Dr. Anshul Verma
Co-Founder of PhysioEntrust | Director Physiotherapist in Ortho, Cardio, Gynae & General Rehabilitation.
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Sciatica: Key Points for Patients from Your PhysiotherapistOverview of SciaticaDefinition: Sciatica involves radiating leg pain due to nerve root compression, often from a herniated disc.Symptoms: Unilateral leg pain greater than low back pain, pain radiating to foot or toes, numbness, and paraesthesia in the same distribution.DiagnosisHistory and Physical Examination: Diagnosis based on patient history and physical exams, including the straight leg raising test.Imaging: Recommended only if “red flags” are present or if surgery is being considered.Risk FactorsPersonal Factors: Age (peak 45-64 years), height, smoking, and mental stress.Occupational Factors: Strenuous physical activity, frequent lifting, bending, and twisting, and exposure to whole-body vibration from driving.PrognosisFavorable for Most: Most acute sciatica cases resolve within a few weeks.Persistent Cases: 20-30% may have symptoms for a year or longer.Conservative TreatmentInitial Approach: Active treatments are preferred over bed rest. Conservative care is recommended for 6-8 weeks.Role of Physiotherapy: Physiotherapists can guide you through exercises and activities to reduce pain and improve function.Pain Management: Analgesics, NSAIDs, and staying active. Epidural steroid injections might help in some cases.Physical Therapy: Strongly recommended for its role in pain management and functional improvement.Surgical TreatmentIndications: Considered if severe symptoms persist beyond 6-8 weeks or in cases of cauda equina syndrome.Effectiveness: Surgery can offer quicker leg pain relief but has no significant long-term advantage over physiotherapy and other conservative treatments after 1-2 years.Clinical GuidelinesInitial Assessment: Rule out red flag conditions, diagnose based on history and physical examination.Treatment Path:Start with physiotherapy and other conservative care for 6-8 weeks.Consider imaging or surgery if no improvement.Immediate referral for severe cases like cauda equina syndrome.Future DirectionsResearch Needs: More studies on the effectiveness of physiotherapy and other conservative treatments.Patient Preferences: Your involvement in treatment decisions is crucial.SummaryFirst Line of Treatment: Physiotherapy and conservative care for 6-8 weeks.Surgery: Considered for persistent or severe cases.Patient Role: Stay active and involved in your care plan.#Top10Physios #ExcellenceInCare #PhysioEntrust #Rehabilitation #PatientCare #SportsTherapy #ManualTherapy #PainManagement #physiotherapy #physiotherapyathome #physiotherapyingurgaon #physiotherapistBook Best Physiotherapy at Home in Gurgaon from Top Rated Physiotherapists! Top 3 Physiotherapist in Gurgaon. Top Physiotherapy Clinic in Gurugram❂ www.physioentrust.com☥ https://lnkd.in/gNmnXCYj
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PhysioEntrust
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Sciatica: Key Points for Patients from Your PhysiotherapistOverview of SciaticaDefinition: Sciatica involves radiating leg pain due to nerve root compression, often from a herniated disc.Symptoms: Unilateral leg pain greater than low back pain, pain radiating to foot or toes, numbness, and paraesthesia in the same distribution.DiagnosisHistory and Physical Examination: Diagnosis based on patient history and physical exams, including the straight leg raising test.Imaging: Recommended only