There are 5 main causes of lower back pain; facet joints, sacroiliac joints, hips, discs, and nerves. It would be nice if they had their own specific symptoms but unfortunately, they don’t. Techniques and methods for diagnosis and treatment vary almost as much as the causes for the pain itself.

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Neck pain is associated with muscle tightness and spasm that responds well to massage and manipulation, but the pain soon returns. It arises from multiple causes but the 3 main causes are facet joint arthritis, degenerative discs and nerve compression. The muscle spasm makes it tricky to diagnose but with a detailed approach there are a number of solutions that provide effective, longer-term relief.

Persistent joint pain is commonly achy, sharp, dull, a pressure, or throbbing. Joints can click and clunk; if inflamed, they can be stiff and sore, particularly in the morning, and muscles become tight trying to protect them, creating a whole new pain of their own. Joint pain is complicated and very individual, with pain arising from many structures in and out of them. This understanding dramatically aids in diagnosing difficult pain and, for those suffering the pain, to reconcile why the pain may not have responded to a single treatment such as cortisone or an operation.

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Zee has spent the last 15 years assisting patients with weight loss and metabolic disease prevention. He uses a collaborative approach with his patients to devise an individualised nutrition and lifestyle template. He starts by asking all patients to keep a food diary so he can analyse what patients are doing before suggesting changes.