The most common questions our patients ask us about back pain:

How can I deal with lower back pain?

Physiotherapists use hands-on treatment, tailored exercises, and advice on posture and ergonomics to ease pain and speed recovery. Heat packs, massage, and short-term medication (when appropriate) can also help you stay active. It is important to stay active and have some for of mobility to help with the pain. Atall our melbourne clinics we prefer to use a combination of various modialities in the early stage of the back injury to help manage pain and restore movement. During the first few sessions it is very likely that we will use a combination of:

• Hands on physiotherapy: This would include soft tissue therapy and joint mobilization techniques to help improve pain and movement.

• Dry Needling: A common and effective addition to hands on treatment in the early management of lower back pain. Most of our clinicians are certified in Dry needling and have achieved excellent results with back pain.

• Shockwave Therapy: A very effective treatment (Certification required) for both acute and chronic pain, shockwve therapy has been gaining popularity in private practice and is used by physiotherapists, general practitioners and sports physicians to treat pain and to aid tissue recovery. All our physiotherapists are certified in using shockwave therapy and would undertake a pre treatment screening with you prior to using it.

How do I know if my back pain is serious?

Back pain may not always be a sign of something dangerous. Severe pain and stiffness during an acute episode may concern some people, however, it is recommended to see a healthcare professional to determine the need for an urgent scan. If you notice symptoms like unexplained weight loss, fever, night pain, recent trauma, bladder or bowel changes, or numbness/weakness in your legs, it is recommended that you see a doctor immediately. Even though acute episodes can be very painful and start to ease in the first few days, it is highly recommended that you see a healthcare professional to rule out any potential danger and red flags in the lumbar spine.

What’s the best way to release tension in my lower back?

Short walks, gentle stretches, and targeted core exercises are the best way to ease stiffness. Heat packs can also help relax tight muscles. Avoid lying in bed for long periods, as this usually makes pain worse, especially when you try to get up or change position. Hands on soft tissue treatments and joint mobilization techniques are very helpful in releasing tension in the back.

What are the red flags for lower back pain?

• Severe or worsening leg weakness

• Loss of bladder or bowel control

• Numbness in the saddle area

• Fever or recent infection

• Recent major trauma from sports or a fall

If you have any of these, go directly to the emergency department. The clinicians at the hospital will undertake a detailed physical assessment and an MRI scan will be conducted to narrow down on the cause of your pain. Appropriate treatment can then be initiated.

How do I know if it’s back pain or kidney pain?

Kidney pain usually feels deeper in the side or flank and may come with fever, nausea, or changes in urination. If you’re unsure or symptoms don’t match a typical back strain, see your GP as soon as possible. Our post graduate physiotherapists at the clinics are also trained to assess you for pain that may be caused by kidney problems.

What does my lower back pain mean?

Majority of the cases of lower back pain (90%) are categorized as mechanical lower back pain. This may be linked to movement, posture, or muscle or joint strain. It doesn’t usually mean structural damage. Pain is often influenced by stress, sleep, and lifestyle factors as well.

What are the 4 categories of back pain?

1. Mechanical pain (most common)

2. Radicular pain (sciatica)

3. Serious spinal pathology (rare, e.g., fracture, infection, cancer)

4. Other/non-spinal causes (kidney, abdominal, etc.)

Is walking good for lower back pain?

Yes! Walking is one of the safest and most effective ways to keep your back moving. It helps circulation, mobility, and mood. We even prescribe walking as the first line of exercises after starting the treatments.

What is the most common cause of lower back pain?

The majority of cases are non-specific or mechanical linked to posture, overuse, or muscle/joint strain rather than serious disease.

Is heat good for back pain?

Yes. Heat can relax muscles and reduce stiffness, making it easier to move. Use a heat pack for comfort, but combine it with gentle activity.

What is the best sleeping position for back pain?

Choose any position that’s comfortable and lets you sleep well. Some people find relief lying on their side with a pillow between their knees, or on their back with a pillow under their knees.

Is paracetamol or ibuprofen better for back pain?

Research shows ibuprofen and other anti-inflammatory medicines can help short-term. Paracetamol alone isn’t very effective for acute back pain, but it may still help if you can’t take anti-inflammatories. Always follow your doctor or pharmacist’s advice.

What if I can barely walk because of back pain?

If severe pain stops you from walking, or if you notice leg weakness, numbness, or bladder/bowel issues, seek urgent care. Otherwise, gradual movement with guidance from a physio is usually best.

Can lower back pain heal on its own?

Yes. Most episodes improve within a few weeks. A physio can help reduce flare-ups and lower the risk of ongoing pain.

Is massage good for lower back pain?

Massage can provide temporary relief, improve sleep, and reduce tension. It works best when combined with exercise and lifestyle advice.

Does Icy Hot or muscle rub help?

Topical creams or gels may provide short-term comfort but won’t fix the underlying cause. They can be used alongside physio treatment and exercise.

How long should I use a heating pad for back pain?

Use heat in short sessions (10–20 minutes) with a cloth barrier to protect your skin. Reapply as needed throughout the day for comfort.