if “red flags” are present or if surgery is being considered.Risk FactorsPersonal Factors: Age (peak 45-64 years), height, smoking, and mental stress.Occupational Factors: Strenuous physical activity, frequent lifting, bending, and twisting, and exposure to whole-body vibration from driving.PrognosisFavorable for Most: Most acute sciatica cases resolve within a few weeks.Persistent Cases: 20-30% may have symptoms for a year or longer.Conservative TreatmentInitial Approach: Active treatments are preferred over bed rest. Conservative care is recommended for 6-8 weeks.Role of Physiotherapy: Physiotherapists can guide you through exercises and activities to reduce pain and improve function.Pain Management: Analgesics, NSAIDs, and staying active. Epidural steroid injections might help in some cases.Physical Therapy: Strongly recommended for its role in pain management and functional improvement.Surgical TreatmentIndications: Considered if severe symptoms persist beyond 6-8 weeks or in cases of cauda equina syndrome.Effectiveness: Surgery can offer quicker leg pain relief but has no significant long-term advantage over physiotherapy and other conservative treatments after 1-2 years.Clinical GuidelinesInitial Assessment: Rule out red flag conditions, diagnose based on history and physical examination.Treatment Path:Start with physiotherapy and other conservative care for 6-8 weeks.Consider imaging or surgery if no improvement.Immediate referral for severe cases like cauda equina syndrome.Future DirectionsResearch Needs: More studies on the effectiveness of physiotherapy and other conservative treatments.Patient Preferences: Your involvement in treatment decisions is crucial.SummaryFirst Line of Treatment: Physiotherapy and conservative care for 6-8 weeks.Surgery: Considered for persistent or severe cases.Patient Role: Stay active and involved in your care plan.#Top10Physios #ExcellenceInCare #PhysioEntrust #Rehabilitation #PatientCare #SportsTherapy #ManualTherapy #PainManagement #physiotherapy #physiotherapyathome #physiotherapyingurgaon #physiotherapistBook Best Physiotherapy at Home in Gurgaon from Top Rated Physiotherapists! Top 3 Physiotherapist in Gurgaon. Top Physiotherapy Clinic in Gurugram❂ www.physioentrust.com☥ https://lnkd.in/gtbTeN4g
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Angad Kumar
Attended Sanskriti University
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LIFE HEALTH PHYSIOTHERAPY & ORTHOPEDIC CARE CENTRE Email-lifehealthphysio7@gmail.com Cont-8004017598Lower back pain is a common issue that physiotherapy can effectively address. Physiotherapists use various techniques to alleviate pain, improve mobility, and strengthen the muscles supporting the lower back. Here's how physiotherapy can help:1. Assessment and DiagnosisInitial Evaluation: A physiotherapist will assess the cause of your lower back pain through a detailed examination, considering factors like posture, muscle strength, flexibility, and any underlying conditions.Diagnosis: Based on the assessment, the physiotherapist will diagnose the specific type of lower back pain, whether it’s mechanical (related to movement), inflammatory, or due to an underlying condition like disc herniation or arthritis.2. Treatment ApproachesManual Therapy: Techniques like joint mobilizations, manipulations, and soft tissue massage can help relieve pain and improve mobility.Exercise Therapy: Tailored exercises to strengthen the core, lower back, and surrounding muscles are crucial. These exercises may include stretching, strengthening, and