AI-generated illustration of a fictional Pakistani woman in a red hijab and modest black dress, standing with one hand at her lower back.

Low Back Pain · Physiotherapy · Lahore

Low back painis common.It is also very treatable.

Aching, stiffness or spasm in the lower back, with pain bending, lifting or sitting, sometimes into the buttock or leg. Most of it is not serious, and most of it gets better with the right movement and a clear plan. Private, assessment-led physiotherapy with a female physiotherapist in Lahore, at the studio or at home.

Lower back painBack spasmPain bendingSitting painSciaticaDisc bulgeHome exercisesFemale physiotherapistLahore
01

The short answer

What is low back pain, and how does physiotherapy help?

Low back pain is pain, stiffness or spasm between the bottom of the ribs and the top of the legs, sometimes spreading into the buttock or leg. About nine in ten cases are non-specific: no single damaged tissue explains it, and it is not a sign that the spine is fragile.

Physiotherapy starts with an assessment that screens for the rare serious causes, then builds a plan around staying active, comfortable movement and progressive hip and trunk strengthening, with hands-on treatment where it helps. A scan is rarely needed first, and most people improve.

At a glance

The most common pain,and one of the most treatable.

Low back pain is the single biggest cause of disability worldwide, and still, most of it settles with the right approach.

  • 619 millionPeople worldwide

    were living with low back pain in 2020 (WHO).

  • No. 1Cause of disability

    Low back pain leads the world’s causes of years lived with disability.

  • 9 in 10Are non-specific

    No one tissue or disease is to blame, and the back is not damaged.

  • WeeksFor most new episodes

    Many improve over a few weeks, faster when you keep moving.

What you may notice

Does any of thissound like you?

C·01

Stiff when you get up

The back feels tight first thing and loosens as you move around.

Mornings
C·02

Worse after sitting

Long spells at a desk, in a car or on the floor leave you aching and slow to straighten.

Sitting
C·03

Pain bending or lifting

Picking up a child, the washing or a bag from the floor catches you in the lower back.

Bending
C·04

A back that locks up

A sudden grip of the muscles that makes you stop, stoop and move carefully for a day or two.

Spasm
C·05

Ache into the buttock

Pain that spreads into one or both buttocks or the back of the thigh.

Buttock
C·06

Pain or tingling down the leg

Pain below the knee, pins and needles or numbness: worth having assessed, and urgently if the leg is weak.

Leg

SCROLL FOR THE ASSESSMENT TO FIND YOUR ROOT CAUSE

Where it can come from

One painful area.Several possible explanations.

Pick a step to see where it sits in the lower back. These describe terms you may hear; they are not a checklist for diagnosing yourself.

  1. Most often

    An exact pain source may not be identifiable. Symptoms can still respond to comfortable movement, graded activity and attention to sleep, stress and confidence. This is the most common picture by far.

  2. Sometimes

    Pain may follow an unfamiliar lift or sudden effort and feel worse when muscles work or stretch. Early pressure or stretching over a sensitive area may aggravate symptoms.

  3. The small joints at the back of the spine can be involved in local pain with certain movements, such as arching back. Twisting or arching pain alone does not confirm this diagnosis.

  4. A stress fracture in the arch of a vertebra, or one vertebra slipping forward on the one below, needs appropriate clinical assessment. Repeated painful arching and heavily loaded drills may need modifying.

  5. Pain near the pelvis may affect stairs, turning in bed or one-leg tasks. Pregnancy-related pelvic pain needs a tailored plan; where the pain is felt cannot by itself identify the sacroiliac joint.

  6. Needs assessment

    A disc can press on a nerve root, sending pain, tingling or numbness into the leg. New or progressing weakness needs urgent review. Our lumbar disc guide goes deeper.

A teaching drawing, not your spine. Where pain is felt rarely proves which tissue it comes from, which is why an assessment matters.

How it usually settles

From a back on guardto a back you trust.

