Chronic Low Back Pain Physiotherapy in Karachi | Core Strength, Mobility & Long-Term Pain Control

Chronic low back pain is pain in the lower back that lasts more than 3 months or keeps returning. It can make daily life difficult—standing, walking, sitting, bending, praying, lifting, and sleeping. Many people avoid movement due to fear of pain, but less movement often increases stiffness and weakness, which makes pain worse over time.

At Dr Rizwan Physiotherapy Home Service, we provide professional chronic low back pain physiotherapy in Karachi with a structured plan to reduce pain, improve mobility, strengthen the core and hips, correct posture and lifting habits, and prevent flare-ups through a clear home program.

How Physiotherapy Helps Chronic Low Back Pain

The most effective long-term approach usually includes graded activity, core and hip strengthening, mobility work, and movement retraining. The goal is to make your back stronger and more confident—so pain reduces and daily function improves.

• Reduce pain and stiffness with safe movement
• Improve spinal and hip mobility
• Strengthen core, glutes, and back support muscles
• Improve posture and movement mechanics (bending/lifting)
• Improve walking and daily activity tolerance
• Reduce flare-ups with pacing and progression rules
• Return to work and daily routine with confidence

Common Causes/Patterns in Chronic Low Back Pain

• Mechanical back pain (posture + muscle imbalance + stiffness)
• Disc degeneration and age-related wear and tear
• Facet joint irritation and stiffness
• Weak core and glutes causing overload on the spine
• Long sitting and poor bending/lifting habits
• Fear-avoidance (stopping movement due to pain)

Common Symptoms

• Lower back pain lasting weeks to months
• Stiffness in the morning or after sitting
• Pain with bending, lifting, or long standing
• Reduced walking tolerance
• Muscle tightness in hips/hamstrings
• Flare-ups after heavy work or long travel

Our Chronic Low Back Pain Physiotherapy Program

Your rehab plan is customized based on pain triggers and daily routine. Treatment may include:

• Assessment of posture, mobility, strength, and pain triggers
• Mobility exercises for spine and hips (reduce stiffness)
• Core strengthening (deep core stability training)
• Hip and glute strengthening to reduce back load
• Stretching for tight hip flexors, hamstrings, and back muscles
• Movement retraining (safe bending, lifting, sitting posture)
• Graded walking plan to rebuild endurance
• Home program with weekly progression targets

Pacing Strategy (Avoid “Overdo → Flare-Up”)

Chronic back pain often gets worse when you do too much on one day and rest for days afterward. We use pacing: small daily activity doses, planned breaks, and gradual weekly progression to build strength without flare-ups.