stabilization exercises.Posture Correction: Physiotherapists provide guidance on proper posture and ergonomics to prevent strain on the lower back during daily activities.Electrotherapy: Modalities like ultrasound, TENS (Transcutaneous Electrical Nerve Stimulation), and heat therapy may be used to reduce pain and inflammation.Education and Advice: Patients are educated on lifestyle modifications, pain management techniques, and exercises to prevent recurrence.3. Rehabilitation and PreventionProgressive Exercise Programs: As pain decreases, the focus shifts to more advanced exercises to restore full function and prevent future injury.Long-term Management: Physiotherapists may develop a long-term exercise plan to maintain back health and prevent future episodes of pain.4. Benefits of Physiotherapy for Lower Back PainPain Relief: Physiotherapy can significantly reduce pain levels through targeted interventions.Improved Mobility: Helps restore range of motion and flexibility in the lower back.Strengthening: Strengthens muscles that support the spine, reducing the risk of future injury.Function Restoration: Aims to return patients to their normal activities and improve quality of life.Non-invasive Treatment: Provides a non-surgical option to manage and treat lower back pain.#lowerbackpain #inflammation #musclespasm #musclePain #healthcare #physio
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Hareem Rizvi
Physiotherapist | Online Medical Tutor | Medical Writer| Student at University Of Management and Technology
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Aching Shoulders? Don't Suffer in Silence! Physiotherapy Can Help Shoulder pain is incredibly common, affecting millions of people worldwide. It can strike due to various reasons, from everyday overuse to injuries. But regardless of the cause, shoulder pain can significantly impact your daily life, limiting your ability to perform even simple tasks.The Many Faces of Shoulder Pain:Shoulder pain can manifest in different ways, depending on the underlying cause. Here are some common types:Rotator Cuff Injury: This occurs when the tendons or muscles in the rotator cuff, a group of muscles that stabilize your shoulder joint, become inflamed or torn.Frozen Shoulder: This condition causes stiffness and limited movement in the shoulder joint.Arthritis: Wear and tear in the shoulder joint can lead to pain, stiffness, and inflammation.Bursitis: Inflammation of the bursa, a fluid-filled sac that cushions the shoulder joint, can cause pain and tenderness.Why Physiotherapy Should Be Your Shoulder Pain Superhero!Physiotherapy is a safe and effective approach to treating shoulder pain. Here's how a physiotherapist can help you find relief:Diagnosis and Pain Relief: Through a thorough assessment, your physiotherapist will identify the source of your pain and develop a personalized treatment plan. Techniques like manual therapy, ultrasound, and electrical stimulation can target the pain and promote healing.Improved Range of Motion: Gentle exercises will help restore flexibility and range of motion in your shoulder, allowing you to move your arm with greater ease.Strengthening for Stability: Physiotherapists design exercises to strengthen the muscles around your shoulder joint. This improved stability helps prevent future injuries and allows for better pain management.Education and Self-Management: You'll learn exercises and stretches you can do at home to maintain your progress and manage your pain in the long run.Beyond Pain Relief: Physiotherapy