Scroll through how most episodes of low back pain are cared for, from the first flare to getting on with life.

01The flare

Painful, stiff and on guard.

The muscles tighten to protect the back, which makes moving feel risky. That guarding is normal, and it eases as the back settles.

02The assessment

Rule out the rare, find what matters.

Warning signs are screened first. Then movement, strength, nerves, sleep, work and stress: what keeps this back sensitive, and what you want to get back to.

03Moving again

Comfortable movement, then strength.

Walking, gentle mobility and progressive hip and trunk exercise, with hands-on care where it helps. The back loosens out of its guarded shape.

04Back to life

A plan you keep.

Lifting, carrying, sitting and sleep back to normal, with a short programme and a plan for any future flare.

  • Women-only care
  • Assessment-led
  • Clinic or home visits
DR. MUNAZA GHANI · WOMEN-ONLY CARE · ASSESSMENT-LED · CLINIC OR HOME VISITS · DR. MUNAZA GHANI · WOMEN-ONLY CARE · ASSESSMENT-LED · CLINIC OR HOME VISITS · L1L2L3L4L5SACRUM
Dr. Munaza Ghani wearing a navy hijab, surgical mask and white coat as a women-only physiotherapist
Dr. Munaza GhaniDPTPhysiotherapist, women-only practice
Open the full 3D back explorer Model credit

Inside the lower back

A strong back,not a fragile one.

The 3D model follows each point as you read. The lumbar spine is built to bend, twist and carry load; most low back pain is a sensitive back, not a broken one.

01

Find the source

The discs, the small joints and the nerve roots that leave the spine are checked first, especially when pain spreads into the leg.

02

Settle the guarding

The long back muscles tighten to protect a sore back. Comfortable movement and, where it helps, hands-on care let them let go.

03

Rebuild support

Deep trunk and hip muscles share the load of bending, lifting and carrying. Progressive strengthening is the core of recovery.

04

Carry it well

The whole back, moving and strong again, with habits that make the next flare less likely and shorter.

How long it lasts

New, lingering,or persistent.

Low back pain is described by how long it has lasted. The names guide the plan, not your outlook.

  1. Under 6 weeks

    Acute

    A new episode. Stay active, settle the pain and move a little more each day.

  2. 6 to 12 weeks

    Subacute

    Recovering but not there yet. Progress strength and return to normal tasks.

  3. Over 12 weeks

    Persistent

    Still very treatable: exercise, pacing, sleep and confidence matter most now.

Flare-ups along the way are common and do not mean you are back at the start.

Myths and facts

What people believe,and what the evidence says.

A few common beliefs about back pain make recovery slower. These are the ones we hear most.

The mythThe evidence
ScansAn MRI will show what is wrongDisc and joint changes are common in people with no pain; a scan is rarely needed (NICE)
RestRest in bed until it stops hurtingStaying active within comfort speeds recovery; bed rest slows it
DiscsA disc has slipped out of placeDiscs do not slip out; most disc-related pain settles with time and exercise
BendingBending and lifting damage the backThe back is strong; graded bending and lifting rebuild its capacity
PainMore pain means more damagePain reflects sensitivity, and sleep, stress and worry turn it up

None of this means your pain is not real. It means it is safe, and helpful, to keep moving.

How it is assessed

An assessment,not a guess.

Low back pain is diagnosed from your story and a careful examination. This is what a physiotherapist looks for.

Warning signs first

  • Bladder, bowel and saddle sensation
  • Fever, weight loss, cancer history, trauma
  • Anything that needs a doctor before exercise

Movement and strength

  • How you bend, arch, twist and lift
  • Hip and trunk strength and control
  • Which movements ease or provoke the pain

Nerves, when the leg hurts

  • Sensation, reflexes and muscle power
  • The straight-leg raise and related tests
  • Whether a nerve root is involved

Your whole picture

  • Sleep, stress, work and daily demands
  • Pregnancy and postnatal history
  • What you most want to get back to

Imaging is considered only when warning signs are present or when the result would change your care.

