4 Life Physiotherapy is the Peel Region’s foremost back pain treatment clinic. Your initial consultation with 4 Life Physiotherapy is a rigorous and thorough investigation into the cause of your complaints. It is an in-depth spinal assessment including orthopaedic & neurological tests and expert biomechanical & palpatory evaluations. We then give our diagnosis and discuss a subsequent treatment plan to ensure clear patient understanding as well as the optimal resolution of symptoms. Our individualised approach to spine pain allows us to then direct attention to the root cause of these symptoms, to provide long-lasting relief.
To book your spinal treatment appointment, click here.
Is it a Disc Bulge, a Herniated Disc or a Pinched Nerve?
There is an unusually wide range of terms used to describe spinal disc problems in the neck, middle and lower back. Some common terms include ruptured disc, slipped disc, disc protrusion, degenerative disc disease, bulging disc and disc herniation. This can often cause our patients confusion and even frustration when different medical people use different terms to describe their problem.
Rather than focussing on which term is used to describe a disc, which often stems from interpreting scan results such as MRI, it is more useful to gain a clear understanding of the precise medical diagnosis.
This diagnosis determines the actual cause of your back pain, leg pain or other symptoms and is determined after:
- A full medical history
- A thorough physical examination
- Review of one or more scans (if required).
The reason our patients shouldn’t focus on diagnostic imaging terminology is that if every person in Mandurah went off and had a scan of their lower back right now, almost everyone (even those without pain or stiffness) would have something wrong with their discs. By the time you’re in your 50’s, 80% of people without back pain will have disc degeneration.
Read more about the prevalence of degenerative spine imaging findings in asymptomatic patients here.
Spinal Mobilisation & Manipulation
Spinal manipulations and mobilisations are techniques used by our Physiotherapists as part of their overall treatment plan in the management of a variety of spinal complaints where a spinal joint restriction is present.
Manipulation involves the application of a high-velocity thrust at the end of the joint range. There may be an audible cracking sound, known as cavitation, which is due to the release of pressure from the joint. It is a safe, effective and comfortable treatment when performed by a trained therapist.
Mobilisation refers to a gentle passive rhythmic movement of a spinal segment or region within or at the limit of its range. Mobilisations are aimed at improving the range of motion in the region, easing muscle spasms, and reducing pain.