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Nishanth Reddy asked:




Lower back pain is one of the most common causes of job-related disability and why some people miss work. It is also the second most common neurological ailment in the United States, second only to headache. In fact, approximately 80% of adults in Western countries have, at some point, experienced lower back pain.

For some fortunate people, pain in the lower back may be resolved by itself or with the aid of medication within two to four weeks. However, there are some cases of lower back pain that may last for more than a few weeks, during which case the condition is termed as “chronic” and “progressive,” meaning it can only grow worse over time.

Moreover, 60-80% of those patients who suffer their first episode of lower back pain may experience recurring pain within one year.

According to current research, there are certain muscles in the back that work to stabilize the spine. When the spine or the back suffers an injury, these muscles are reflexively inhibited or shutdown. Worse still, these muscles do not spontaneously recover, and this is true even if patients do not feel pain and are able to return to normal activity levels.

As a result of the inhibition of these muscles, called lumbar multifidi and the transversus abdominus, lower back pain occurs. However, there are steps you can take to prevent the same thing from happening to you.

Lower Back Pain and Physical Therapy

One way to prevent the inhibition of the lumbar multifidi and transversus abdominus is through a series of physical therapy exercises.

Designed to strengthen the muscles of the lower back and keep the spine healthy, these physical therapy exercises may range from back stabilization exercises to muscle strength development and several wide variety of techniques.

In addition, a physical therapist may also recommend such methods as heat therapy, ultrasound, massage, mobilization, and education about posture and body mechanics in order to prevent lower back pain from recurring.

Some of these methods will be discussed later on. You will also find some practical self-help tips provided by experts to help you avoid lower back pain or prevent the condition from worsening.

However, before we head on to learning how lower back pain is treated through physical therapy, it is important that we first understand what causes lower back pain.

Lower Back Pain: CAUSES

There are actually many types of back pain, but the most common is pain in the lower back. Why? You might ask. The reason is simple: you carry most of your weight in the lower back. Thus, it is highly likely that a person would suffer pain in that area.

There is no definitive cause of lower back pain. Sometimes, the causes of the condition are so complex that it is difficult to pinpoint just a single one.

However, physical therapists and other healthcare professionals have observed that lower back pain is often a result of strained back muscles and ligaments due to any of the following activities:

Improper posture

Heavy lifting

Sudden awkward movement

Muscle spasm

Stress

We could all be guilty of the above activities. We may not suffer any back pains now, but it is likely that as we get older and the degree of inhibition of the back muscles as a result of these activities increases, back pain becomes a very distinct possibility.

In addition to these common activities, lower back pain may also result from specific conditions, such as:

Herniated disk (when the disk material presses on a nerve)

Sciatica (when a herniated disk presses on the sciatic nerve. The condition causes sharp, shooting pain through the buttocks and the back of the leg.)

Spinal stenosis (when the space around the spinal cord and nerve roots becomes narrow. This is caused by arthritis and bone overgrowth, the pain resulting from when a nerve gets pinched in the narrow space.)

Spondylosis (a type of arthritis affecting the spine due to degenerative changes brought on by aging)

Spondylolisthesis (when one vertebra in the spinal column slips forward over another)

Lower Back Pain: TREATMENT

The treatment of lower back pain depends on several factors, including the specific type of lower back pain (whether it is chronic or acute) and the purported cause.

For instance, acute lower back pain is commonly treated with pain relieving drugs, such as analgesics, or some forms of exercises that can help relax the muscles.

On the other hand, chronic back pain or one that lasts for more than two weeks and is progressive may be caused by some underlying condition, during which case the treatment plan may consist of resolving the underlying condition to treat the back pain.

Lower Back Pain and Physical Therapy Exercise

Physical therapy exercise is one of the most common methods of treating lower back pain. In fact, many home remedies for lower back pain consist of exercise, because the general theory is that if you remain active, you remain healthy. This is true in most cases.

However, for purposes of this article, the exercises featured here will be those that are practiced by physical therapists to treat patients with lower back pain.

Generally, in physical therapy exercises, the exercise program for back pain should encompass a set of stretching exercises, strengthening exercises, and low impact aerobics. Read below for more on these exercises:

-Stretching

The back of a person is composed of the spinal column and contiguous muscles, ligaments and tendons. All these are designed to move in consonance with each other so that any limitation in the range of motion in any of these components of the back result in back pain.

Stretching for lower back pain specifically targets soft tissues, such as muscles, ligaments and tendons, found in the back and around the spine. By stretching, the spine and soft tissues are mobilized, increasing motion and thus, relieving pain.

There are many kinds of stretching exercises employed by physical therapists. One is the Hamstring Stretching Exercise which works to relax tight hamstrings, a common symptom of lower back pain. This exercise is said to help decrease the intensity of lower back pain among sufferers.

-Strengthening

Physical therapists generally use two forms of strengthening and back pain relief exercises, usually depending on the specific condition of the patient. These are the McKenzie exercises and dynamic lumbar stabilization exercises. However, the two forms of strengthening exercises may also be combined should the therapist find it appropriate to do so.