Recovery in phases

Three phases.Progress by response.

Inspired by the mobility-to-strength structure of Rehab Science: Back & Spine. The phases overlap and are adapted to the person; they are not a fixed timetable.

Settle and find comfortable movement

  • Keep manageable daily activity
  • Adjust the tasks that irritate it
  • Explore gentle hip and spinal movement

Restore movement and early strength

  • Comfortable spinal and hip mobility
  • Bridges and early hip and trunk work
  • Range and resistance set by your response

Build strength for everyday life

  • Squatting, hinging and carrying
  • Challenge increased gradually
  • A plan for flare-ups you can keep

Low back pain exercises at home

Six gentle moves,little and often.

Inspired by the mobility and strengthening exercises in Rehab Science: Back & Spine. Use only the exercises agreed with your physiotherapist; you do not need to do them all.

01A small range; your physiotherapist sets the dose.

Standing pelvic tilt

Explore gentle, comfortable lower-back movement.

  1. Stand with your feet comfortably apart and rest your hands on your hips.
  2. Slowly tip your pelvis a little forwards and backwards. Keep the movement small and relaxed; do not force an arch.
  3. Return to a comfortable position. Skip the movement if it repeatedly increases symptoms.
02Gentle movement rather than a deep stretch.
Woman in a red hijab lying on her back with bent knees rolled to one side.

Knee rolls

Introduce easy rotation when this direction feels comfortable.

  1. Lie on your back with your knees bent and feet supported on the floor or a firm bed.
  2. Keeping your shoulders relaxed, let both knees move a short distance to one side, then back through the middle.
  3. Repeat towards the other side without forcing the range. Avoid any direction that aggravates back or leg symptoms.
03Begin without a band or added weight; progress after review.
Woman in a red hijab doing a bridge with her hips lifted and feet on the mat.

Bridge

Build hip strength with a manageable starting exercise.

  1. Lie on your back with your knees bent and feet flat, comfortably apart.
  2. Press through your feet and gently lift your hips only as far as you can without straining or arching your lower back.
  3. Lower with control and breathe normally. Reduce the height or stop if symptoms increase.
04Add resistance only when your clinician recommends it.
Woman in a red hijab lying on her side with her upper leg lifted.

Side-lying hip lift

Strengthen the muscles around the outside of your hip.

  1. Lie on your side with your lower knee comfortably bent and your top leg straight.
  2. Keep your pelvis steady and lift the top leg a small distance without rolling backwards or arching your back.
  3. Lower slowly. Use a smaller range if you cannot keep the movement comfortable and controlled.
05Choose the simplest comfortable version first.
Woman in a red hijab on hands and one knee with the other leg extended behind her.

Modified bird dog

Practise trunk control before adding more challenge.

  1. Start on your hands and knees on a comfortable surface, if that position suits you.
  2. Begin by sliding one foot back along the floor, or lifting one arm, while keeping your trunk steady.
  3. Return slowly. Opposite arm-and-leg lifting is a later option when the easier version is comfortable; avoid arching or twisting.
06Chair height and repetitions adapted to you.
Woman in a red hijab lowering towards a wooden chair with her arms reaching forwards.

Chair squat

Build confidence for sitting down and standing up.

  1. Place a stable chair against a wall. Stand in front with your feet comfortably apart.
  2. Bend at your hips and knees and lower towards the seat within a comfortable range.
  3. Sit if you need support, then stand using your legs; use your hands if needed. Avoid holding your breath or adding weight before you are ready.

The drawings show the shape of each movement, not how far you should go. Mild, short-lived discomfort can be acceptable; stop and seek advice if pain is severe, spreads, or leg symptoms increase.

Day to day

What helps at home,and what does not.

Small changes make the days easier while the back settles.

01

Keep moving

Short walks and regular changes of position beat long spells in one posture, whether sitting or lying.

