Effective Back Pain Treatment and Physiotherapy in Bangkok

What is Lower Back Pain?

The lower back, or lumbar region, below the ribcage is particularly susceptible to injury, with almost everyone experiencing some degree of lower back pain at some point in their life. Lower back pain can be mild or severe, sudden or persistent.

When it occurs unexpectedly as the result of a sudden movement, lower back pain is described as “acute” and will usually get better on its own after rest and basic attention such as physio for lower back treatment. When lower back pain becomes continuous and has lasted for longer than 3 months, it is considered “chronic”. Professional help is required for chronic lower back pain treatment.


Acute lower back pain often involves a sudden stabbing or shooting sensation which may be so severe that you are temporarily unable to stand or move. Chronic lower back pain is more often characterised by a persistent dull ache that may radiate to your buttocks or down the back of your legs. The pain may also be worse in specific positions such as when bending or stretching and alleviated when sitting or lying down.

Other symptoms of chronic lower back pain include stiffness, especially when trying to move after a long time in one position, such as after sitting or sleeping. A limited range of motion could also include not being able to stand up straight.

Heavy Lifting
Impact Sports
Bad Posture
Sports Strains
Repetitive Strains


Acute lower back pain might be caused by a sudden movement or overextension, such as when exercising or using the wrong posture to lift a heavy object. In such cases, the initial injury may be accompanied by a “popping” sound.

Chronic lower back pain is usually the result of an injury to the muscles, ligaments, joints or discs. One of the main causes of such injuries is the accumulative effects of working. Manual jobs that require the regular lifting or moving of heavy objects place the lower back at risk. However, office jobs are also an increasingly common cause of chronic lower back pain due to people sitting in front of a computer for several hours every day, often with bad posture.

Other common risk factors for lower back pain include age, weight and lifestyle. Those over 30 are more likely to experience back pain due to the discs between the vertebrae wearing down gradually. People who are overweight are also more prone to back pain as the extra weight places greater pressure on the spine. Similarly, people who smoke, drink alcohol excessively or live a sedentary lifestyle and tend to slouch are at increased risk. Anyone with a family history of osteoarthritis or some forms of cancer is also at greater risk of developing lower back pain.

Causes in your everyday life

  • Muscle strain – from heavy lifting or vigorous activity.
  • Everyday movement – sitting at a desk all day, wrong posture while lifting or pulling, sudden movement.
  • Lifting a bag often – lifting heavy bags or lifting bags on one side only causes an imbalance in the body with the weight often falling onto one shoulder.
  • Workout or exercise injuries – sports that use repetitive impact (e.g running, football, basketball), twisting motions (e.g. golf, badminton, tennis), or weight loading (e.g. weight lifting).
  • Personal posture – incorrect sitting or slouched positions very often lead to chronic pain that patients just accept as part of their life.
  • Lack of exercise and strengthening – our back is used daily, but we often choose to ignore the fact that it gets weaker as we age.

Lower Back Pain Treatment

There are several effective treatments for relieving back pain. Cortisone injections can help with lower back pain relief, while chronic back pain treatment may require surgery in more severe cases. Osteopathic or chiropractic treatments help the healing process, while physiotherapy for lower back treatment is highly recommended.

Because you lose muscle tone as you age, which makes the back more prone to injury, strengthening your back muscles, using good body mechanics, and enlisting the help of BPC professionals at their back pain clinic in Bangkok are great ways to ensure your back stays strong. BPC offers physical therapy and lower back pain treatment in Bangkok, including physiotherapy exercises for lower back pain, all performed by qualified physios specialised in lower back strain treatment.

Lower Back Pain FAQs

You should be concerned about your lower back pain if it is severe, persistent, or accompanied by other concerning symptoms like numbness, tingling, weakness, or bowel/bladder changes. If the pain is interfering with daily activities, it's best to seek medical advice.
Yes, walking can be beneficial for lower back pain. It promotes blood flow, releases endorphins (natural painkillers), and helps maintain flexibility and strength in the back and core muscles. Start with short walk and gradually increase duration as tolerated.
The best sitting position for lower back pain is with proper lumbar support and maintaining a neutral spine. Sit with your feet flat on the floor, knees at a 90-degree angle, and use a cushion or small pillow to support the natural curve of your lower back.
The healing time for lower back pain varies depending on the cause and severity of the condition. Acute back pain may improve within a few days to a few weeks with proper care, while chronic back issues may take several weeks or longer to heal.
Avoid activities that involve heavy lifting, twisting, or bending forward with straight legs, as these can strain the lower back. Also, limit sitting for prolonged periods and opt for supportive chairs when possible.
A healthcare professional can diagnose whether your back pain is related to a disc or muscle through a physical examination and possibly imaging tests like X-ray or MRI scan.Disc-related pain often involves radiating pain down the leg, while muscle pain may be localized.
Prolonged sitting with poor posture can aggravate back pain. It places extra pressure on the lumbar disc and can weaken the supporting muscles. It's essential to take breaks, practice good ergonomic and incorporate gentle stretching throughout the day.
Gentle stretching can be beneficial for back pain, especially when the pain is due to muscle tightness. However, avoid aggressive or high-impact stretches, and consult a healthcare professional or physiotherapist for appropriate exercises.
Placing a pillow or cushion under or behind your lower back provide additional support and help maintain the natural curve of your spine, which may relieve some lower back discomfort.
To loosen your lower back, try gentle stretching exercises like knee-to-chest stretches, pelvic tilts, and cat-cow stretches. Engaging in low-impact activities like swimming or walking can also promote flexibility and relieve tension in the lower back. Consulting a physiotherapist for personalized exercises is recommended.

BPC’s 4 step process was established by our team of expert physiotherapists to best guide you through a successful recovery while empowering patients to take charge of their health through our personalized exercise program.

Road To Recovery

reduce Pain

RELAX Muscle

Muscle Relax

RANGE Increase

Range Increase



Let Us Treat You

Whether you’re sick or in good health,
we have the best place to assist you.