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Low Back Pain: Causes Beyond the Lower Back

Many people assume all low back pain is caused by issues within the lower spine itself. However, pain in this area can also be referred from other parts of the body. Identifying the true cause is essential for effective treatment.

Common Non-Spinal Causes of Low Back Pain

  • Hip joint dysfunction – Arthritis or stiffness in the hip can alter movement, placing strain on the lower back.
  • Weak core muscles – The abdominal and pelvic muscles support the lower back; weakness in these areas can contribute to pain.
  • Sciatic nerve irritation – Compression or irritation of the sciatic nerve can cause pain that radiates from the lower back into the legs.
  • Foot and ankle alignment issues – Flat feet or improper footwear can affect posture, leading to low back pain.

How Physiotherapy Can Help

A physiotherapist will assess your movement patterns to determine the root cause of pain. Treatment may include:

  • Strengthening exercises – Focusing on the core, glutes, and hip muscles to improve stability.
  • Manual therapy – Hands-on techniques to reduce stiffness and restore movement.
  • Postural training – Adjusting standing, walking, and sitting posture to minimise strain.
  • Mobility exercises – Targeting areas like the hips and thoracic spine to improve overall function.

When to seek help:

Low back pain can take a long time to settle. If you experience ongoing low back pain and are in need of some reassurance and guidance, a physiotherapist can help identify whether it’s truly coming from the lower spine or another area of the body. By addressing the true source, you can reduce pain and improve long-term function.


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