Bridge RoadLower back pain
Lower back pain physiotherapy in Richmond
Lower back pain is common and, for most people, it is not a sign of serious damage. I work out what is driving yours, explain it in plain language and build a plan around your work, sleep, training or sport.
Most new episodes of back pain settle over weeks rather than months. The aim is to keep you moving while yours does, and to understand what makes it better or worse.
Common lower back problems I see
- Sudden back pain after lifting, bending, twisting or a long drive.
- Back pain that keeps coming back, or has lasted longer than three months.
- Pain spreading into the buttock or leg, including sciatica.
- Stiffness and pain with sitting, standing or sleeping.
- Back pain linked to lifting, running, gym training or cricket.
You do not need a referral to book. Not sure your problem fits? Call 0458 007 583 and ask.
What the first appointment involves
The initial consultation is 45 minutes, one to one with me. It covers:
- How the pain started, what eases it and what aggravates it.
- How it affects your sleep, work, training and daily life.
- Movement, strength and how your back handles load.
- Nerve checks, such as sensation, reflexes and leg strength, when symptoms spread into the leg.
- Screening for anything that needs a doctor’s review.
Most people with lower back pain do not need a scan. Australian guidance recommends imaging only when the result would change the plan, for example when a serious cause is suspected. If I think a scan or a medical opinion is needed, I will explain why and organise the next step with you or your GP.
How rehabilitation works
- Understand. A clear explanation of what is going on and what to expect.
- Settle. Adjust activity rather than stopping it, and find positions and movement that ease symptoms.
- Rebuild. Progressive exercise for strength and tolerance, aimed at the lifting, sitting or sport you need.
- Return. Step back into full work, training or sport, with a plan for flare-ups.
When to get medical help first
Call 000 or go to the nearest emergency department now if you have:
- new numbness around the groin, genitals, buttocks or inner thighs
- new difficulty passing urine, or loss of bladder or bowel control
- weakness in one or both legs that is getting worse quickly
See your GP promptly, or call healthdirect on 1800 022 222, if you have:
- back pain with fever, or feeling generally unwell
- back pain with a history of cancer, or unexplained weight loss
- back pain after a significant fall or accident, especially if you are older or have osteoporosis
- severe back pain at night that does not ease with rest or changing position
Common questions
No. Most back pain does not need a scan, and you do not need a referral to book. If a scan would change the plan, I will tell you and organise it with you or your GP. Bring any reports you already have.
Bed rest is not recommended for most back pain. Staying gently active within comfort usually helps more than lying down. How much, and what kind, is worked out at your assessment.
Yes. Pain, pins and needles or numbness spreading into the leg is assessed with nerve checks, and the plan is adjusted to your symptoms. Leg weakness or numbness that is getting worse needs prompt medical review.
Other areas
Back pain in a fast bowler? Read Back stress fractures in fast bowlers: a plain guide.
Bridge Road Physiotherapy also treats sports and everyday injuries, gym and lifting injuries, running injuries and cricket injuries.
Get your back assessed.
Choose a time online, or call if you want to ask something first. You will speak directly with Thihan.