Abnormal Posture And Physiotherapy Treatment And Exercise

Abnormal Posture And Physiotherapy

Below you will find 7 physical therapy exercises to help you deal with posture and pain at work at home. These physical therapy exercises are designed to correct bad posture to make your work less painful and more productive. The following exercises aim to increase muscle strength and flexibility to improve posture. Stretching your muscles helps develop strength, flexibility, and balance, leading to less muscle pain and better posture.

Exercises to strengthen the core and gluteal muscles, as well as back extension, will help correct sagging posture. Core and glute strengthening exercises, hip flexors and hip stretches, and conscious efforts to correct standing posture are recommended to help correct protruding buttocks. While you can try to correct your posture with a support brace or a wake up reminder, this exercise helps strengthen your core and upper back muscles. Upper back, back, neck and shoulder strengthening exercises, chest stretches, and neck posture exercises are recommended to correct a slouched back.

Over time, this can lead to poor posture and can contribute to pain, tightness in the chest (pectoral) muscles, and weakness in the muscles of the neck and upper back. Triggers increase the general fatigue and pain experienced by a person with poor posture. Good posture is effortless, so even traditional posture tips like pulling your shoulders back and puffing out your chest can be uncomfortable. This effort can increase tension in the muscles, which in turn can cause pain. Poor posture is often a sign of weak core muscles and even more affects how you stay fit during exercise.

If you are not working on correcting the imbalance causing poor posture, this position can affect your movements during your workout, causing further damage to your muscles and joints. Poor posture causes muscle fatigue because it uses phasic fibers, rather than static ones, to maintain body position. Correct posture also reduces stress on muscles and ligaments, which reduces the risk of injury. In the long term, maintaining proper posture can help reduce exercise-related injuries and can promote progress in alignment with your posture.

In this article, we will discuss effective exercises and other tips for improving posture. Any type of exercise can help improve posture, but certain types of exercise can be especially beneficial. Tips for improving posture include regular exercise and stretching, ergonomic furniture, and attention to the well-being of the body. If you have back pain, improving your posture is unlikely to address the root cause of your pain, but it can help relieve muscle tension.   

Complications of poor posture include low back pain, spinal dysfunction, joint degeneration, rounded shoulders, and a flat abdomen. You can improve your posture and spinal health by making lifestyle changes. Low back pain is the most common complaint, but research shows that neck, shoulder and arm pain is becoming more common due to postural dysfunction. In fact, pain and discomfort are just the tip of the iceberg - over time, this load on the body can cause quite serious problems.

I have found that much of the chronic back pain is due to poor posture, which is actually related to the diaphragm and pelvis of one of my patients. For six weeks, we used exercises to turn certain muscles on and off to improve his posture. Neck SEs were performed under the supervision of an experienced physiotherapist and two physical therapy instructors three times a week in groups 1 and 2.

An experienced physiotherapist assessed all participants based on medical history, posture, and symptom response to active movement. Subjects in the control group (n = 20) performed a total of 3 times per week on a home exercise program described as posture correction in daily activities, but were less likely to meet in class and receive information about activities that promote overall health. The first week exercise program mainly included stretching, while the second to eighth week program included activities to correct poor posture and straighten the body shape, which can help improve concentration and continue after school.

Neutral position during daily activities and SE of the neck were taught using mirrors located on the side and in front of the subjects. The stretching part of the exercise was performed in order to increase the flexibility of the extensor muscles of the thoracic and cervical sections of the neck (lengthening the thoracic and chin folds). Strengthening exercises aimed at the parascapular muscles (from Y to W, from L to W, scapular protraction).

Exercise has been confirmed to be effective in lengthening the pectoralis major, activating the lower/mid trapezius muscle, serratus anterior, and improving posture. Exercise is also given to loosen joint stiffness or provide more stability to those who are more mobile than they should be. Anyone with poor posture, muscle imbalances, and pain will benefit from a thorough posture assessment and correction.  

This will allow you to apply our advice in your daily life. These are exercises that will help you strengthen weak muscles or stretch tight muscles that cause you to assume an incorrect and possibly painful posture. If you're looking to improve your posture and performance, work with our team of certified strength and conditioning professionals to develop a customized program. Try the following sports medicine recommended exercises and stretches to reduce tension, increase strength, and improve posture.

