Back Pain Physiotherapy at Home in Hirabaug, Pune

A back that gives way by evening is usually telling you about the day behind it, not about a single bad movement. Around Hirabaug the day often means a ride on a two-wheeler through traffic, hours at a counter, desk or clinic reception, and standing for long stretches when the festival season fills the lanes. Each of these loads the lower back in a slightly different way, and a plan that ignores them tends to fail.

Our guide to back pain physiotherapy explains the common causes and what physiotherapy involves in general. This page deals with what we look for when we treat a back at home in Hirabaug.

Where the strain comes from in a Hirabaug working day

• The ride. Stop-start riding keeps the spine slightly flexed, and every jolt over a rough patch passes through the lower back. Reaching forward to the handlebar with straight arms makes it worse.
• The counter or reception chair. Sitting still for hours, often on a chair with no back support and a screen set too low, stiffens the hip flexors and the muscles beside the spine.
• Standing at a stretch. Many shop and clinic staff stand most of the day. A back that is held in the same position for hours aches even if no single movement is heavy.
• Lifting from the floor. Boxes, stock and festival decorations are lifted bent over, not with the hips and knees doing the work.

What we do in your home

The first visit begins with questions. When did the pain begin, what makes it worse, does it travel into a leg, is it worse in the morning or the evening, and has anything changed in your work lately. Then the physiotherapist watches you bend, turn, sit down and stand up, and tests the strength and flexibility of the back, hips and legs.

The physiotherapist then looks at the actual setting. We check how you sit on your usual chair, how high the bed is, and how you get in and out of it, because the way you do these things many times a day matters more than an exercise done once. Treatment combines gentle hands-on work, movement exercises and strengthening for the trunk and hips, with advice on pacing. Where it suits, electrotherapy such as TENS can ease pain enough to make exercise possible, but it is a helper and not the treatment itself.

If the pain travels below the knee, or if a scan has already shown a disc problem, the plan changes. See sciatica treatment in Hirabaug and slip disc physiotherapy in Hirabaug for those.

Changes that help between visits

• Set the bike seat and handlebar so that your arms are slightly bent and your back is not rounded. Take a minute off the bike on any long trip and stand up straight.
• At a counter, put a small cushion or rolled towel behind the lower back, and stand up every half hour or so to walk a few steps.
• If you stand all day, shift your weight from one foot to the other, rest one foot on a low step in turn, and wear shoes with a cushioned sole.
• Lift by bending the hips and knees, hold the load close, and avoid twisting while carrying.
• Keep walking. Short, regular walks usually help a sore back more than lying in bed.

Our article on five exercises for lower back pain at home shows a few simple movements, but ask the physiotherapist before you start, because the right ones depend on what is causing your pain.

When back pain needs urgent medical review

Go to a hospital emergency department if back pain comes with numbness around the groin or buttocks, new difficulty passing urine or stool, weakness that makes a foot drop or a leg give way, fever, or pain that follows a fall or accident. These signs point to problems that need a doctor first.

If you would like a physiotherapist to look at your back at home, request a visit. You can also read about physiotherapy in Hirabaug in general, or about back pain physiotherapy across Swargate.