02

Pace demanding tasks

Break up lifting, cleaning and long drives, and build them back up gradually rather than all at once.

03

Use heat for comfort

A heat pack wrapped in a towel for up to 20 minutes can ease a stiff, guarded back before you move.

04

Protect your sleep

A pillow between the knees on your side, or under the knees on your back, can make nights more comfortable.

05

Avoid bed rest

Lying down for days lets the back stiffen and weaken. Rest briefly when you need to, then move again.

06

Keep working if you can

Staying at work, with adjusted tasks if needed, usually helps recovery more than staying home.

Pain relief is a matter for your doctor or pharmacist. Tell them, and us, if pain is stopping you sleeping or working.

Step by step

Assessment first, then a plan around your life.

01

A private conversation

How the pain began, what eases and worsens it, your sleep, work, stress, pregnancy history, and what you want to get back to.

02

A careful examination

Warning signs, movement, strength and, if your leg hurts, the nerves. Nothing is forced.

03

A clear explanation

What is likely going on, what is not, and whether you need a doctor or a scan. Most people do not.

04

Your plan, that day

Comfortable movement and a few exercises to start, with clear advice on how much and how often.

Care designed for women

Private care.Personal attention.

Munaza Physio Studio is a women-only physiotherapy practice. Your back is assessed one-to-one by a female physiotherapist in a private room, so you can move, explain and ask without hesitation.

01

Women-only environment with a female physiotherapist

02

A private room for assessment and treatment

03

One-to-one sessions, never a shared slot, never rushed

04

Pregnancy and postnatal back pain understood

05

Home visits across Lahore when travelling is hard

Illustrative cutout of a woman in a black abaya and red hijab speaking with a masked female physiotherapist in navy and white.

Real Stories

From realwomen.

5.014 Google reviewsView all on Google
Google

My mother had a stroke that left her right arm and leg immobile. With Dr. Munaza’s expert physiotherapy, she regained full movement completely painfree and without any medication. We’re truly grateful for her care and professionalism.

Ayesha Humayoun4 weeks ago
Google

I took home sessions for my neck, shoulder, back, and hip pain. Alhamdulillah, all my pain is gone like a magic. Even my headache, which I had for many years, got better with the exercises. Thank you so much Dr Munaza for your kind treatment and care. May Allah bless you.

Fatima Ishaq4 months ago
Google

“Dr. Munaza treated my neck and shoulder pain, as well as my muscle pull issue, very effectively. With the help of exercises and therapy, I feel much better now. She is very kind, caring, and cooperative. Highly recommended!”

Mano Bili4 months ago
Google

I had neck pain with headaches for a long time. After treatment with Dr. Munaza, my pain got much better and the headaches eased. She listened carefully, treated me gently, and explained everything clearly. I feel relaxed and thankful for her care Best physiotherpist in the area👍🏻

Zainab Arif4 months ago
Google

Dr. Munaza is very kind and professional. My shoulder pain improved within a few sessions. Highly recommended!!!!

Hira Khalid2 months ago

Simple pricing

Choose yourrecovery.

Transparent pricing, with a personalised assessment at the start of every plan.

Clinic sessions start from PKR 1,500.

Home visit pricing depends on your location and condition, contact us for a quote.

Book Assessment

Your back is strong

Do not fear it. Do not rest it. Move it well.

Most low back pain is a sensitive back, not a damaged one. The aim is less pain now, more movement each week, and a back you trust again.

Questions

Low back pain: your questions answered.

What causes lower back pain?+

Most low back pain is non-specific: an assessment does not find one tissue or disease to blame, and the pain comes from a combination of sensitive joints, muscles and nerves, how much load the back has had, and things like sleep, stress and general health. Less often it is linked to a disc and a nerve root, a stress fracture of a vertebra, the sacroiliac joint, or, rarely, a serious condition that needs a doctor.