These gentle yoga exercises will help you improve your posture and reduce back and neck pain. Cobra pose is great for relieving any tension or pain in the lower back. This stretch is ideal for correcting poor posture and neck stiffness caused by sitting too long in one place.

Physiotherapists have been dealing with these issues for years, and there are remedial exercises you can do every day to combat posture pain. Effective Posture Exercises According to the American Chiropractic Association, maintaining good posture requires adequate muscle strength, joint mobility, and balance. Posture Guide Share on Pinterest Good posture can help reduce back pain and muscle strain.

Kyphosis : Physiotherapy Treatment and exercise

 

Kyphosis Physiotherapy exercise

This article describes some of the exercises that people can use to manage kyphosis. Physical therapy is especially helpful in cases of postural kyphosis because a physical therapist can help you learn how to correct your posture and strengthen your spinal muscles. A physical therapist can also help you learn how to exercise safely for kyphosis. Physical therapy will not correct a kyphotic curve caused by vertebral fractures, but learning correct (or better) posture can help prevent multiple fractures.

Both postural kyphosis and Schörmann's kyphosis can be improved by doing physical therapy exercises and maintaining good posture. Physiotherapy treatment may also be recommended for patients with structural kyphosis, including Scheuermann's kyphosis and kyphosis due to vertebral fractures. By targeting and correcting postural kyphosis, these exercises can also be recommended for overall strength and flexibility.

When combined with kyphosis-specific chiropractic, spinal extensor exercises can help achieve corrective effects by restoring spinal biomechanics, strength, and flexibility. Spinal stretching exercises strengthen the back muscles and make them more capable of resisting straight spinal traction conditions, which means that exercises that help strengthen the spinal extensor muscles can help reduce the angle of kyphosis in patients. This means that exercises that strengthen the extensor muscles can reduce the kyphosis. In the presence of kyphosis, adults can improve the position of the spine with exercises that strengthen the abdominal muscles and back extensors (muscles that help you stand and lift objects).

Exercise combined with good posture and chiropractic can help improve a rounded upper back. Try these five exercises that Araza recommends to help prevent or improve a rounded upper back. 

By maintaining proper posture and doing exercises to strengthen your back mainly weak abdominal muscles, Back extensors and core muscles and neck, you can ease the load. Later in the lesson, I will show a series of exercises that will strengthen the muscles that support your posture. Explaining what it is, we will share some of the best back targeting and strengthening exercises to improve posture, reduce pain, and make you happier and healthier.

This simple workout is specifically designed to help strengthen your core, improve your posture, and challenge your body with standing and weight-bearing exercises that help increase bone density and prevent spinal osteoporosis.

Here we have recommended some exercises that are useful for reducing curvature and strengthening the muscles of the thoracic spine, as well as reducing osteoporosis. The focus of these types of exercises is on correcting the position of the chest, as well as improving the structural alignment and stiffness of the chest. Along with strengthening, exercises also play a role in improving spinal mobility. Research shows that doing safe and effective extension exercises that develop your spine muscles significantly reduces the incidence of second and third fractures.

Postural imbalances, spinal abnormalities, or age-related disorders can all cause kyphosis. Kyphosis can be the result of Schörmann's disease, a type of osteochondritis of the vertebrae. Kyphosis can limit mobility, cause pain, and increase the risk of falls.

Weakness in the muscles of the core and upper back, as well as a history of poor posture, may contribute to the development of kyphosis. Many patients with Scheuermann's kyphosis also have very tight hamstrings (muscles in the back of the thigh). Postural kyphosis is also common in athletes who have to maintain these postures for long periods of time, as the symptoms of postural kyphosis usually only occur if poor posture persists for a long period of time, and not during normal daily activities. areas of the back and neck and may be visible around these areas. They are also common and usually decrease with a change in position.

Kyphosis that began as a postural defect can become structural damage (usually painless until severe thoracic kyphosis develops). In cases such as Scheuermann's disease, exercises and braces may be recommended to prevent further progression of the kyphosis. In conditions such as juvenile osteoporosis or Maro-Lami syndrome, in which the kyphosis is flexible and corrected radiologically with the patient supine on a pillow, a brace may be effective.

Treatment of kyphosis:

Treatment of kyphosis depends on the type of kyphosis and the severity of the curvature. In congenital, age-related, or progressive forms of kyphosis, treatment is usually successful if initiated early in the disease. Professional physical therapy for kyphosis or postural syndrome can significantly reduce symptoms, ensure optimal outcomes, and prevent recurrence.

