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Lower back pain management

Dr Giresh Kanji presents case histories to illustrate the complexity of lower back pain and answer questions on his approach to lower back pain.

Low back pain has often been thought of as a single entity, with different singular explanations depending on the person consulted, and singular treatments. Low back pain is a complex entity with multiple pain generators causing exactly the same pain patterns. The four most common pain generators are the disc, hip joint, facet joint and sacro-iliac joint. People with chronic low back pain may have one, or all four pain generators creating confusion and ongoing symptoms. Fortunately taking a history and correlating with radiology can help find the sources of symptoms and target these for management.

Girish, along with Vinny Lohan (Engineer, Auckland University graduate) and Professor Partha Loop, have developed Painguru, a low back pain app, designed to help diagnose, educate and manage patients with low back pain. Painguru has over 60 short videos. Management options are aimed at reducing pain and preserving spinal structures with posture and activity modification.

Please download the app prior to the Webinar (free download):


Honorary Associate Professor Giresh Kanji

Musculoskeletal Pain Specialist

(PhD, MBChB, PGDip Musmed, MMGT, PG Dip Businfo, FAFMM, FRNZCGP)

Giresh is a Musculoskeletal Pain Specialist and Researcher. He experienced chronic low back pain for two years and after his PhD and explored the paradigm of spinal pain with self-interest. He is an honorary Associate Professor at Auckland University, the chairperson of the NZ Pain Foundation and editor of Australasian Musculoskeletal Medicine.

He has spoken internationally at conferences. He is the author of “Fix Your Back”, “Fix Your Neck Pain, Headache and Migraine”, “Brain Connections: How to sleep better, worry less and feel happier” and Sleep Well and Energise: A no Pills Approach. He is the co-producer of the App Painguru Low Back Pain.

His interests are educating health professionals and the public on managing physical and mental health for the lifespan of the patient, with education and implementation of simple regular habits aimed at the source of the problem.