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Physical therapy plays a crucial role in the evaluation and treatment of spine disorders, particularly low back pain and sciatica. These conditions are among the most common causes of disability and lost productivity, often resulting from poor posture, muscle imbalances, herniated discs, or degenerative spine changes. A physical therapist begins with a thorough evaluation to identify the root cause of pain—assessing posture, movement patterns, flexibility, muscle strength, and nerve involvement.

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Woman experiencing discomfort from backache, sitting on couch and touching her lower back with pained expression

For low back pain, treatment focuses on restoring movement, reducing inflammation, and improving core stability. Therapists often use manual therapy techniques such as stretching, joint mobilization and soft tissue releases to decrease stiffness and relieve muscle tension. Specific therapeutic exercises are prescribed to strengthen the core, improve spinal alignment, and prevent recurrence. Patient education is also key—helping individuals understand proper body mechanics, ergonomics, and posture correction to minimize future strain on the spine.

In cases of sciatica, where pain radiates from the lower back down the leg due to nerve compression or irritation, physical therapy emphasizes both pain relief and nerve mobility. Techniques such as nerve glides, lumbar vertebra mobilization, and targeted stretching help reduce pressure on the sciatic nerve. Progressive strengthening exercises for the hips, glutes, and lower back support spinal stability and reduce nerve irritation.

Modern physical therapy for spine disorders also integrates modalities such as heat and ice therapyelectrical stimulation to manage pain and inflammation. With a personalized treatment plan, most patients experience significant improvement in pain levels, mobility, and overall quality of life.

Whether addressing chronic low back pain or acute sciatica symptoms, physical therapy provides a safe, evidence-based, and non-surgical approach to spine care—empowering patients to move better, feel stronger, and live pain-free.

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