Lower Back Pain: When to See a Physiotherapist and What to Expect

Lower back pain is the leading cause of disability worldwide and one of the most common reasons patients visit Arc Physiotherapy in Saffron Walden. While most episodes of back pain resolve within a few weeks, knowing when to seek professional help — and what treatment involves — can make the difference between a quick recovery and months of ongoing discomfort.

When to See a Physiotherapist

You should seek physiotherapy assessment if your back pain has lasted more than 2-3 weeks without improvement, if the pain radiates down your leg (sciatica), if you have numbness or tingling in your legs, if the pain is severe enough to affect your sleep or daily activities, or if you’ve had recurring episodes of back pain.

What Causes Lower Back Pain?

In most cases, lower back pain is “non-specific” — meaning it’s caused by strain to the muscles, ligaments, or joints of the spine rather than a serious structural problem. Common contributors include prolonged sitting, poor posture, weak core muscles, sudden lifting, and stress. Less commonly, disc problems, facet joint irritation, or nerve compression may be involved. A thorough physiotherapy assessment will identify the specific factors driving your pain.

What to Expect at Your First Appointment

At Arc Physiotherapy, your initial assessment typically lasts 45-60 minutes. Your physiotherapist will take a detailed history of your symptoms, observe how you move, and perform specific clinical tests to identify the source of your pain. You’ll leave with a clear diagnosis, an explanation of what’s causing your symptoms, and a treatment plan tailored to your needs and goals.

Treatment Options

Evidence-based physiotherapy for lower back pain typically includes manual therapy (joint mobilisation and soft tissue techniques), a graded exercise programme to build strength and flexibility, education about pain science and self-management strategies, and ergonomic advice for your work and daily activities. For persistent cases, we may also offer medical acupuncture or refer for MSK injections.

The Importance of Staying Active

One of the most important things we tell patients with back pain is to keep moving. Bed rest is outdated advice — prolonged inactivity actually delays recovery. Your physiotherapist will guide you on safe levels of activity and help you gradually return to the things you enjoy, whether that’s sport, gardening, or simply walking without pain.

Don’t let back pain hold you back. Call Arc Physiotherapy on 01799 526767 or book your assessment online.

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