Kyphosis of the chest can lead to various musculoskeletal problems associated with aging. This study aimed to determine the effects of THK corrective exercise on posture, balance, and well-being in older women in the community. A previously published study found that 8 weeks of chest exercises were effective in improving kyphosis angle, head tilt, and chest expansion in older women with kyphosis. treat. A corrective exercise program for thoracic kyphosis (THK) designed to help older women with kyphosis maintain posture, balance and health. These results of this study suggest that a chest sculpting exercise program can help improve posture, balance, and spinal health in older women with THK. Improvements in balance testing are particularly important for reducing the risk of falls and maintaining physical function in patients with kyphosis. 11 The results of this study support the evidence that chest correction exercises can improve homeostasis and functional levels in older women with THK.

The same study found that after one year of exercise, the progression of kyphosis in women aged 50 to 59 was delayed compared to those who did not exercise.

The physiotherapist will teach you exercises and stretches to work the spinal muscles. Join me as we use back and stomach posture strengthening physical therapy exercises to improve your posture and help keep your body upright against gravity.

Scoliosis And Physiotherapy Treatment And Exercise

Three Exercises for Scoliosis The following exercises do not necessarily target your specific scoliosis diagnosis, but they are a good starting point for movement. The Following Exercises Using these exercises, you can increase your core strength, improve your posture, and strengthen your lower back muscles. Proper scoliosis exercises can help patients avoid invasive treatments such as braces or surgery. When performed correctly, special exercises for scoliosis can help strengthen the muscles that support the spine, increase the flexibility of the spine, and reduce curvature. 

If your curvature is fairly slight, or your spine flexibility has increased sufficiently, exercise may be an important factor in helping to reduce and stabilize your patient's scoliosis. For those whose curves have become more pronounced, it is necessary and desirable in many cases to provide some support to help maintain the alignment improvements achieved through a scoliosis exercise program. While scoliosis exercises are often unique to the ScoliSMART approach for adolescent patients, adult scoliosis exercises can significantly improve quality of life. These exercises are not intended to correct scoliosis, nor are they PSSE, but they can help keep the spine healthy and normalize movement patterns.

However, for those living with scoliosis, exercise is an essential component of scoliosis treatment. Exercise can provide serious and effective benefits for people with scoliosis, but patients and parents should approach exercise thoughtfully.

Do not do any exercise for scoliosis unless recommended by your physical therapist or doctor. The most important treatments for scoliosis are postures and self-care exercises. Types of scoliosis Some exercises may be prescribed by a doctor or physical therapist to help you with your specific structural differences, but they are not a cure. While general strengthening exercises and physical therapy programs can certainly help strengthen the core and lower back, if not specific to scoliosis, they will have little, if any, effect on a person's scoliosis.

When a patient takes an appropriate physical therapy program that includes specific exercises for scoliosis, the appropriate physical therapy program can be effective in stopping the progression and even reducing the curvature. When it comes to the role that exercise and physical therapy can play in treating scoliosis, it's about strengthening the back muscles that support the spine and increasing flexibility so that the spine becomes more mobile and curvature can be reduced. While yoga can help patients with scoliosis manage Back pain, it does not replace exercises specifically designed to treat curvature of the spine. There is evidence of beneficial effects of exercise in patients with idiopathic scoliosis. 

What you need to know Schroth's exercises can benefit patients of all ages, regardless of the severity of their scoliosis. One study found that patients who performed Schroth exercises improved self-esteem, back muscle endurance, and reduced pain. Not only in the new study, but in Schreiber's clinical practice, I have seen so many teenagers experience pain relief and general well-being with Schroth's exercises. 

For 14-year-old Ava, who has had to wear a scoliosis brace since she was 11, specialized physical therapy exercises meant less pain, more confidence, and more control over her body. For adolescents with scoliosis, a new study shows that specialized physical therapy exercises can improve spinal curve, muscle endurance and quality of life as researchers say conservative treatment is being added to the standard of patient care in Canada. Clinical studies have shown that the ScoliSMART Scoliosis Exercise Program effectively halts the progression of scoliosis and reduces curvature of the spine, all without the trauma and risks associated with braces or surgery.

