Lower Back Pain Physiotherapy in Perth

Back pain can make everyday activities such as bending down or sitting for long periods feel difficult, and for some people it travels into the hip or leg. Our highly trained physiotherapy team provides physio for lower back pain in Perth from our clinic in Como, with personalised care to help you understand what is going on and move more comfortably again.

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The difference the right support can make

Pain may become easier to manage, and movements you have been avoiding can start to feel less uncertain. Getting out of bed in the morning, lifting the shopping or going for a walk without it flaring afterwards may start to feel more manageable.

Over time, reduced pain tends to come alongside being able to get on with your daily activities again, with more confidence in what your back can handle. Because back pain often has more to do with how you move and load your spine than with damage, working on that can also reduce the chance of the same problem returning.

como physio treating lower back pain

Common causes of lower back pain

Back pain can develop for several different reasons, and for most people it is not traced back to a single clear diagnosis. More often a few things are contributing at once, such as how your back is moving and how much it is being asked to do. Understanding what may be contributing to your symptoms helps guide the most appropriate next step.

Muscle strain and ligament pain

Strains and sprains often cause pain that comes on soon after lifting or an awkward movement. Symptoms tend to be worse with movement in the first few days and usually settle as the area recovers.

Disc-related pain

Disc-related pain can feel deep and is often worse with bending or sitting for long periods. Changes to the discs between your vertebrae are common and do not always cause symptoms, which is why what you feel matters more than what a scan shows.

Sciatica and nerve-related pain

Sciatica describes pain that travels from the lower back into the buttock or down the leg, sometimes with numbness, tingling or weakness. It occurs when a nerve in the lower back becomes irritated or compressed.

Joint and arthritic changes

Arthritic changes in the spinal joints can cause aching and stiffness that is more noticeable in the morning or after rest. Narrowing of the spinal canal, known as stenosis, may also cause leg symptoms that ease when you sit or lean forward.

Reduced strength and conditioning

When the muscles supporting your back are not used to the demands being placed on them, everyday activities can become harder to tolerate. This often develops gradually through periods of reduced activity, or after an earlier episode of pain.

Posture and everyday loading

Prolonged sitting, repeated bending and your lifting technique can all influence how your back feels. Poor or awkward postures can relate to either the position itself or staying in one position for too long without enough variation.

Pain that has persisted beyond the healing period

Sometimes pain continues after the original injury has recovered, because the way your body senses and responds to movement has changed. This is common, and it responds to a different approach than a recent injury.

Other contributing factors

Sleep, stress, general health and the demands of your work and daily life can all influence back pain and recovery. Understanding these factors can help guide treatment and identify when additional support or medical input may be helpful.

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Our approach to lower back pain physiotherapy

Physio for lower back pain starts with working out what is contributing to your symptoms. We assess how your back moves and what it can tolerate, use the findings to build a treatment plan around you, and explain clearly what is happening.

Detailed back assessment

Your first appointment includes a review of your symptoms, your medical history and the activities that bring on your pain. We assess how your back moves, how it responds to load and whether your symptoms are travelling into the leg, so we can understand what may be contributing.

Treatment matched to your presentation

Treatment is selected according to the cause and pattern of your symptoms. This can include manual therapy and soft tissue work to ease pain and stiffness, graded movement for a back that has become guarded, nerve-related care where symptoms travel into the leg, or dry needling where muscle tightness is contributing.

Progressive strength and movement training

An exercise program is used to rebuild what your back can tolerate and improve how well it moves. Your program starts at a level you can manage and is progressed as your symptoms settle, so restoring function does not come at the cost of flaring things up.

Home strategies and ongoing review

You will receive a clear home exercise program to continue between appointments, along with practical advice for managing your symptoms day to day. We will review how you are responding and update the plan as needed.

Why choose Integrity Physio for lower back pain physiotherapy?

Back pain is common, but the advice people receive about it often is not consistent. At Integrity Physiotherapy, you receive unrushed care from a physiotherapist who takes the time to understand your symptoms and explain what is driving them.

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Care from Senior Physiotherapists

We have a highly experienced team of Senior Physiotherapists and Physiotherapists working very closely together, so you can expect quality care in managing your back pain and restoring your mobility. You will work directly with an experienced clinician, highly trained and well resourced to support your recovery. For complex cases, you can be confident that our team works collaboratively via multiple clinical meetings per week to ensure the highest standard of care from all of our clinicians.