-McKenzie Exercises

Named after a physical therapist in New Zealand, McKenzie exercises are primarily extension exercises that could help reduce pain generated from the disc space and also may help reduce the symptoms of herniated disc by reducing pressure on a nerve root.

For acute pain, the McKenzie exercises should be done frequently, at least once every two hours. In addition, patients are advised to avoid flexing their spine when exercising.

-Dynamic Lumbar Stabilization Exercises

Using this back exercise technique, the first thing that a physical therapist does is to look for the patient’s “neutral” spine. This refers to the position that allows the patient to feel the most comfortable.

Afterwards, when the patient is in that position, the back muscles are then exercised in order to “teach” the spine how to stay in this position.

Performing these exercises on a regular basis can help strengthen the back muscles and keep the spine well-positioned.

Low Impact Aerobic Exercises

The purpose of low impact aerobic exercise is to recondition the back. Patients who undergo reconditioning of the back through low impact aerobic exercise will have fewer episodes of lower back pain.

In addition, whenever an episode of lower back pain does occur, the pain is less intense and lasts only for a short period.

Another benefit of low impact aerobic exercise is that patients tend to stay functional that is, they can continue with their regular work and carry on with recreational activities. In contrast, patients who do not undergo low impact aerobic exercises typically experience the gradual loss of their functional abilities.

For low impact aerobic exercises to achieve their desired results, they should be continuous. This will increase the heart rate and keep it elevated as well as increase the production of endorphins, which are pain fighting hormones released by the body.

Here are some examples of low impact aerobic exercises that you may want to try in order to lessen or reduce lower back pain:

-Walking

One of the simplest forms of aerobic exercises, walking is generally considered as very gentle on the back. To get the maximum benefit from walking as a form of low impact aerobic exercise, walk two to three miles three times per week.

-Stationary Bicycling

This form of aerobic exercise is less painful on the back since there is lower impact produced. This is beneficial for patients with lower back pain who may find walking too painful.

-Water Therapy

Sometimes referred to as aquatherapy, water therapy is simply doing exercise in the water. The buoyancy works to provide effective conditioning at the same time stress on the back is reduced.



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Hailey Harris asked:




Copyright (c) 2008 Hailey Harris

Symptoms of Fibromyalgia

Fibromyalgia is a condition where you feel chronic pain in certain parts of your body; it is a muscular pain especially around the joints. There can also be centralized pain felt in the spinal chord, brain, neck shoulders etc. People with fibromyalgia generally complain of pain in the joints, but it actually is the muscles and the tendons around it that cause the pain, it can be excruciating sometimes and can be a continuous throbbing pain. People suffering from Fibromyalgia also show symptoms of depression, sleeplessness, irritable bowel syndrome, stress and many others, which are caused due to the pain.

Massage Can Help

There is no known cure for fibromyalgia, but a combination of healthy food and various therapies can help them cope with the pain. One of the therapies known to have a positive effect is a massage therapy where a patient undergoes various massages that help relax the tensed muscles, thereby reducing the inflammation and pain.

A therapeutic massage is given to ease the pain by massaging the muscles and tissues. This gives great relief during muscle spasm, fatigue and even improves circulation by applying pressure in these parts and promoting health. A professional masseur uses various techniques depending on the problem, alleviates the pain, and has a positive effect on the person. A good therapeutic massage improves the functioning of the nervous system, circulatory system, body muscles and has a good effect on the skin.

Different Types of Massage for Fibromyalgia

There are different types of massages from a relaxing massage that helps rejuvenate a person to a pressure point therapy where relief is found by applying pressure on certain parts depending on the injury. The sports massage is concentrated on strained muscles and muscle tension. Touch, with a mix of professional science and flair for the job is the main part of a massage therapy. This helps the masseur to find the parts that are tense and apply the right amount of pressure accordingly; this along with the human touch promotes healing in the person. The pressure applied on the body improves the circulation and the immune system of the body, thus improving health and muscle tone along with skin as well.

Benefits of Massage to Fibromyalgia Sufferers

Research has proved that people who suffer from migraines and hypertension are benefited by massage therapy, as it lowers the blood pressure and helps in increasing endorphins, which are natural pain killers reducing the pain felt by the individual. There are plenty of benefits of massage therapy like promoting easier breathing, healing injured joints, relieving tension, giving the person a better posture, improving the immune system and controls pain etc. The tense muscles that are stiff cause the pain and usually lack oxygen, as the tautness reduces the blood flow to that area. With a good massage, the muscle is made to relax by improving the circulation and increasing the oxygen supply to that particular part.

Fibromyalgia patients suffer from constant fatigue, which can be relieved through massage therapy. A one-hour massage where the person feels the therapeutic value of touch can heal all pressures and reduce the stress by the relaxing feel. Massage has also had a positive effect on people who suffer from depression and increased anxiety levels. It can calm the patient down and make them feel good after a one-hour session of massage. For people who suffer from fibromyalgia the massage has to start slowly so that the muscles are not over pressurized, to cause more pain. A specific massage known as myofascial release is recommended for fibromyalgia patients, which helps in subsiding severe pain and renewing the part along with restoring motion. Massage also aids in releasing the toxins from your body and detoxifies the entire system.