In 2011, the International Scoliosis Orthopedic and Rehabilitation Society (SOSORTS) determined that scoliosis specific exercise (PSE), observation, and reinforcement are useful and highly approved therapeutic interventions for the management of idiopathic scoliosis during typical "wait and wait". see approach (5). The Scientific Society for Rehabilitation and Orthopedic Treatment of Scoliosis (SOSORT) stated that there is little evidence for the effectiveness of conservative treatment for PJI, and the isolated effect of therapeutic exercises on patients with PJI is not clearly defined . 

In the United States, physical therapy (PT) is not widely prescribed by physicians for the treatment of PIS due to a lack of evidence to support the concept that exercise changes the natural course of scoliosis. States have evaluated the effectiveness of scoliosis-specific exercise therapy (PSE) in reducing curvature progression. Previously, limited studies have shown that CS exercises are effective in treating scoliosis and improving posture in patients with PJI.

The Schroth method is a scoliosis-specific exercise method commonly used for scoliosis rehabilitation using sensorimotor and postural breathing exercises for scoliosis.

Schroth Exercises Schroth exercises are asymmetrical posture exercises specifically for scoliosis, designed to improve posture and reduce pain, as well as teach patients to consciously maintain correct posture in everyday life. in conclusion. Schroth exercises are more effective than core stabilization exercises in correcting scoliosis and related problems in mild juvenile idiopathic scoliosis, and core stabilization exercises are more effective than Schroth exercises in improving peripheral muscle strength. 

While physical therapy exercises for scoliosis are unique to the individual curve and require guidance from a specially trained physician, there are several strengthening and mobility exercises that can help bring the pelvis and spine into a neutral position. I want to talk about some specific scoliosis exercises that can benefit patients, but first I would like to turn to sports, especially for teenagers with scoliosis. Often scoliosis exercises seem more difficult, especially for scoliosis pain.

Katharina Schroth has developed her own breathing technique and exercises for the treatment of scoliosis. Thanks to her daughters' early diagnosis, nightly reinforcement, and Schroth's exercises with physiotherapist Peiting Lien, Sophie is able to keep her scoliosis under control without surgery.

Hip Pain And Physiotherapy Treatment

Hip Pain And Physiotherapy Treatment

Physical therapy may not be the first treatment for hip pain that ordinary people think of when considering medical solutions to a very painful dilemma. Patients are often very confused as to why a physical therapy program or an exercise/activity program didn't help their hip pain as much as they thought.

Your physical therapy program should focus on reducing or eliminating hip pain, improving hip range of motion and strength, and restoring normal functional mobility. Exercises to improve hip strength or mobility may be prescribed by a physical therapist.

These exercises will help you move normally and safely if you have muscle or joint problems affecting your hip. These movements will help stretch and strengthen your thigh muscles, allowing you to move without pain. The goal of flexibility and strength exercises is to strengthen the thigh muscles to better support the hip joint, which can help reduce pain. In this article, we will describe 14 exercises that will help strengthen your hips, improve joint mobility, and relieve hip pain.

Exercises that improve hip mobility or strength are important to keep your hip healthy. If you have hip pain, physical therapy can help you manage your symptoms and improve your overall functional mobility. Research shows that working with a physical therapist can help reduce pain and overall mobility.

Your physiotherapist will select specific activities and procedures to help restore normal hip and leg movement. If your doctor recommends physical therapy, your therapist will test your strength and range of motion, test your balance and functional skills (such as walking and climbing stairs), ask about your goals, and then develop a personalized treatment plan for hip pain relief. and restore mobility.

If your hip pain is slow at first and refuses to respond to rest or ice, it may be time to seek help from a professional hip pain treatment, ranging from medication to physical therapy for hip pain. Passive treatments such as heat or ice therapy can make you feel better, but actively participating in an exercise program through exercise has been shown to be the best way to treat hip pain. 

Clinical practice guidelines recommend exercise as first-line treatment for hip osteoarthritis, but high-quality evidence suggests little benefit in pain and physical function; and no improvement in quality of life. In this article, we will discuss why exercise and physical therapy fail to restore muscle strength in hip osteoarthritis patients and athletes, and how regenerative hip tendon and ligament injections can increase the necessary strength resistance to make exercise and therapy more effective.

