East Grinstead/Lingfield: 01342 537610
ANRC Physiotherapy & Sports Injury Clinic Horsham, East Grinstead and Lingfield

Upper Back Pain Management at Physio Horsham

Upper Back Pain at Physio Horsham

Medically the area requiring upper back pain physiotherapy is known as the thoracic spine, which consists of a series of vertebrae, discs, muscles, and ligaments as well as rib articulations coming off the side of each of these thoracic vertebrae. Upper back pain can be as a result of stress or injury to any of these structures causing pain anywhere from the base of your neck to your rib cage.

Although perhaps not as common as low back pain or neck pain, complaints requiring upper back pain physiotherapy are still relatively common. In physiotherapy, ANRC Physiotherapy locations patients complaining of upper back pain is a regular occurrence because sedentary postures at the desk are a common cause of stiffness or tightness in thoracic structures.

Common Upper Back Pain Complaints Seen In Physiotherapy ANRC Physio Clinics

  • Prolonged repetitive, forceful or awkward hand movements
  • “Static loading” or holding a posture
  • Poor conditioning of the heart and lungs, and poor muscle endurance
  • Direct mechanical pressure on tissues
  • Cold work environment
  • Poorly fitting furniture
  • Basic inadequacies of workstation design
  • Work organizational and psychosocial issues

Similar to low back pain the thoracic spine can suffer from bulging and degenerative discs, pinched nerves, facet joint pain, muscle pain but as well as these other conditions requiring upper back pain physiotherapy can include:

Ankylosing spondylitis: Ankylosing spondylitis is a disease causing inflammation and pain in the spine and other joints such as the shoulder, hips, knees, ankles and between your sternum and ribs.

Scheuermann’s Disease: Scheuermann’s Disease is a developmental disorder of the spine causing the abnormal growth of the thoracic vertebrae.

Thoracic Spondylosis: Thoracic Spondylosis a common form of arthritis in the spine and is one of the most common causes of upper back pain and stiffness once aged over fifty.

Side Strain: Side strains also commonly cause thoracic region pain and are strongly related to fast bowlers in cricket, specifically related to bowling speed with the fastest bowlers much more likely to suffer this type of injury.Upper Back Pain Management at Physio Horsham 1

High-Risk Groups

  • Computer users
  • Checkout clerks
  • Musicians
  • Hairdressers
  • Health professionals: surgeons, dentists
  • Nurses
  • Butchers
  • Massage therapists
  • Sportspersons
  • Laboratory workers
  • Children
  • Teachers
  • Housewives
  • Manual labourers
  • Assembly line workers
  • Assistants

 

Management Of Upper Back Pain

Upper back pain management at physiotherapy physio East Grinstead practices key aim is to restore normal function and improve any required strength and mobility in the thoracic spine and related areas. Upper back pain physiotherapy following assessment and diagnosis will use a combination of techniques to achieve the above goals. As previously stated upper back pain isn’t as common as low back pain and neck pain however at ANRC Physiotherapy Clinic each year we see a substantial number of patients complaining of upper back pain as a result of a variety of triggers including overuse, poor posture, unaccustomed activity or injury, caught early upper back pain physiotherapy can be a very successful way to manage thoracic complaints of musculoskeletal origin.

The trademarked Skilled Hands-on Approach for Release of Myofascia, Articular, Neural and Soft-tissue mobilization (SHARAN) rehabilitation protocol management is followed. There are four interlinked phases here.

Phase 1 – Severe discomfort in the initial stage: Management – Myotherapy soft tissue mobilisation, neural mobilisation, rib mobilisation, clavicular mobilisation, scapula thoracic mobilisation and physiotherapeutic modalities like IFT, US. These are followed by assisted stretches.

Phase 2 – Moderate discomfort in the upper limb and neck region: Management – It is a follow up to Phase 1 which includes more self-stretching exercises, a range of motion exercises and relaxation techniques like breathing exercises, Alexander techniques and yoga therapy.

Phase 3 – Mild discomfort: Management: In this phase, continue with self-stretching exercises, free exercises and begin progressive strengthening exercises followed by relaxation techniques.

Phase 4 – Maintenance phase: Management – This consists of postural maintenance, generalized whole body stretching and strengthening exercises in order to maintain the length and strength of muscle.

Physio Horsham and physio East Grinstead advice -Adequate micro and macro breaks should be taken in between work: Do the stretches and strengthening exercise at least thrice a week. If there is any flare-up of symptoms in phase 4, stop all the exercises and immediately consult a physiotherapist for further clarification. Find out physio near to me

ANRC Physiotherapy & Sports Injury Clinic Horsham, East Grinstead and Lingfield

Pain on neck & upper back, shoulders, arm or forearm?

Myofascial Pain Syndrome-Physio Horsham and East Grinstead

Pain on neck & upper back? shoulders, arm or forearm?

Myofascial pain is a chronic condition that affects the fascia (connective tissue that covers the muscles). Myofascial pain syndrome may involve either a single muscle or a muscle group. In some cases, the area where a person experiences the pain may not be where the myofascial pain generator is located. Experts believe that the actual site of the injury or the strain prompts the development of a trigger point that, in turn, causes pain in other areas. This situation is known as referred pain.The physio in Horsham and East Grinstead specializing in treatments of hands-on techniques for pain management.

What causes myofascial pain?

Myofascial pain may develop from a muscle injury or from excessive strain on a particular muscle or muscle group, ligament or tendon. Other causes include:

  • Injury to intervertebral disc
  • Post surgery
  • Post fracture, post injection
  • General fatigue
  • Repetitive motions
  • Medical conditions
  • Lack of activity (such as a broken arm in a sling)
  • Sitting under the cold draft of the air conditioner or an open window
  • Cold, damp weather
  • Viral infections, sore throat, respiratory infections, etc.
  • Chronic allergies, including food allergies
  • Excessive, uncompensated emotional stress or psychological tension
  • Depression
  • Sleep disturbances
  • Hypothyroidism
  • Nutritional deficiencies, especially folic acid and pyridoxine deficiency
  • Smoking, caffeine, and alcohol
  • Anaemia
  • Recurrent bouts of hypoglycaemia
  • Hyperuricemia (high uric acid levels)

What are the symptoms of myofascial pain?

Myofascial pain symptoms usually involve muscle pain with specific “trigger” or “tender” points. The pain can be made worse with activity or stress. In addition to the local or regional pain associated with myofascial pain syndrome, people with the disorder also can suffer from depression, fatigue, and behavioral disturbances

How is myofascial pain diagnosed?

Physio Horsham and Physio East Grinstead-Trigger points can be identified by pain that results when pressure is applied to an area of a person’s body. In the diagnosis of myofascial pain syndrome, four types of trigger points can be distinguished:

  • An active trigger point is an area of extreme tenderness that usually lies within the skeletal muscle and which is associated with a local or regional pain.
  • A latent trigger point is a dormant (inactive) area that has the potential to act as a trigger point.
  • A secondary trigger point is a highly irritable spot in a muscle that can become active due to a trigger point and muscular overload in another muscle.
  • A satellite myofascial point is a highly irritable spot in a muscle that becomes inactive because the muscle is in the region of another trigger pain
  • The treatment phases for  physio Horsham and physio East Grinstead

ANRC Physiotherapy Clinic East Grinstead