30 minutes is our standard at every appointment

Each consultation runs for 30 minutes, including Medicare appointments. This gives your physiotherapist enough time to assess your back carefully and provide treatment without rushing. Longer appointments are available for complex cases.

Hands-on, patient-centred care

Where appropriate, treatment begins during your first appointment. This may include hands-on therapy or other targeted treatment based on your assessment.

Clear explanations at every stage

You will be kept informed about what we find and why a particular treatment approach has been recommended. We make sure you understand the plan, what to expect and how your progress will be reviewed.

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What's involved in a physio appointment lower back pain?

When to book a lower back assessment with us

If back pain is not settling or starts affecting your confidence in everyday movement, it is worth getting it assessed. We can help work out what may be contributing to your symptoms and whether physiotherapy is suitable for you.

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Take the first step towards relief

Living with lower back pain can wear you down – but the right support can make all the difference. At Integrity Physiotherapy, we’re here to help you feel heard, cared for, and confident about your recovery.

Our friendly clinic is conveniently located in Como, with free parking and a team of senior physiotherapists ready to provide personalised, hands-on care from your very first visit.

Book your appointment today – and let’s get your back feeling better.

Physio for Neck Pain
Frequently Asked Questions

Everything you need to know about physiotherapy for lower back pain, from symptoms and causes to treatment.

No referral is needed for a private physiotherapy appointment. A referral or supporting paperwork may be required if you are attending through Medicare, DVA or another funded program. Contact our team if you are unsure what you need to bring.
Your physiotherapist will ask about your symptoms and the activities that bring on your pain. They will then assess how your back moves and responds to load before explaining what the findings suggest.Treatment begins during your first appointment and is selected according to your assessment findings. You will also be given clear guidance on what to expect next.
Not usually. For most people there is no specific structural damage causing their pain, and symptoms have more to do with the following: how the back is moving, structures being tight, weakness, sensitised tissues or perhaps what structures are being asked to tolerate. Your physiotherapist will assess your symptoms and explain what the findings suggest for you, including identifying any structural causes if relevant.
A scan is not usually needed before your first appointment. Imaging can be helpful in certain situations, but many changes seen on scans are also common in people without pain. Your physiotherapist is highly trained to assess whether imaging is needed and to determine whether any structural changes are likely to be relevant to your symptoms. If your assessment suggests that imaging would be helpful, they will explain why and guide you through the appropriate next steps.
The number of appointments you may need will depend on your condition and how you progress with treatment. Some people improve within just a few sessions, while more persistent or recurring back pain may benefit from a longer period of rehabilitation. Your physiotherapist will give you a clearer recommendation at the first assessment.
This is common, and it does not mean physiotherapy cannot help you. Back pain has several possible contributors, and an approach that suits one presentation may not suit another. We will reassess from the beginning, talk through what you have already tried and explain what we would do differently.
Not every cause of back pain is best managed with physiotherapy. If your assessment suggests that another health professional should be involved, your physiotherapist will explain the next step and refer you to the most appropriate healthcare provider.
Some people notice a little soreness after hands-on treatment or new exercises, which usually settles within a day or so. Your physiotherapist will explain what to expect and adjust your program if your symptoms are not responding the way they should.
Physiotherapy rebates depend on your private health policy and level of cover. Integrity Physiotherapy is a HCF preferred provider, and on-the-spot claims may be available for eligible appointments. Check with your health fund to confirm your rebate and expected out-of-pocket cost.
Back pain physio appointments follow our standard physiotherapy fees. Please refer to our fees page for current pricing and information about Medicare, DVA and private health rebates.
If you have any relevant referral letters, scan results or medical information, please bring them with you. It’s also helpful to think about when your symptoms occur, what tends to aggravate them, and any activities they are preventing you from doing. Wear comfortable clothing that allows your physiotherapist to assess your back and hips.
Yes. Once your pain is under control, we focus on strengthening, movement retraining, and posture education to reduce the risk of it coming back.
Some mild soreness is normal after manual therapy or starting new exercises, but it usually settles quickly. We’ll always check in and adjust your treatment to suit how your body responds.
Not necessarily. Most lower back pain is mechanical, not due to structural damage and treatable with physiotherapy. However, we’ll always refer you to your GP if we spot any red flags or need further investigation.