for Long-Term Shoulder HealthPhysiotherapy doesn't just address immediate pain; it helps prevent future problems. By strengthening the muscles around your shoulder and improving your movement patterns, you'll be less likely to experience pain again.Considering Physiotherapy for Your Shoulder Pain?Talk to your doctor for a referral.Find a registered physiotherapist experienced in treating shoulder conditions.Discuss your goals and expectations with your physiotherapist.Remember, you don't have to live with shoulder pain! Physiotherapy can be your key to regaining pain-free movement and enjoying the activities you love.#shoulderpain #physiotherapy #physicaltherapy #injuryrecovery #physiotherapyworks #getbackontrack #strongershoulder #bettermobility
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Thrive Chiropractic Amsterdam
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𝐖𝐡𝐚𝐭 𝐢𝐬 𝐒𝐩𝐢𝐧𝐚𝐥 𝐃𝐞𝐜𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧?Nonsurgical spinal decompression is a type of motorized traction that may help relieve back pain. Spinal decompression works by gently stretching the spine. That changes the force and position of the spine. This change takes the pressure off the spinal disks, which are gel-like cushions between the bones in your spine, by creating negative pressure in the disc. As a result, bulging or herniated disks may retract, taking pressure off nerves and other structures in your spine. This, in turn, helps promote the movement of water, oxygen, and nutrient-rich fluids into the disks so they can heal.𝐒𝐩𝐢𝐧𝐚𝐥 𝐃𝐞𝐜𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐭𝐫𝐞𝐚𝐭𝐬 𝐭𝐡𝐞 𝐟𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬✔️ Low back pain✔️ Neck pain✔️ Nerve pain in the arm or leg✔️ Herniated Discs✔️ Bulging Discs✔️ Degeneration of the spine✔️ Sciatica✔️ Facet Syndrome𝐇𝐨𝐰 𝐃𝐨𝐞𝐬 𝐢𝐭 𝐖𝐨𝐫𝐤 𝐰𝐢𝐭𝐡 𝐂𝐡𝐢𝐫𝐨𝐩𝐫𝐚𝐜𝐭𝐢𝐜 𝐀𝐝𝐣𝐮𝐬𝐭𝐦𝐞𝐧𝐭𝐬?Chiropractic adjustments help to realign the spine and restore its proper movement. This is done by applying precise force to specific areas of the spine to correct misalignments, reducing nerve interference and allowing your body to heal. When combined with spinal decompression, chiropractic adjustments can help to further relieve pressure and tension in the spine, allowing for more effective treatment.𝐓𝐡𝐞 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬 𝐨𝐟 𝐒𝐩𝐢𝐧𝐚𝐥 𝐃𝐞𝐜𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭There are many benefits of spinal decompression treatment, which include:1️⃣ 𝐈𝐭 𝐜𝐚𝐧 𝐫𝐞𝐬𝐭𝐨𝐫𝐞 𝐦𝐨𝐯𝐞𝐦𝐞𝐧𝐭, 𝐦𝐨𝐛𝐢𝐥𝐢𝐭𝐲, 𝐚𝐧𝐝 𝐟𝐮𝐧𝐜𝐭𝐢𝐨𝐧.With this treatment, you could find that. you have improved range of motion and fewer restrictions on your mobility. You may also be able to participate in activities and hobbies that you enjoy, without pain.2️⃣ 𝐈𝐭 𝐜𝐚𝐧 𝐩𝐫𝐨𝐯𝐢𝐝𝐞 𝐫𝐞𝐥𝐢𝐞𝐟 𝐟𝐫𝐨𝐦 𝐩𝐚𝐢𝐧, 𝐧𝐮𝐦𝐛𝐧𝐞𝐬𝐬, 𝐚𝐧𝐝 𝐭𝐢𝐧𝐠𝐥𝐢𝐧𝐠.If you are experiencing pain, numbness, or tingling in your back, butt, legs, or arms, spinal decompression treatment can provide relief.3️⃣ 𝐈𝐭 𝐜𝐚𝐧 𝐡𝐞𝐥𝐩 𝐭𝐨 𝐩𝐫𝐞𝐯𝐞𝐧𝐭 𝐟𝐮𝐫𝐭𝐡𝐞𝐫 𝐝𝐞𝐠𝐞𝐧𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐭𝐡𝐞 𝐝𝐢𝐬𝐜𝐬 𝐚𝐧𝐝 𝐧𝐞𝐫𝐯𝐞𝐬 𝐢𝐧 𝐲𝐨𝐮𝐫 𝐬𝐩𝐢𝐧𝐞.Spinal decompression treatment can help to prevent the discs and nerves in your spine from deteriorating further. This is important because it can help to avoid surgery and other invasive treatments.4️⃣ 𝐈𝐭 𝐢𝐬 𝐚 𝐧𝐨𝐧-𝐬𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐨𝐩𝐭𝐢𝐨𝐧 𝐟𝐨𝐫 𝐭𝐫𝐞𝐚𝐭𝐢𝐧𝐠 𝐛𝐚𝐜𝐤 𝐩𝐚𝐢𝐧.Spinal decompression treatment is a non-surgical option for treating back pain. This means that there is no risk of infection or other complications associated with surgery.
