Lower back pain can affect almost every part of daily life. It may make sitting at work uncomfortable, disturb sleep, limit walking or make simple movements such as bending and lifting painful. Some people notice a dull ache across the lower back, while others feel sharp pain that travels into the buttock or leg.
Lumbar pain may begin after lifting a heavy object, a sports injury, a fall or long hours of sitting. In other cases, it develops slowly because of disc wear, joint changes, weak muscles or pressure on a nerve.
When pain does not settle with rest, gentle movement or basic treatment, a medical assessment can help find the cause. During a consultation with Dr. Kourosh, each patient receives a careful examination before treatment is planned. The choice of care depends on the symptoms, scan findings, medical history and effect of pain on daily activities.
The lumbar spine is the lower part of the back. It contains five vertebrae, known as L1 to L5. These bones support much of the body’s weight and help with bending, twisting, standing and walking.
Soft discs sit between the vertebrae and act as cushions. Muscles and ligaments support the spine, while nerves pass through small spaces between the bones. Pain can start when a muscle becomes strained, a disc changes shape, a joint becomes irritated or a nerve comes under pressure.
Lumbar pain may stay in the lower back or spread into the hip, thigh, calf or foot. Pain that moves down the leg is often linked with irritation of the sciatic nerve. Sciatica may also cause tingling, numbness or weakness in the leg.
Lumbar spine care may involve the assessment and treatment of:
A lumbar condition may cause more than pain. Some patients feel stiff after waking up or after sitting for a long time. Others struggle to stand upright, bend forward or walk for longer distances.
Common symptoms include:
The main aim of lumbar spine care is to reduce pain, improve movement and help the patient return to normal activities safely.
Possible benefits include:
Lumbar spine care may help people who:
The consultation starts with a discussion about the pain. Dr. Kourosh may ask when it began, where it is felt and which movements make it better or worse.
Patients should mention any leg pain, tingling, numbness, weakness, previous injuries or earlier treatments. Work routine, exercise habits, sleep and lifting activities may also provide useful clues.
Dr. Kourosh examines the lumbar area and checks movement, tenderness, posture and muscle strength. The examination may include leg movements, reflexes, sensation and walking.
These checks help show whether the problem is more likely to involve a muscle, disc, joint or nerve.
An X-ray or MRI scan may be advised if the result is likely to change treatment. Not every patient needs imaging, especially during a first episode of uncomplicated lower back pain. NICE recommends imaging in specialist care only when it may affect management.
After the assessment, Dr. Kourosh explains the likely cause of pain and discusses suitable treatment.
Care may include physiotherapy, exercise, medication, posture changes, activity advice or an image-guided injection. Surgery is usually considered only when there is serious nerve pressure, worsening weakness or pain that does not improve with other treatment.
Treatment depends on the cause and severity of the problem. Many patients start with non-surgical care.
Options may include:
Lower back pain needs careful assessment because several conditions can cause similar symptoms. Dr. Kourosh reviews the complete picture before recommending treatment.
Patients choose Dr. Kourosh for:
The aim is to reduce pain, improve movement and help patients return to work, exercise and daily activities with greater comfort.
Lumbar refers to the lower section of the spine, between the ribs and pelvis.
Common causes include muscle strain, disc changes, joint wear, poor posture and nerve irritation.
Yes. An irritated nerve may cause pain, tingling or numbness in the leg.
No. A scan is usually advised only when it may affect the treatment plan.
No. Many lumbar conditions improve with exercise, physiotherapy, medication and changes in activity.
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