We were very pleased to welcome Mr Jonathan Lucas, Consultant Orthopaedic & Spine Surgeon, who came in to talk with us at WPPC earlier this month.

Mr Lucas works at the London Bridge Hospital, with his NHS base at Guy’s and St. Thomas’ Hospital. We have been lucky enough at WPPC to have worked with him for years.

Conversation during the meeting focused around the management of individuals with Low Back Pain, and Sciatica (leg pain that is referred by the back).  It was good to hear that Mr Lucas remains an advocate of Physiotherapy, Osteopathy, Pilates and acupuncture as primary treatments for patients with Low Back Pain.  In fact for the majority of people with low back pain, this is the only treatment that they will need.  Mr Lucas was quick to point out that even if an MRI scan shows disc degeneration in the back, in most cases patients still respond very well to conservative treatment alone (such as Physiotherapy).

He does of course fully assess each patient on their own merit (including x-rays and MRI scans). Sometimes a change of medication may be needed, and in some more serious cases medical or surgical intervention may be required.

Key advice that both Jonathan Lucas and ourselves would give, includes:

  • Keep as active as possible (remember hurt does not mean harm)
  • Avoid time off work
  • Use the pain killers that have been recommended for you (as these help restorative sleep, and help keep you moving!)

As Chartered Physiotherapists we are all medically trained with hospital training and experience.  So if you are in any doubt what health care professional you should see for your low back pain, a full Physiotherapy assessment can help explain things to you, and help you decide on the best course of treatment for you as an individual.  Whether that is Physiotherapy, a consultation with a Spinal Surgeon, acupuncture, Osteopathy, massage therapy, Psychotherapy, having a work station assessment, or a combination of some/ all of the above options!  We refer to, and can liaise with all the professionals involved to give a good quality of care, and help you get better!

At WPPC we understand that the factors affecting and the circumstances surrounding each patient’s low back pain can also vary hugely, as can their experience of pain and their goals of treatment (one patient may wish to walk for half an hour, and another to return to extreme snowboarding!). It is our job to listen to you, assess you, then explain and make a treatment plan with you to work towards a resolution of your back pain; for the long term!

Many thanks to Mr Jonathan Lucas FRCS, for his valuable time.

Please call our receptionist Meeta to make an appointment on 020 7834 3700 or email:reception@westminsterphysio.co.uk

If you have any questions prior to making an appointment, one of our Physiotherapists will be happy to call you back to speak to you.

By Claire Yuill