pain
  • Morning stiffness or stiffness after periods of inactivity
  • Pain that worsens with certain movements or prolonged postures
  • Pain radiating to the buttocks or legs (sciatica)
  • Prickling, burning or pressure sensation in the lower back area
  • Muscle weakness, tingling or numbness if nerve involvement is present
  • Difficulty bending over, sitting up or keeping back upright

When pain becomes chronic (more than 3 months) or limits daily life, a specialized assessment is essential.

Main causes of low back pain

Low back pain can have different origins, from muscular or postural causes to structural alterations. Among the most
most common causes
include:

Musculoskeletal causes

  • Muscle overloads or contractures
  • Poor posture or inadequate ergonomics
  • Hyperlordosis or pelvic imbalances
  • Weakness or stiffness in the lumbar or abdominal muscles

Structural causes

  • Lumbar disc herniation
  • Disc protrusions
  • Lumbar canal stenosis
  • Spondylolisthesis
  • Lumbar or facet arthrosis
  • Scoliosis or hyperlordosis

Other causes


  • Myofascial syndrome
    with muscle trigger points

  • Referred pain
    from internal organs (kidneys, uterus, intestines)

  • Vertebral fractures
    (due to osteoporosis or trauma)

  • Emotional factors
    or chronic stress that strain the lumbar musculature

At MIVI Salud we evaluate all these aspects to find the real origin of the pain.
real origin of the pain
not only relieve the symptom.

Types of low back pain

Lumbar facet syndrome

The facet joints are small joints located in the posterior part of the entire spine that play a fundamental role in the functions of stabilization and reinforcement of the spine. In addition to these functions, they facilitate and allow rotation and flexion-extension movements.

Over the years, overexertion, environmental or hereditary factors of each person cause the intervertebral disc that separates the vertebrae to wear so that the distance between the vertebrae decreases, this factor is very important because it directly affects the facet joints promoting wear so that they collide and become inflamed causing pain. If the alteration is not corrected, the joints will continue to wear out, producing what we know as facet syndrome in the lumbar area.

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Radicular pain or sciatica

Radicular pain, also commonly known as sciatica, is pain that appears as an electric shock, numbness, numbness or unpleasant tingling sensation that manifests itself in the legs.

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Lumbar myofascial syndrome

The myofascial syndrome of the lumbar region is a picture of muscle pain sustained over time caused by persistent contracture of a muscle or muscle group. This is, among all, the most frequent cause of pain in the dorsal region.

This contracture is characterized by presenting as a tense, palpable band in the muscle (the contracture), which presents increased consistency and which when pressed produces pain in the area of the contracture or in the path of the muscle.

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How to diagnose low back pain

At MIVI Salud we perform a
comprehensive evaluation
of the patient to accurately diagnose the type and cause of low back pain:

Detailed medical history

  • How long has it hurt? What makes it worse or relieves it?
  • Is there irradiation to the legs, after exertion or without clear cause?
  • Is there any medical history, previous injuries or surgeries?

2. Complete physical examination

  • We evaluate the
    mobility of the spine
    muscle strength, reflexes and sensitivity.
  • We identify pain points, irradiation patterns and signs of nerve involvement.
  • We analyze biomechanics, posture and motor control

3. Complementary tests (when required)


  • Magnetic Resonance Imaging
    to study discs, nerves and deep structures

  • X-rays
    to assess alignment, osteoarthritis or fractures
  • Musculoskeletal ultrasound

  • Electromyography (EMG)
    if there is suspicion of neurological involvement

  • Laboratory or specific tests
    if inflammatory or visceral causes are suspected

 

How to treat low back pain

At MIVI Salud we design a
personalized treatment plan
for each patient, with an evidence-based approach and oriented to functional recovery:

Specialized physiotherapy

  • Manual therapy and spinal mobilization
  • Dry needling and myofascial release

  • Guided therapeutic exercise
    to stabilize and strengthen the lower back
  • Postural education and movement retraining
  • Electrotherapy, tecartherapy or EPI depending on the case
  • Home exercise program and personalized follow-up

Medical and interventional treatment

  • Anti-inflammatory or neuromodulatory medication (when necessary)

  • Ultrasound-guided infiltrations
    on facet joints, sacroiliac joints or painful points

  • Nerve blocks
    or root blocks in case of sciatica or radiated pain

  • Radiofrequency
    for the treatment of chronic low back pain
  • Coordination with neurosurgery or traumatology if surgical intervention is required.

