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17 Oct

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. 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

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16 Oct

Suffering from Low back pain ? Physio Horsham and East Grinstead.

The low back supports the weight of the upper body and provides mobility for everyday motions such as bending and twisting. Muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column. Nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet. Most acute low back pain results from injury to the muscles, ligaments, joints, or discs. The body also reacts to injury by mobilizing an inflammatory healing response. While inflammation sounds minor, it can cause severe pain. There is a significant overlap of nerve supply to many of the discs, muscles, ligaments, and other spinal structures, and it can be difficult for the brain to accurately sense which is the cause of the pain. For example, a degenerated or torn lumbar disc can feel the same as a pulled muscle – both creating inflammation and painful muscle spasm in the same area. Muscles and ligaments heal rapidly, while a torn disc may or may not. The time course of low back pain helps determine the cause. Range of Lower Back Pain Symptoms- Physio Horsham and East Grinstead Low back pain can incorporate a wide variety of symptoms. It can be mild and merely annoying or it can be severe and debilitating. Low back pain may start suddenly, or it could start slowly possibly coming and going and gradually get worse over time. Depending on the underlying cause of the pain, symptoms can be experienced in a variety of ways. For example: Pain that is dull or achy, contained to the low back Stinging, burning pain that moves from the low back to the backs of the thighs, sometimes into the lower legs or feet; can include numbness or tingling (sciatica) Muscle spasms and tightness in the low back, pelvis, and hips Pain that worsens after prolonged sitting or standing Difficulty standing up straight, walking, or going from standing to sitting. Physiotherapy for low back pain- Physio near to me For many patients, it is best to follow a stretching routine that has been individually designed for them by a physical therapist or a spine physician. As a general rule, low back pain patients should focus on stretching the lower back muscles, abdominal muscles, hips, and legs. When to see a physio If your back pain is not settling with simple self-care options it can be helpful to make an appointment to see a physio. Your physio can provide treatment to relieve the pain and they can also teach you how to look after your back and prevent future episodes. If you have a long-term back problem the physio can design a suitable exercise program for you. Find a physiotherapist near you. Other indications that it is time to call your physio include: Back pain following trauma Back pain accompanied by pain, numbness, pins, and needles in your leg(s), and weakness or balance problems. If your back pain is accompanied by fever/feeling unwell or bladder/bowel disturbance, you should see a doctor immediately. Physio Horsham and East Grinstead may prescribe a tailored series of exercises to prevent and manage injury and help optimise your health. As you can see while lower back pain is common, the diagnosis of the cause of your back pain is specific to you and therefore the treatment or investigation pathway does vary from case to case. A spinal health care professional can assist you a prompt diagnosis, early referral, acute and chronic back pain relief, plus long-term self-management or back pain prevention strategies specific to your back pain. You should feel confident that your practitioner has screened you for specific pathologies that require urgent medical attention. Plus they should also assess you for any neurological deficits such as loss of bowel or bladder function, leg muscle weakness, loss of sensation, diminished reflexes and day-to-day function to determine whether you have a radiculopathy or stenosis, which may require different treatment options to nonspecific low back pain or radicular pain. Read what is our patients telling us: I visited Praveen having been referred by BUPA. I was suffering from lower back and referred pain around the ribs. He quickly established what was causing the problem and following 7 sessions, over a period of time where a number of different techniques were employed, I was able to resume exercising in the Gym. He further diagnosed that the problem would be improved if I visited a podiatrist. As a result, I am now without pain. Praveen takes a holistic approach, has a range of techniques to solve problems, and is flexible with his appointments and I  recommend him highly. Regards, Peter Jones.   For specific guidance regarding your condition, please seek the individual assessment from a health practitioner with a special interest in back pain, such as a musculoskeletal physiotherapist. If you have any questions, physio near to me, please contact physio Horsham and physio East Grinstead at info@anrc-uk.com Medical tourism packages are available- please ask to www.anrc-uk.com

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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  

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