A team of researchers from the University of Oslo in Norway The University of Oslo in Norway evaluated the long-term impact of physiotherapy and patient education on range of motion, muscle strength, fitness, walking ability and walking pain in people with hip osteoarthritis. 

Research has also shown that joint mobilization techniques can help reduce short-term and long-term pain in patients with hip osteoarthritis. The aim of the study is to show that if you strengthen this muscle, you can eliminate severe pain in patients with hip osteoarthritis and improve mobility and function.  

As hip mobility improves, clinicians should add exercises, including stretching and strengthening, to increase and maintain patients' range of motion, flexibility, and strength. In general, it's best to avoid hip exercises that require extreme range of motion or high-intensity workouts. Physicians should use individual flexibility, strengthening, and resistance exercises to address hip range of motion disorders, specific muscle weakness, and limited hip (hip) muscle flexibility. Physicians should use manual therapy for patients with mild to moderate osteoarthritis of the hip and impaired mobility, flexibility, and/or joint pain.

After any type of hip surgery, be it arthroscopic surgery, partial or total joint replacement, any type of hip surgery, you may be referred to a physical therapist for a short period of time to help you return to activity ability, improve strength and balance, learn to walk alone, promote your exercise program at home, and return to your old work, home and leisure activities. 

Your physical therapist may use a variety of treatments and techniques to manage and reduce pain and swelling, including ice, heat, ultrasound, electrical stimulation, tape, exercises, and hands-on therapy, such as specialized massage. They can start with "passive" movements that your physical therapist does to gently move your hip, and then progress to active exercises and stretches that you do yourself.

As common as your hip injury is, there are exercises you should do regularly and exercises you should avoid. Stretching and exercise can help relieve the pain, but if the pain persists or gets worse, be sure to check with your physical therapist or an internationally renowned orthopedic surgeon such as Dr. Jeffrey Van Til, who can assess your symptoms and provide assistance. accurate diagnosis.

People with this type of injury also complain of deep pain in the hip and groin area. Pain in the side of the thigh usually indicates problems with the muscles or structures around the thigh. Traditionally, pain is felt in the outer thigh, the outer thigh is often diagnosed as bursitis, but in fact, much more often the pain comes from the tendons of the gluteal muscle itself, from the gluteal muscle itself. Tension in the groin and hamstring can often be the result of displacement or overstretching of the hip joint, as well as pain in the lower leg.

Sometimes recreation or sports put stress on the hip, causing pain. There are other conditions that can also cause pain on the outside of the thigh, including arthritis, stress fracture, and piriformis syndrome. Correcting muscle imbalances around the hip joint with the help of an experienced physical therapist can be very helpful in resolving conflict.

If your hip pain does not improve with the strategies above and/or you are unable to return to your pre-injury condition, consider making an appointment with one of our experienced physical therapists or chiropractors who can help you reap the benefits of your healing. HSS article on treatment options for hip pain conditions: “Physical therapy is an integral component of the team's multifaceted approach to the evaluation and management of hip pain.

Neck Pain : Physiotherapy Treatment And Exercise

Neck Pain Physiotherapy Treatment

Neck pain is a common symptom that can be caused by several conditions. Most often, it results from poor posture or injury. However, neck pain can also be caused by a herniated disc, osteoarthritis, rheumatoid arthritis, or meningitis. Treatment for neck pain depends on the underlying condition.

Symptoms can include pain, stiffness, and headaches. Treatment options vary depending on the cause but may include ice, heat, massage, and exercises.

It can occur at any age, but it is most common in adults aged 65 and over. The neck is a complex structure of bones, muscles, nerves, and other tissues. It supports the head and allows it to move.

Treatment varies for everyone depending on the cause and severity of neck pain, but one remedy that most people can benefit from is exercise. People can take steps to relieve neck pain at home by using over-the-counter (OTC) pain relievers such as acetaminophen (Tylenol) and ibuprofen (Advil) and staying active. Most neck pain physical therapy programs include treatments that reduce pain and/or stiffness enough to initiate a neck strengthening and stretching exercise program. The time it takes to treat each condition varies, but a personalized physical therapy plan can be effective and efficient, and help heal neck pain within a few weeks. 

If you have neck or arm pain that comes from the neck, your doctor may refer you to physical therapy. Pain radiating from the neck can be felt in different places, which can make your condition confusing and difficult to treat. If you feel pain in your arm that originates in your neck, you may experience weakness in certain muscle groups in your arm.

