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Acute vs. Chronic Lower Back Pain

Acute vs. Chronic Lower Back Pain: The Role of Physiotherapy for Back Pain

Lower back pain is one of the most commonly reported health issues in Canada. In Winnipeg, where long winters and physically demanding work conditions are prevalent, residents are at a higher risk of developing back pain. Research from Statistics Canada suggests that four out of five adults deal with lower back pain at some point in their lives, most commonly between the ages of 30 and 50. 

Lower back pain is typically classified as either acute or chronic, and the distinction involves more than just the duration or severity of symptoms. Read on to learn about the detailed comparison of acute vs. chronic lower back pain (LBP). We will also understand why early intervention matters and how targeted low back pain physiotherapy in Winnipeg can effectively treat both types of pain.  

Acute Vs. Chronic Lower Back Pain: What’s the Difference

Physiotherapy approaches vary depending on the severity and nature of the pain experienced. Understanding the differences between chronic and acute back pain can help you select the most suitable treatment for your specific needs. 

Onset of Pain

Acute Lower Back Pain 

Acute pain typically appears suddenly, often triggered by activities such as exposure to cold climates, heavy lifting, specific injury, or sudden movements. Such pains are usually sharp and localized, often causing immediate discomfort. 

Chronic Lower Back Pain

Unlike acute back pain, chronic back pain develops gradually over time and persists long after the initial injury has healed. It often involves long-term conditions, such as degenerative disc disease, spinal misalignment, or even chronic stress. 

Duration and Recovery

Acute Lower Back Pain 

This type of pain may subside within six weeks with proper care. Normal activities can be resumed without any major restrictions. Additionally, most people regain mobility without experiencing significant long-term problems. Acute care physiotherapy mainly focuses on restoring flexibility and strength. 

Chronic Lower Back Pain

Chronic pain lasts beyond 12 weeks and may require long-term treatment. Physiotherapy management of chronic low back pain may require a combination of physical therapy and medication to manage pain and prevent its exacerbation effectively.

Causes and Contributing Factors

Acute Lower Back Pain 

Mechanical issues like muscle strains, ligament sprains, or joint dysfunction often cause these injuries. There is usually a clear cause, and the pain is directly linked to the incident. Acute pain tends to be localized and sharp, making it easier to identify the root problem.

Chronic Lower Back Pain

On the contrary, chronic lower back pain is associated with complex issues and may not have a clear or immediate cause. Lifestyle factors, such as prolonged sitting, improper ergonomics, or a lack of exercise, can exacerbate chronic back pain. 

The Role of  Physiotherapy Treatment for Low Back Pain

Physiotherapists in Winnipeg employ different approaches to manage both acute and chronic lower back pain. 

  1. Manual Therapy for Immediate Pain Relief

Joint mobilizations and soft tissue techniques are commonly prescribed physiotherapy treatments used in Winnipeg physiotherapy clinics. These manual therapies focus on reducing muscle tension and promoting lubrication within spinal joints, resulting in rapid pain reduction and improved mobility. 

  1. Build Core Strength and Stability

Focusing on core muscles, spinal stabilizers, and hip function forms the foundation of physiotherapy for low back pain. Targeting these areas helps alleviate pain, improve functional strength, and reduce the risk of future flare-ups. 

  1. Movement Retraining and Postural Correction

One of the key benefits of physiotherapy is addressing biomechanical issues. These may include uneven spinal loading or pelvic tilt. Expert low back pain physiotherapists in Winnipeg use movement analysis and balance training to correct postural imbalances.

What Does Low Back Pain Physiotherapy Actually Do in Each Phase? 

People often believe that physiotherapists follow a one-size-fits-all approach to treating back pain. However, this is not the case; experts offer tailored treatment plans for each phase. Here is a brief overview of what physiotherapy management of acute vs chronic lower back pain involves:

During the Acute Phase

Expert physiotherapists in Winnipeg often begin with hands-on techniques like joint mobilization and gentle manipulation to reduce pain and tightness. Experts also recommend a series of at-home effective exercises for relieving lower back pain, targeting gentle stretches and neural mobilization to help patients regain mobility quickly.

During the Chronic Phase

Unlike acute care physiotherapy, the chronic phase requires a more extensive approach. During this phase, physiotherapists focus on:  

  • Core stability and endurance training to reduce disability and recurrence risk
  • Functional movement patterns to ease the strain on the lumbar spine.
  • Structured home programs to maintain gains and reduce relapses.

Conclusion

Whether you’re experiencing acute pain or chronic lower back pain, physiotherapy plays a critical role in helping manage and alleviate discomfort. With the targeted, phase-specific treatments, lower back pain physiotherapy in Winnipeg can significantly improve mobility and prevent long-term disability. At Bridgwater Physiotherapy in Winnipeg, we understand how local climate and lifestyle can impact your recovery. If you’re dealing with lower back pain, contact us today. From herniated discs to osteoarthritis, our licensed physiotherapists in Winnipeg treat a range of lower back pain conditions with personalized care and treatment.