What is non-specific low-back pain?+

It means that an assessment has not identified one specific tissue or disease as the source of pain. Your pain is real. Treatment can still improve movement, strength and daily function, and about nine in ten people with low back pain fall into this group.

When should I worry about back pain?+

Go to an emergency department straight away if back pain comes with new difficulty passing urine, loss of bladder or bowel control, numbness around the genitals or back passage, or numbness or weakness in both legs. See a doctor promptly for fever, unexplained weight loss, a history of cancer, pain after a serious fall or accident, or pain that is severe at night and does not ease with rest.

Do I need an MRI before physiotherapy?+

Usually not. Imaging is not routinely needed for uncomplicated low back pain, and scans often show disc and joint changes in people with no pain at all. A clinician considers a scan or specialist referral when warning signs are present or when the result would change your treatment.

Should I rest in bed or keep moving?+

Try to stay active within your tolerance and avoid prolonged bed rest, which tends to slow recovery. Shorter walks, regular changes of position and temporary adjustments to demanding tasks usually help. Seek assessment if the pain is severe, spreading or not improving.

Which exercise is best for low-back pain?+

There is no single best exercise for everyone. Walking, comfortable mobility and progressive hip and trunk strengthening are all good options. Your examination, your preferences and how your back responds decide which ones suit you and how hard to go.

Is walking good for lower back pain?+

Usually, yes. Regular walking at a comfortable pace keeps the back moving and is one of the simplest ways to stay active while pain settles. Start with short walks and build them up; if walking clearly worsens leg pain or numbness, have it assessed.

Should I use heat or ice?+

Either can ease pain for a while, and heat is often more comfortable for a stiff, guarded back. Neither treats the cause, so use them to make movement easier rather than instead of it. Protect your skin and limit each use to about twenty minutes.

How long does recovery take?+

Many new episodes improve over a few weeks, but persistent pain, nerve symptoms, other health conditions and daily demands can change the course. Pain lasting more than twelve weeks is called persistent, and it still responds to exercise and a well-paced plan. Progress is judged by function as well as by pain.

Can low back pain come back?+

Yes, flare-ups are common, and having one does not mean something is damaged. Staying active, keeping up the strength you have built and returning to demanding tasks gradually lower the chance of another flare and help you recover faster when one happens.

Can I have physiotherapy during pregnancy or after delivery?+

Assessment can help distinguish back pain from pelvic-girdle or other concerns. Pregnancy, delivery history and medical advice change exercise selection, so do not begin a general programme during pregnancy or after delivery without individual advice.

Do I need a referral to book?+

No. You can book an assessment directly. If your examination suggests anything that needs a doctor or imaging first, we tell you straight away and refer you.

Where can women get low-back-pain physiotherapy in Lahore?+

Munaza Physio Studio offers private, one-to-one assessment with a female physiotherapist in Allama Iqbal Town, Lahore, with home visits across Lahore when travelling is difficult. Book an appointment or message us to discuss your symptoms. Emergency warning signs need hospital care first.

Safety first

Some back symptoms cannot wait.

Arrange prompt medical review: Seek urgent medical advice for fever or feeling unwell, sudden severe pain or rapidly worsening symptoms. Unexplained weight loss, a history of cancer, persistent night pain or new osteoporosis-related concerns also need a doctor.
Know the limits of a general guide: This educational page cannot diagnose you. Pregnancy, fracture risk, surgery and specific spinal conditions may require different care. A qualified clinician should review your suitability for exercise.
  • New difficulty passing urine or loss of bladder or bowel control.
  • Loss of feeling around the genitals, anus or inner thighs (saddle area), or new changes in sexual sensation.
  • Pain, tingling, numbness or weakness in both legs, especially if new or worsening.
  • Chest pain, or pain that started after a serious accident.

Your next step

One messageis enough to begin.

Tell us where your back hurts, how long it has, and what it is stopping you doing. We will tell you honestly how physiotherapy can help. Women-only · One-to-one · At the studio or at home in Lahore.