Back Pain Physiotherapy at Home in Narhe, Pune

For a lot of people in Narhe, a working day begins with a ride on the Katraj–Dehu Road bypass and ends in front of a laptop. Between the two, the lower back spends nine or ten hours in a position it dislikes. When the ache turns into a sharp spasm or a pain that runs into the leg, the thought of travelling to a clinic can be as unwelcome as the pain.

The back pain physiotherapy page explains causes and treatment in general. What follows concerns the Narhe version: what loads the back here and how a home visit deals with it.

What loads a back in Narhe

• The bypass commute. Riders to Hinjewadi, Hadapsar or the city sit braced for traffic, jolt over uneven patches and brake hard near Navale Bridge. The back and shoulders hold tension throughout.
• Work from the flat. Many households here have turned a dining table into an office. Without support for the lower back, the pelvis tilts and the muscles tire.
• Lifting in a new flat. People who have recently moved in, as many tenants in this locality have, spend weeks lifting boxes, furniture and cylinders.
• Standing in the kitchen. Hours of cooking at a counter that is too low make the back round forward.
• Helping a relative. Lifting a parent from a chair or bed strains the carer's back.

The physiotherapist asks about these routines first, since the pattern tells them where to look.

The visit, from questions to a plan

The session begins with when the pain began, whether it spreads into a leg, what makes it worse, and whether any warning signs are present. The physiotherapist then checks how the spine moves, and tests strength, reflexes and sensation in the legs to tell mechanical back pain from irritation of a nerve root. If leg pain is the main feature, see sciatica treatment for more on what is being checked.

You will then be asked to do what hurts: get up from a chair, lie down and rise from the bed, or show how you sit at the laptop. Treatment combines hands-on work for stiffness and spasm, exercises chosen for your pattern, and advice on changing the loading habits. Portable pain relief such as a TENS unit may be used when pain is too sharp to exercise, but exercise remains the core of recovery. If knee pain is part of the picture, our knee pain physiotherapy page for Narhe goes into that.

Small changes that help between sessions

• Raise the laptop on a stack of books and use a separate keyboard so that your neck and back are not rounded forward.
• Stand and walk around your flat or the corridor every half hour.
• On the bike, adjust mirrors and seat so you do not lean forward, and pull over for a minute on long rides to straighten up.
• When lifting, stand close, bend the knees and avoid twisting with the load.
• Walk daily within comfort; rest in bed for days at a time usually makes back pain worse.

Back pain that should be seen by a doctor

New numbness around the groin, loss of bladder or bowel control, weakness in both legs, fever with severe pain, or back pain after a fall or road accident should be seen at once in an emergency department. Given how busy the bypass is, an injury from a collision, even a minor one, deserves a medical check before physiotherapy begins.

Arranging a visit

You can request a time on the booking page. Give us the building, the floor and the hours when someone is home. Read about how visits work in the area on the Narhe home physiotherapy page.