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

El trato muy cercano. Estoy muy contenta con mi fisioterapeuta Alicia, todo una profesional. No dudo en venir a ellos siempre.
Sóc Neus Hernández i voldria mostrar el meu agraïment al Dr Ducca i el seu equip, m he sentit molt ben tractada per tots ells, fent tot el possible per treure,m el dolor. Moltes gràcies també al personal de recepcio.
Response from the owner:Muchas gracias Neus por tu comentario y por confiar en nuestros profesionales de MIVI Salud. Cuenta con nosotros siempre que necesites
Un slaudo
Un equipo ejemplar en la unidad del dolor. No puedo estar más contenta. Muy atentos y amables en todo momento de la intervención.
Response from the owner:Nos alegra mucho saber Elisabet, que le hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento.
Saludos
Estoy súper contenta con Ana Maria especialista de Suelo pelvico..Llevo tres sesiones por incontinencia de esfuerzo y ni un escapé después de hacer cursos y ejercicios hipopresivos y kegel y no avanzava y con pocas sesiones estoy sin un solo escape es una profesional y muy amable..Estoy feliz..!!
Tras ser atendido en otras Unidades del dolor, considero que la profesionalidad así como el trato
Response from the owner:Muchas gracias Pepe !Te agradecemos que manifiestes públicamente tu opinión pues siempre intentamos cuidaros y atenderos con
profesionalidad. Saludos.
Vine con un pinzamiento agudo de ciàtica , y gracias a la infiltracion del Dr Gonzalo Mansilla he mejorado mucho
Response from the owner:Gracias Pere, por compartir tu experiencia en MIVI Salud. Nos alegra saber que tuvo una excelente visita con el Dr. Mansilla
Saludos
Response from the owner:Gracias Marcos por las 5 estrellas y por confiar en MIVI Salud
Un saludo
Nosaltres podem dir que la nostra experiència amb la Unitat del dolor amb la Dra Carla Farré, ha estat immillorable.
Gràcies X tot
Response from the owner:Gràcies Montserrat,per les 5 estrelles i per confiar en els nostres serveis i en el doctora Farré. A MIVI Salut estem per ajudar els nostres pacients de la millor manera possible.
Buenas tardes. Me ha parecido un excelente profesional el doctor Santiago y su enfermera también. Llevaba muchos años con el dolor de la cadera y estoy muchísimo mejor. Me alegro haberlos conocido y saber que se está investigando en ese campo. Gracias.
María Candelaria Afonso Martín
Response from the owner:Nos alegra mucho Ma Candelaria, saber que te hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un
trato cercano y profesional desde el primer momento
Saludos
Response from the owner:Gracias por tu valoración positiva Beatriz!
Saludos

Insurance companies

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