BACK PAIN

Back Assessment
At Bayview Physiotherapy in Nanaimo, every back assessment begins with a detailed postural and movement analysis.
We assess your alignment while sitting, standing and lying down to identify:
- Spinal curvature asymmetries
- Pelvic and hip imbalance
- Forward head posture and shoulder positioning
- Movement patterns linked to back pain
This is followed by active and passive range-of-motion testing to detect stiffness, pain triggers and any neurological signs that may indicate disc involvement.
Finally, hands-on palpation is used to locate restricted spinal segments and determine the safest, most effective direction for treatment.
Gentle Joint Mobilisation – Muscle Energy Techniques (MET)
Our clinic focuses on osteopathic-based Muscle Energy Techniques rather than forceful joint cracking.
This approach uses precise muscle activation to restore natural joint gap and glide mechanics, allowing the spine to:
- Reposition itself into its optimal resting alignment
- Move more freely
- Reduce post-treatment soreness
This technique is ideal for patients with chronic back pain, postural strain, or sensitivity to traditional manipulation.


Advanced Soft Tissue & Fascial Release Therapy
Restricted fascia and scar-related adhesions are a common hidden cause of back and rib pain.
We use specialised manual soft-tissue mobilisation to:
- Release fascial tension
- Restore normal rib mechanics
- Reduce muscular pulling on the thoracic spine
- Improve breathing and trunk mobility
Pre-stabilisation of rib joints prevents re-irritation during neck and upper-back movement.
Pain-Relief Modalities to Accelerate Healing
To support your recovery, we integrate evidence-based modalities including:
Interferential Current Therapy (IFC)
Used after manual treatment to:
- Reduce inflammation
- Decrease swelling
- Relax muscle spasm
- Trigger natural endorphin release for pain control
Therapeutic Ultrasound
Delivers over 1 million micro-vibrations per second, creating a micro-massage effect in deep tissues that:
- Enhances circulation
- Improves tissue repair
- Reduces chronic pain


Dynamic Core Stability & Spinal Protection Training
Bayview Physiotherapy in Nanaimo is recognised for advanced core-stability rehabilitation.
Our programs are based on research into the timing and quality of muscle activation for spinal protection, focusing on:
- Multifidus
- Transversus Abdominis
Correct activation of these deep stabilisers is essential before returning to sport or work, helping prevent re-injury and chronic back pain.