Insomnia and constipation are can also be treated by massage therapy. Since it makes a person relax completely physically as well as mentally, it improves the sleep patterns and stabilizes the glands relieving stress. While massage is generally, safe and good for everyone, you need to take precaution and consult your doctor if you suffer from any major skin, heart or nervous conditions. Overall massage therapy can bring about healing and general wellness in patients suffering from fibromyalgia.



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Frank Thornton asked:




During a recent bout of severe lower back pain, my physiotherapist put me on a course of back exercises to alleviate my back pain.

I have to say that I was somewhat surprised given that I was in so much pain, but it actually worked and helped me recover quickly.

The theory behind stretching your back – even when you have a sore lower back – is that by extending the back muscles, you give relief to your back by taking pressure off the affected areas.

If you suffer form a herniated disc, your physio may have you do back exercises for disc problems because it will relieve the pressure caused by the herniated disc on the spinal nerves.

The back exercise I found most helpful was “the cat”. In this exercise, you get down on your hands and knees and arch your back up for a few seconds just like a cat. When you do this, you can feel the stretch in your lower back muscles.

Depending on how much pain you are in, your physio may recommend doing back exercises several times during the day. Don’t overdo things though. The last thing you want is to re-injure yourself.

One of the most popular lower back exercise programs is the McKenzie back exercises. Robin McKenzie is a famous physiotherapist from New Zealand whose techniques have been practiced for many years.

McKenzie believes that people suffer from back pain as a result of poor posture or bending incorrectly when lifting. The book advocates a series of back exercises including many safe lower back exercises which help make the back more flexible by extending the spine and improve your posture. (Note: talk with a doctor or physiotherapist before using this approach.)

One of the most popular items for back exercises is a Swiss ball, also known as an exercise ball or a fitness ball. Low back exercises with a Swiss ball really give you a good stretch.

A word of caution though. When you first start using a Swiss ball, take it easy. I slid off it a few times and if I’d had a sore back, this could have been painful. But when you do low back exercises on a Swiss ball, you are going to love the feeling that the stretch gives you.

If you like swimming or being in a pool, look into exercise programs that involve back exercises in a pool. You will find them at your local YMCA or swimming pool.

What’s good about doing back exercise in the pool is that the water takes the pressure off your back giving you more freedom to move and stretch your back.

At first it seems odd to be doing exercises when your lower back is sore, but I’ve learned that depending on your situation, it can be one of the best things you can do to get on the road to recovery.



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Carisoprodol is marketed in the United States under the brand name Soma, and in the United Kingdom and other countries under the brand names Sanoma and Carisoma. Buy Cheap Soma especially useful against various types of pain (whether or not related to muscle spasm) because of its analgesic-sparing (potentiating) effect on opioid analgesics. Online Nexium is available by itself or mixed with aspirin and in one preparation (Soma Compound with Codeine) along with codeine and caffeine as well.

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Physical therapy rehabilitation centers in New York City provide a comprehensive range of therapeutic treatment for ailments relating to the musculoskeletal system. Some of the renowned hospitals, healthcare centers and clinics employ only licensed practitioners with high levels of experience. Their ‘hands-on’ techniques are proven to provide relief to patients who complain about pain in various parts of their body.

Conditioning Exercises and Pain Relieving Modalities

Physiotherapists here help patients with limited range of motion undergo conditioning exercises that help to mobilize the joints, strengthen the body and enhance endurance. Myofascial release ensures relief from pain arising from contracted muscles, increases blood circulation and stimulates the stretch reflex of muscles. Some of the most modern modalities for stress and pain relief are used today that would restore the smooth functioning of the body. Some of them are transcutaneous electrical nerve stimulation (TENS), ultrasound, traction, electrotherapy and more.

Complex medical conditions such as arthritis; amputation; hip, knee, ankle and shoulder dysfunction; sports or work-related injuries; spinal disorders or neuromuscular conditions are now treated with advanced physical therapy techniques. Conventional form of treatment is still in practice for mild pain, soreness, muscle spasm, swelling and inflammation as it is found to provide considerable relief.

The treatment provided is for all ages that require short term as well as long term treatment protocol. Specialists not only focus on treating injuries and restoring health but also look into preventive aspects. They would undertake a counseling session with patients that would educate them on how to prevent relapses and ways to live a proper, healthy and active lifestyle.

A Systematic and Complete Evaluation

Patients who seek effective treatment at physical therapy rehabilitation centers in New York City undergo a systematic and complete evaluation. This helps the doctors to attain a clear picture of the patient’s physical status such as the level of mobility and reflex, strength and sensation, extent of pain and factors resulting in the condition. Physiotherapists then formulate a treatment plan that is aimed at providing fast relief and speedy recovery. The treatment is always provided in a safe and comfortable environment ensuring individualized attention.



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