Neck pain can often also be felt in the shoulder blade area, and other types of shoulder pain can also come from the neck. The neck is also vulnerable to conditions that cause pain and restrict movement. Rest the painful area, avoiding activities that cause symptoms to worsen in the neck or arms.

If tense and aching muscles are thought to be the cause of neck pain, your physical therapist may use massage techniques to relieve tension and pain in those muscles. Your physical therapist may prescribe certain exercises to help you improve mobility and reduce neck pain. Cervical traction can sometimes be used in a physical therapist's office or on the recommendation of an orthopedic or neurosurgeon to treat neck pain.   

Mechanical intermittent traction of the cervix as an intervention for chronic neck pain in adults has not shown a particularly favorable effect compared with standard physical therapy interventions. Numerous studies have examined whether physical therapy can help reduce pain associated with the spine, such as the lower back or neck. In these cases, physical therapy can help manage stiffness, improve neck function, and reduce or prevent painful cramps as the muscles recover. Although pain cannot be completely eliminated, physical therapy can play an important role in improving posture and neck function as part of daily exercise.

Exercise can help reduce pain, increase mobility, and strengthen neck and postural muscles. Exercise can also help reduce neck tension and increase the range of motion in the neck. Regular exercise can help patients improve mobility and strength, minimize recurrence, and reduce the severity and duration of possible future episodes of neck and arm pain. Gentle neck exercises can help when pain occurs, as can heat or ice packs to help manage symptoms.

Current medical literature provides moderate to strong evidence supporting the role of physical therapy in reducing neck pain and improving range of motion. - Some studies suggest that physical therapy benefits are greater when combined with other therapies such as aerobic exercise.

Practical Tips Patients with typical neck pain may benefit from a physical therapy program that includes exercises combined with neck activities and upper back manipulation. The researchers concluded that neck mobility and upper back manipulation exercises were most effective in reducing pain during the first week of treatment. After 1 week, patients who exercised and received neck mobility and upper back manipulation noticed increased neck pain. When patients received neck mobility alone, only 19% experienced pain reduction and only 23% experienced improvement in disability.

A study report published in the March 2013 issue of the JOSPT journal JOSPT focused on finding which combination of exercise and manual therapy was most effective in rapidly reducing neck pain.

Regardless of the origin of the symptoms, athletes with neck pain may have deficits in muscle recruitment, 8,20 strength and endurance, 38 repositional acuity, 27,46 postural stability, 33 or oculomotor control 49. Athletes with neck pain may also have deficits in mobility in cervical and/or upper chest.7 Increasing evidence supports exercise therapy for disorders associated with neck pain.39,43-45,48,53,58,59 Trials Randomized controlled trials comparing different exercises or exercise protocols with athletic populations. For example, if a cancerous tumor is causing neck pain, exercise will not reduce the size of the tumor, but instead the problem may grow and get worse.

In most cases, a physical therapist can develop a personalized treatment program to relieve neck pain—even severe radiculopathy (pain that radiates from the neck to the arm or hand)—to help people with neck pain avoid surgery. If you have neck stiffness due to improper sleep, muscle strain due to an injury such as a whiplash injury or a herniated disc, you have options for treating neck pain. Exercises to Strengthen Postural Muscles Strengthening the postural muscles—muscles in the neck, shoulders, and back—can improve recovery from neck pain and prevent future injury. Exercises to relieve muscle tension Stretching the neck can help a person relieve muscle tension and improve range of motion.

This can be combined with stretching the shoulder girdle and neck, as well as strengthening and strength exercises for the shoulder girdle and neck. Finally, you should use weight-bearing exercises for the neck, shoulder girdle and torso, for example. Practitioners should also aim to improve adherence to the program, which has been shown to improve with the inclusion of chest manipulation, neck exercises, and strengthening of the scapulo-thoracic region and upper limbs.

In addition to their own cervical muscles, the axial-scapular muscles (levator scapula, trapezius muscle) affect the cervical spine and shoulder girdle. 

The most common pain caused by muscles is associated with neck tension that affects the neck muscles and tendons, or sprains that overstress or tear these structures.

Low Back Pain: Physiotherapy Treatment and exercise

Low Back pain and Physiotherapy Treatment

Low back pain is the most common condition, most of each and everyone affected once in a lifetime. Low Back area is a central part of the Body, plays a important role in our day to day activity.

