What is Inflammatory Low Back Pain?

Inflammatory low back pain is a type of chronic back pain caused by inflammation in the spinal joints, ligaments, or surrounding soft tissues.
It is often related to rheumatologic or autoimmune conditions and may be accompanied by stiffness, especially in the morning or after rest.
Unlike mechanical back pain, inflammatory pain typically improves with movement and exercise rather than rest.

Symptoms

• Persistent low back pain lasting more than three months
• Morning stiffness that improves with activity
• Pain that worsens at night or during rest
• Pain that may radiate to the buttocks or hips
• Limited flexibility and reduced spinal mobility
• Fatigue or general feeling of stiffness in the body

Causes of Inflammatory Low Back Pain

• Inflammatory rheumatic conditions such as ankylosing spondylitis
• Autoimmune disorders affecting the spine and sacroiliac joints
• Chronic inflammation of spinal ligaments and soft tissues
• Genetic predisposition and family history of inflammatory disease
• Prolonged poor posture and physical inactivity aggravating symptoms

Diagnosis

Diagnosis involves a detailed clinical assessment and collaboration with rheumatology or orthopedics when needed.
Evaluation may include:

• Physical examination of posture, mobility, and spinal flexibility
• Assessment of morning stiffness, rest-related pain, and activity response
• Blood tests and imaging (X-ray, MRI) ordered externally to identify inflammation or structural changes

Treatment & Rehabilitation Approach

At AwaHope, rehabilitation for inflammatory low back pain focuses on reducing inflammation-related pain, restoring flexibility,
improving posture, and maintaining long-term spinal health. We combine individualized exercise programs with manual therapy and
advanced physiotherapy technologies to support both comfort and function.

Treatment Methods

1. Manual Therapy

• Gentle spinal and soft tissue mobilization to improve movement
• Myofascial release to reduce stiffness and muscle tension
• Joint techniques aimed at maintaining flexibility without overloading inflamed structures

2. BTL TECAR Therapy

Deep radiofrequency therapy used to enhance circulation, reduce inflammation, and promote healing in lumbar soft tissues and joints.

3. BTL Electrotherapy

Helps relieve chronic pain, reduce muscle guarding, and support relaxation of overactive lumbar muscles.

4. BTL Ultrasound Therapy

Provides targeted deep tissue treatment that supports tissue repair and reduces inflammatory irritation in the lower back.

5. Exercise Therapy & Mobility Training

Programs are customized and typically include:

• Spinal mobility and flexibility exercises focused on the lumbar and thoracic regions
• Core and pelvic stabilization training to support the spine
• Postural correction exercises for standing, sitting, and working positions
• Low-impact functional activities to maintain daily independence

6. Heat & Cold Therapy

• Heat therapy to relax tight muscles and ease stiffness
• Cold therapy during flare-ups to reduce pain and localized inflammation

7. Education & Self-Management

Patients receive guidance on activity pacing, ergonomic changes at home and work, and daily exercise routines that help control symptoms
and prevent flare-ups over the long term.

Recovery & Expectations

Inflammatory low back pain is often a long-term condition, but with proper rehabilitation, many patients experience reduced pain,
improved flexibility, and better quality of life. Consistent exercise and regular physiotherapy are key to managing symptoms effectively.

In Our Centre…

At AwaHope, we provide a comprehensive rehabilitation program for inflammatory low back pain, combining expert assessment, advanced
physiotherapy equipment, and personalized exercise plans. Our aim is to help patients control pain, protect their spine, and stay active
and independent in daily life.