anrc-uk.com

📞 Horsham  :01403 597373
📞 East Grinstead  :01342537610
Menu
Appointment

Tag Repetitive-stress-strain-Injuries

15 Oct

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

READ MORE

6 Oct

Fibromyalgia-Physiotherapy- ANRC Physiotherpay clinic East Grinstead & Horsham

Physio East Grinstead, Fibromyalgia Fibromyalgia is a chronic condition of widespread pain and profound fatigue. The pain tends to be felt as diffuse aching or burning often described as head to toe. The fatigue ranges from feeling tired to the exhaustion of flu-like illness.Physio East Grinstead and Horsham. 1 The name fibromyalgia is a combination of three terms-fibro from latin which is fibrous tissue such as tendons and ligament, Greek prefix ‘myo’ indicating muscles and ‘algia’ from Greek indicating of pain. 2 It is known as a syndrome because it is a collection of symptoms rather than a specific disease process that is well understood.Physio East Grinstead & Horsham contact us on info@anrc-uk.com The definition of fibromyalgia syndrome (FMS) as stated by the American College of Rheumatology (ACR 1990)3 is as follows: 1. A history of widespread pain for at least 3 months. Pain is considered widespread when all of the following are present: pain in the left side of the body, the right side of the body, below the waist and above the waist. In addition, there should be axial pain (cervical spine or anterior chest or thoracic spine or low back). 2. Pain (with the patient reporting ‘pain’ and not just ‘tenderness’) in 11 of 18 tender point sites. The sites are all bilateral and are situated: At the suboccipital muscle insertions (close to where rectus capitis posterior minor inserts) At the anterior aspects of the inter-transverse spaces between C5 and C7 At the midpoint of the upper border of upper trapezius muscle At the origins of supraspinatus muscle above the scapula spines At the second costochondral junctions, on the upper surface, just lateral to the junctions 2cm distal to the lateral epicondyles of the elbows In the upper outer quadrants of the buttocks in the anterior fold of gluteus medius Posterior to the prominence of the greater trochanter (piriformis insertion) On the medial aspect of the knees, on the fatty pad, proximal to the joint line DIAGNOSTIC CRITERIA To confirm the diagnosis the concomitant systemic diseases should be ruled out and common coexisting conditions should be recognized. Time rule According to American College of Rheumatology criteria, there should be chronic widespread of pain for at least 3 months on a more or less continuous basis.3 Sign and symptoms Pain should be present at multiple fibromyalgia tender points when pressure (approximately 4 kg/cm2) is applied manually, with pressure increases gradually at the rate of 1 kg per second over 4 seconds, as depicted in the image below. The pressure should cause no referred pain.5 Besides pain and fatigue fibromyalgia symptom often include: Unrefreshing sleep – waking up tired and stiff Headaches – ranging from ordinary to a migraine Irritable bowel frequent diarrhea or constipation sometimes accompanied by gas in the abdomen or nausea Cognitive disturbance including lack of concentration and word mix up Clumsiness and dizziness Sensitivity to changes in the weather and to noise, bright light, smoke and other environmental factors Allergies PHYSIOTHERAPY ASSESSMENT TOOLS Numerous instruments have been used in clinical trials of fibromyalgia syndrome. Pain – Vastly used and validated methods are Visual Analog Scale (VAS) Numeric rating scale McGill Pain Questionnaire CLASSIFICATION Many rheumatologists recognize 2 types of fibromyalgia6 Primary Secondary Primary fibromyalgia is the most universally accepted form of fibromyalgia and is normally diagnosed when no underlying causes are present (such as arthritis, lupus etc) and at least 11 of 18 designated points are confirmed. The cause of primary fibromyalgia syndrome is unknown but it can be induced by trauma, infection, stress, inflammation or their factors. Secondary fibromyalgia may be triggered by conditions such as RA, Lupus, hypothyroidism, HIV. It may also be triggered by physical trauma. Secondary fibromyalgia is sometimes referred to as post-traumatic fibromyalgia. It is also known as regional fibromyalgia and is present in the patient who experiences pain at fewer than 11 of the 18 positive tender points Physio East Grinstead and Horsham- for more details please visit www.anrc-uk.com. ANRC Physiotherapy clinic East Grinstead and Horsham ETIOLOGY AND PATHOGENESIS The etiology of fibromyalgia is multifactorial and includes both environmental and genetic factors. Biologic variablesCertain biologic variables contribute to the development and persistence of fibromyalgia (eg, physical trauma, exposure to toxins). Inheritance FMS has a genetic predisposition. First degree relatives of individuals with FMS display an eightfold greater risk of developing fibromyalgia than those in the general population. Gender Sex-related effects are important in fibromyalgia and with pain in general. Aversive stimuli and stressful tasks are more likely to evoke SNS, HPA axis, and psychological responses in females than in males. Sleep Almost all patients with fibromyalgia sleep poorly, and a night of poor sleep is followed by a more painful day. This contributes to negative mood and cognitive difficulties. Other variables Age is a variable; most cases occur between the ages of 20 and 50 years. Physical de-conditioning is also a variable. Physiotherapy management of Fibromyalgia please contact Physio East Grinstead Physiotherapist near to me- contact us on info@anrc-uk.com, for more details please visit www.anrc-uk.com  Medical tourism – Physiotherapy 

READ MORE