Low Back carries upper body weight and have higher mobility, higher the mobility, higher the risk of wear and tear. There are too many causes of Low back pain and symptoms also varies depending upon cause, diagnosis.

Low back pain is a symptoms require proper diagnosis and according treatment plan are carried out, mostly rest with pain relieving medicine and Physiotherapy treatment helps to relieve mostly, in severe cases surgery is also recommended.

In this article we discuss the causes, symptoms, risk factors and Treatment, Physiotherapy exercise.

What are the causes of low back pain?

There are too many causes of the pain, few of them are:

Disc prolapse:

The intervertebral discs which are located between two vertebrae in the back are prone to injury mainly during lifting weight. This risk increases with age and obese people. The disc prolapse can tear or herniate mostly at the lower lumbar spine, l4-5 and l5-s1 disc are the most common.

A disc prolapse, also called as a slipped disc or herniated disc or ruptured disc, occurs when the cartilage surrounding the disc pushes against the spinal cord or nerve roots. The disc provides cushion that located between the spinal vertebrae extends outside its normal position.

Slip disc causes compression of the nerve root as it exits from the spinal cord and through the vertebral foramen. Disc injury mostly occurs suddenly during lifting weight or jerky movement at the back. Disc pain makes you difficult to sit and usually lasts for more than 72 hours and also associated with sciatica pain.

Sciatica pain:

Sciatic nerve compression mostly occurs with a herniated disc or spinal canal space narrowing or piriformis muscle tightness or degenerated vertebral body part compress the nerve roots mostly this occurs at the lower lumbar spine. The sciatic nerve originates from the spine and travels at the back of the thigh to the lower legs, if your sciatic nerve compress due to lower back pain, it may be associated with pain radiating down to one leg or both leg depending upon severity. Sciatic nerve pain usually feels like tingling numbness or burning, or pins and needles at the back of the thigh to the legs.

Spinal canal stenosis:

It is a condition of spinal column where the spinal column foramen narrows, leads to pressure on the spinal nerve roots and in severe cases it also compress the spinal cord.

It is occurs mostly due to age related wear and tear of spine - gradual degeneration of the intervertebral disc located between the vertebrae. This may leads to pressure on the nerve roots or spinal cord by osteophyte formation or bony spurs or soft tissues, such as discs.

Pressure on the spinal nerves causes symptoms such as:

• Radiating pain mainly sciatica pain is the most common symptoms
• Tingling numbness along the nerve roots area
• cramping at the back of the thigh muscles or calf muscles
• Lower limb muscles weakness

Mostly pain and other symptoms relieve with rest while increase with long standing or walking or after few activity.

Abnormal poor Posture:

Scoliosis, kyphosis, and lordosis are all conditions that cause abnormal posture in the spine.

All these conditions are mostly bi birth(congenital) or it may gradually developed mainly due to long illness or lifestyle, This condition reuiqured early diagnosis and exercise. The abnormal posture causes back pain and poor posture because it places extra pressure on:

• Paraspinal muscles
• Related tendons
• ligaments of spine
• spinal vertebrae

This may affect your performance and increase risk of repetitive low back pain.

Arthritis:

Lumbar spondylosis(osteoarthritis of spine) is the most common type of arthritis to cause lower back pain, It is age related wear and tear of spine seen mostly above 50 plus age of people. 

Ankylosing spondylitis also causes lower back pain, where pain, inflammation and stiffness in the spine and in severe cases, fusion of the spinal column is also associated. Rheumatoid arthritis also causes low back pain.

Lumbar Spondylolisthesis:

Where spinal vertebrae slip from their original position then it is called Spondylolisthesis and it is most common in lower lumbar spine, so it is called Lumbar spondylolisthesis. Lumbar Spondylolisthesis causes pain low back area and in severe cases often associated radiating thigh to leg pain as well.

Sacroiliac joint dysfunction:

The SI joint (Sacroiliac joint) joint the sacrum at the base of the spine to each side of the pelvis. It is a strong, low-motion joint that works as a shock absorber and provide support between the upper body and the lower body in day to day lifting and carrying activity. Trauma or over-stressful activity leads to SI joint can become painful and becomes inflamed called sacroiliitis.

