Back Pain

[Robertsl]

Yet growing evidence tells us that disabling persistent back pain disorders are often associated with increased trunk muscle co-contraction, earlier activation of the transverse abdominal wall and an inability to relax the spines stabilising muscles such as lumbar multifidus (Geisser, Haig et al. 2004, Dankaerts, 'Sullivan et al. 2009, Gubler, Mannion et al. 2010). This increase in co-contraction can increase spine stiffness and alter biomechanical loading reinforcing pain. Firstly, clinicians need to realise that back pain does not mean that spinal structures are damaged - it means that the structures are sensitised. They have a flat structure with a jelly-like centre.

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