 

Low back pain? At MIVI Salud we have the solution

At MIVI Salud we address low back pain in a comprehensive, effective and unhurried manner. Our team of specialists works with you to relieve pain, correct the cause and prevent future relapses.
prevent future relapses
.

Accurate diagnosis

Active treatment

Comprehensive support

Book your medical or physiotherapy appointment and start taking care of your back today.

Here begins your life without pain

Our customers say

Andrea me ha tratado estupendamente. Es una pedazo de profesional. La recomendaría 100%.
Dr. Ducca es una eminencia, su trato con el paciente y su efectividad en sus tratamientos es excelente. Grandísimo profesional, ha infiltrado a toda mi familia, mi marido, a madre y a mi padre y todos contenstismos con los resultados.
Response from the owner:Muchas gracias María José por tomarte el tiempo de dejar esta reseña tan positiva sobre el Dr. Ducca a y nuestro equipo! Nos alegra saber que has tenido una experiencia satisfactoria en nuestra clínica.
El doctor Duca es un profesional enorme y Oscar un enfermero excelente. Siempre hace que mi calidad de vida mejore.Mañana tengo otra infiltracion y estoy segura q,como siempre, irá genial.Gracias por todo!!!
Response from the owner:Muchas gracias Antonia por tu comentario y confiar en nuestros profesionales de MIVI Salud. Cuenta con nosotros siempre que necesites cuidarte
Ayuda a tener calidad de vida.
Resaltar la atención tan buena y detalle de cada intervención e informes.
Response from the owner:Muchas gracias Nieves. Te agradecemos que manifiestes públicamente tu opinión pues siempre intentamos cuidaros y atenderos con profesionalidad. Saludos.
Response from the owner:Gracias Marlene por las 5 estrellas y por confiar en MIVI Salud Saludos
Super amables y profesionales!!
Response from the owner:Gracias Patri, encantados de poder atenderte! Un saludo
Estoy a un punto de conseguir la excelencia con el Doctor Orduña! Es muy importante la colaboración médico/paciente para conseguirla. También he de decir que el Doctor es muy amable, paciente y te explica cada intervención y eso te da la confianza necesaria para ponerte en sus manos. Es un gran profesional y lo recomiendo a todas las personas que como yo, estén pasando dolor sin saber que el Doctor te devuelve “calidad de vida”!!
Pd. Me llamo María!
Response from the owner:En MIVI Salud nos esforzamos por brindar una atención médica de calidad y cercana a nuestros pacientes. Mercedes, valoramos tu confianza en nosotros y apreciamos tus amables palabras sobre la experiencia con el Dr. Orduña Saludos!
Hola, mi experiencia muy buena. Antonio, el chico que me ha tratado el pié muy atento y profesional. Y en general todo el personal amable y correcto. Muy recomendable.
Son un equipo profesional , con un trato humano y comprometidos con mejorar la situación de dolor en el paciente
Response from the owner:Muchas gracias Domingo. Le agradecemos que manifieste públicamente su opinión. En MIVI Salud siempre intentamos cuidarles y atenderles con profesionalidad. Saludos.
Buen centro de fisioterapia.
He estado recuperándome de la operación de rotura de ligamento cruzado anterior, y no tengo ninguna queja. Siempre dispuestos a ayudarme y a adaptar las rutinas de recuperación en función de las sensaciones y estado de la rodilla.
Muy buenos profesionales y mejores personas.

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.