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Lower back pain

Find out what is driving your lower back pain, and what to do about it

Your back has locked up, sitting has become a chore, and you are bracing every time you bend. Lower back pain is common, it usually has a clear driver, and it responds well to treatment.

Medicare, NDIS, DVA and private health funds accepted.

Osteoarthritis - arthritis - physio

Understanding Lower back pain

Lower back pain is pain felt anywhere between the bottom of your ribs and the top of your buttocks. It can come on suddenly after lifting or twisting, or build slowly over weeks with no obvious trigger. Most of the time it comes from the joints, discs, muscles and nerves of the lower back, which are all sensitive to load, posture and sudden change.

Because several structures can produce a similar pain, the useful question is not what the pain is called but what is provoking it. That is what an assessment answers, and it is what your treatment plan is built on.

Who does it affect?

adults of every age, including people with desk jobs, physical jobs, new parents and athletes

How common is it?

back problems affect around one in six Australians [CONFIRM: ABS National Health Survey figure]

What is the recovery like?

varies; many acute episodes settle within weeks, while long-standing pain takes a staged approach

Who should I see for treatment?

physiotherapists and chiropractors, with referral to other services where needed

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted

What causes lower back pain?

Your lower back is a stack of five vertebrae, separated by discs, joined at the back by small facet joints, and supported by muscles and ligaments. Nerves exit between each level and travel into your hips and legs. Pain starts when one of those structures is loaded more than it can currently tolerate, or when it has been held in one position for too long.

Sometimes there is an obvious moment: a heavy lift, an awkward twist, a fall. More often the pain builds. Long hours seated, a sudden jump in training, poor sleep and periods of high stress all reduce how much load your back handles comfortably. The pain then arrives during an ordinary movement, which is why so many people say it happened when they bent to pick up a sock.

Common contributing factors include:

  • Sustained postures, especially prolonged sitting, driving or bending at work

  • A rapid increase in lifting, training volume or physical work

  • Reduced strength and endurance in the hip, trunk and back muscles

  • Previous episodes of back pain, which raise the chance of another one

  • Age-related disc and joint changes, which are normal and often painless

  • Stress, low mood and disrupted sleep, which change how sensitive your nervous system is

Symptoms of Lower back pain

Lower back pain presents in different patterns, and the pattern matters more than the intensity.

Your plan comes out of the assessment, not out of a template

Hands-on treatment

Soft tissue work, joint mobilisation and spinal manipulation reduce pain and stiffness so you can move more freely and start loading the area again.

Graded exercise

Targeted strength and mobility work for your back, hips and trunk builds the capacity that stops the same movements provoking pain.

Movement retraining

Your physiotherapist or chiropractor coaches you through bending, lifting and getting in and out of chairs so ordinary tasks stop flaring you up.

Dry needling

Fine needles into tight, painful muscle can reduce spasm and give you a window to move more comfortably.

Load and activity advice

Practical changes to work setup, training volume and daily habits so the back is not repeatedly pushed past its current limit.

Pain education

Understanding why your back hurts, and what is safe to do, lowers the fear that keeps many people guarding and inactive.

What to expect at your first appointment

  

Tell us what is going on

When the pain started, what you were doing, what makes it worse and better, and what it is stopping you doing at work, at home or in sport.

A full assessment

We check how your spine and hips move, test strength and nerve function where relevant, and screen for anything that needs medical review or imaging.

A clear plan

You leave knowing what is driving your pain, what treatment involves, what you can do between visits, and roughly how often you need to come in.

Review and adjust

At each visit we retest the movements that hurt, track your progress against what matters to you, and change the plan as your back improves.

When to book an appointment

    Book an assessment if:

  • Your lower back pain has lasted more than a week, or keeps returning

  • Pain is interfering with work, sleep, driving or training

  • Rest, heat and over-the-counter medication have not shifted it

  • You are not sure what caused it, or you are worried about doing damage

Looking after yourself at home

These strategies suit most people with recent, uncomplicated back pain, and work alongside treatment rather than replacing it.

  • Sustained postures, especially prolonged sitting, driving or bending at work

  • A rapid increase in lifting, training volume or physical work

  • Reduced strength and endurance in the hip, trunk and back muscles

  • Previous episodes of back pain, which raise the chance of another one

  • Age-related disc and joint changes, which are normal and often painless

  • Stress, low mood and disrupted sleep, which change how sensitive your nervous system is

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to sort out that lower back pain?

Book an assessment and find out what is driving it, then get a plan that fits your life.

Frequently asked questions

Keep moving, within limits. Current guidelines favour staying active over bed rest, because gentle movement maintains circulation, mobility and confidence. That does not mean pushing through sharp pain. Aim for short, frequent bouts of walking and light activity, and reduce the specific tasks that spike your pain for a few days. If you cannot stay upright long enough to walk to the letterbox, book in sooner.

Either can help, and both assess the same structures. Physiotherapists typically lean more on graded exercise and rehabilitation; chiropractors typically lean more on spinal manipulation and hands-on care. In practice the approaches overlap heavily, and many people do well with either. If you have a preference, book it. If you do not, our team can point you to the better starting fit after the initial assessment.

Yes. Stress, anxiety and broken sleep increase how sensitive your nervous system is, so the same load produces more pain. Stress also raises resting muscle tension and reduces activity, both of which feed the cycle. This does not mean the pain is imaginary; the pain is real, and the driver is partly outside the back itself. Addressing sleep and stress often improves how quickly the pain settles.

No. Discs are firmly attached to the vertebrae above and below and cannot slide out of position. What can happen is a bulge or tear, where the softer inner material pushes against the outer wall and sometimes contacts a nerve. That is a genuine injury, but it is not a bone or disc moving out of alignment, and it does not need to be put back in.

Rarely on its own. Beds and chairs influence comfort more than they cause injury, and there is no single correct mattress firmness or chair design. What matters more is how long you stay in one position. Before spending money, trial changes such as a lumbar cushion, a different sleeping position, or a timer to prompt movement every half hour, and see what actually shifts your symptoms.

Usually yes, with adjustments. Loading your back is part of the solution, not something to avoid indefinitely. You may need to temporarily reduce weight, change range of motion, or swap deadlifts and heavy squats for variations that feel comfortable, then build back up. Your physiotherapist can map out which lifts to keep, which to modify, and how quickly to progress the load.