Other health related conditions that can cause lower back pain are:

• Kidney and bladder problems
• pregnancy stress
• endometriosis
• ovarian cysts
• uterine fibroids
• cancer

Symptoms of Low Back pain:

Low back pain may be start suddenly due to injury or during lifting weight called acute low back pain, if this pain not treated well enough may become chronic back pain. Timely treatment with enough rest to manage pain is important at an early stage can help relieve your symptoms in both time and severity.

There are mainly 3 types of Back pain:

• Acute Back pain
• Chronic Back pain
• Neuropathic Back pain

To know your symptoms well helps for proper diagnosis and treatment also.

Common symptoms of Low back pain:

• Pain at lower back area
• Pain with tenderness in lower lumbar area mainly area involved are l4 l5 and s1 are the most common
• Para-spinal muscle spasm
• Difficulties from bed to sitting position and also increase your pain
• Pain increases after long standing or walking
• Lifting activity is painful mainly from ground
• Radiating from Back to buttocks area down to back side of the leg also called sciatica pain
• Sometimes pain relive with rest and few activities will increase your pain
• Muscle tightness of Back with Hamstring, Piriformis and other related hip muscles
• Sometimes night-pain or early morning pain
• Tingling numbness in one or both legs depends upon severity and compression of the nerve roots
• Rarely Bladder or bowl function is also affected in severe cases of traumatic injury of low back or severe cases of sciatica pain
• Weakness of lower limb with difficulties in walking

Diagnosis Low Back Pain:

If you are looking for accurate diagnosis of Back pain, It is depends upon cause, related symptoms, patient History that helps your Doctor to diagnoses of your low Back pain. 

Your doctors also perform few Physical examination on you, ask you few question related to your pain such as when your pain is increases and which condition where to get relive (aggravating factor and relieving factor).

Doctor also recommend few imaging test for accurate diagnosis of the Back pain. This images provide accurate pictures of spine, disc, ligaments and muscles.

This imaging test are:

Low Back X-ray, which uses radiation to produce images of lower lumbar spine or sacroilliac joint.

Magnetic Resonance Image (MRI), which uses a magnetic-radio waves to create pictures of spine, disc, muscles, tendons and other related soft tissues.

A computerized tomography (CT) scan, which uses X-rays and a computer to create 3D images of spine, disc and related soft tissues.

EMG (Electromyography) study helps to test nerves and muscles and check for neuropathy related pain(nerve damage), which can cause radiating pain or tingling numbness in your legs.

If your Doctor may also suggest blood tests or urine tests. Blood tests can help to diagnose the genetic conditions that cause back pain eg. ankylosing spondylitis, while urine tests helps to check for kidney stones, which cause intense pain in the sides of the low back.

Treatment of Low Back pain:

Treatment is varies depends upon cause, symptoms, diagnosis and also depends upon which specialist doctors you select for treatment.

Most common treatment option in acute low Back pain are Pain relieving Medicine mainly NSAIDs such as Aceclefenac, Diclofenac with Rest and Physiotherapy treatment.

Use of Ice packs and Hot packs 2 times a day at home also helps to relive your Back pain.

You can also use Lumbo-sacral belt that helps to stabilize spine during your day to day activity.

You can also notedown which activity and position will increase your pain, you should avoid this activity untill you relive your Back pain.

You also marked that which activity and Body position that helps to ease your pain, you should replace with painful activity.

Regular Physiotherapy session also helps to relieve your pain.

In severe cases depends upon diagnoses your doctor also recommend you surgery.

Physiotherapy treatment of Back pain:

Physiotherapy treatment is also depends upon causes, symptoms and Diagnosis of Back pain, Most commonly followed treatment are pain relieving electrotherapy modalities such as Interferential therapy(IFT), TENS, Ultrasound Therapy, Lumbar traction, Short wave Diathermy(SWD).

Exercise that helps to relieve your Back is mainly Back flexion exercise also called Williams flexion exercises, Back extension exercise and Core strengthening of the Back exercise with stretching exercise of the tight muscles.

Back extension exercise helps to strengthen the muscles that are located at the Back side while Back flexion exercise helps to strengthen abdominal muscles while core strengthening exercise are the deep muscles helps to stabilize the spine during day to day jerky movement.

Exercise must be pain free, if you feel pain during exercise you must avoid this exercise and report to your Physiotherapist, few exercise may increase your pain if you do it wrongly. Never perform exercise with jerks. Increase exercise gradually.