Lower back physiotherapy in Terrassa

Conditions I treat

• Lumbar disc protrusions

  The disc bulges outwards without rupturing. We assess what aggravates it and work with manual therapy, progressive exercise and pain education.

  What you may notice: Low back pain and stiffness, worse when bending forward or sitting for long periods; it can be mild or even go unnoticed.

• Lumbar disc herniations

  Disc material moves out of position and may irritate the nerve root. We combine manual therapy, exercise and loading guidelines, and coordinate with your doctor when needed.

  What you may notice: Pain running down the buttock and leg, tingling or numbness, an electric-shock feeling, more pain when coughing or sitting. If there is significant loss of strength or changes in bladder or bowel control, seek urgent care.

• Sciatic nerve neuropathy

  Irritation or entrapment of the sciatic nerve, from a disc herniation, the piriformis muscle or other causes. We assess the source and work on neural mobility, manual therapy and, when appropriate, percutaneous neuromodulation.

  What you may notice: Pain, burning or tingling in the buttock and the back of the thigh and leg, sometimes reaching the foot; numbness or an electric-shock feeling; worse when sitting or bending forward.

• Facet joint syndromes

  Pain originating in the facet joints of the lumbar spine. We work on mobility, manual therapy, trunk control and, when appropriate, ultrasound-guided invasive techniques.

  What you may notice: Localised low back pain, often on one side, worse when arching the back or twisting; stiffness on waking or after standing for a long time; may spread to the buttock.

• Lumbar muscle overload

  Tightness and pain from sustained postures, effort or sport. Manual therapy, dry needling and strength and trunk-control exercise.

  What you may notice: Dull ache and tension in the lower back, a «lumbago» feeling after effort, stiffness that eases with gentle movement.

• Assessment of the lumbar area and pelvic mobility
• Manual therapy and lumbar manipulation
• Therapeutic exercise and motor control
• Dry needling and neuromodulation when indicated

If the pain doesn't improve within a few weeks, limits you or returns every time you resume activity, an assessment is worthwhile. After a hard blow, significant swelling or if you can't bear weight, see a doctor or the emergency department first.

Techniques I use

• Osteopathy, manipulation and manual therapy

• Sports rehabilitation and therapeutic exercise

• Percutaneous neuromodulation

Other conditions

• Cervical and thoracic spine

• TMJ treatment

• Shoulder

• Elbow

• Hand and wrist

• Hip

• Knee

• Foot