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Angad Kumar
Attended Sanskriti University
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LIFE HEALTH PHYSIOTHERAPY & ORTHOPEDIC CARE CENTRE Email-lifehealthphysio7@gmail.com cont- 8004017598Physiotherapy plays a crucial role in managing arthritis by reducing pain, improving joint function, and enhancing quality of life. Here’s how it can help:1. Pain Management:Therapeutic Exercises: Gentle exercises strengthen the muscles around the joints, providing better support and reducing pain.Manual Therapy: Techniques like joint mobilization and soft tissue massage help reduce pain and improve joint movement.2. Improving Joint Mobility and Flexibility:Range of Motion Exercises: These exercises maintain or improve joint flexibility, reducing stiffness and making movement easier.Stretching: Helps to maintain flexibility and prevent the muscles around the joint from tightening.3. Strengthening Muscles:Strengthening Exercises: Focused on specific muscles around the joints, strengthening exercises help take the pressure off the joints, reducing pain and improving stability.4. Improving Balance and Coordination:Balance Exercises: These exercises help prevent falls by improving balance and coordination, which can be particularly beneficial for people with arthritis in the lower limbs.5. Education and Advice:Joint Protection Techniques: Learning how to move and carry out daily activities without putting excessive strain on your joints is essential. Physiotherapists can guide you on adaptive strategies.Posture Correction: Good posture can help minimize strain on the joints, reducing pain and stiffness.6. Heat and Cold Therapy:Heat Therapy: Applying heat to joints can help relax muscles and increase blood flow, reducing pain and stiffness.Cold Therapy: Ice packs or cold treatments can reduce inflammation and numb the area to alleviate pain.7. Aquatic Therapy:Hydrotherapy: Exercising in water can be easier on the joints while still providing resistance to help strengthen muscles.#physio #inflammation #healthcare #kneePain#flexibility #arthritis #mobility #strength #Osteoarthritis #improvebloodflow #shoulderpain #jointPain
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Nahdia Tabassum
Digital marketer
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Sciatica is a term used to describe pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.### Symptoms of Sciatica1. **Pain**: Sciatica is characterized by pain that starts in the lower back and travels through the buttock and down the back of the leg. The pain can be severe and is often described as a sharp or burning sensation.2. **Numbness and Tingling**: Some people experience numbness, tingling, or muscle weakness in the affected leg or foot.3. **Worsening Symptoms**: Symptoms can worsen with prolonged sitting, standing, sneezing, or coughing.### Causes of SciaticaSciatica occurs when the sciatic nerve is pinched, usually by a herniated disk in the spine or by an overgrowth of bone (bone spur) on the vertebrae. Other causes can include:- **Degenerative Disc Disease**: Breakdown of discs, which act as cushions between vertebrae.- **Spinal Stenosis**: Narrowing of the spinal canal.- **Piriformis Syndrome**: A muscle in the buttocks irritates the sciatic nerve.- **Injury**: Trauma to the spine or sciatic nerve.### Risk Factors- **Age**: Age-related changes in the spine.- **Obesity**: Increased stress on the spine.- **Occupation**: Jobs that require heavy lifting, twisting, or prolonged sitting.- **Diabetes**: Higher risk of nerve damage.### DiagnosisDiagnosis typically involves a physical exam, medical history, and imaging tests like X-rays, MRI, or CT scans to identify the underlying cause of the nerve compression.### Treatment Options1. **Medications**: Pain relievers, anti-inflammatory drugs, muscle relaxants, and, in severe cases, steroids.2. **Physical Therapy**: Exercises to improve posture, strengthen the muscles supporting your back, and improve flexibility.3. **Surgery**: In severe cases where other treatments fail, surgery might be necessary to remove the bone spur or part of the herniated disk pressing on the nerve.4. **Alternative Therapies**: Acupuncture, chiropractic adjustments, and massage.### Prevention- **Exercise Regularly**: Focus on core strength and flexibility.- **Maintain Proper Posture**: When sitting, use a chair with good lower back support.- **Lift Properly**: Use your legs, not your back, to lift heavy objects.If you suspect you have sciatica or are experiencing persistent back pain, consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.
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Zarada Neboji
Étudiant(e) à ofppt
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Why do joints crack? Does it crack or slam? In reality, there are different kinds of joint noises, more or less annoying. Most often, it is a natural phenomenon with no health consequences. Explanations from a physiotherapist.Cracking fingers and neck: how to explain it?“When you pull on a finger, you stretch the ligaments. This creates a small depression inside the joint and allows a gas bubble from the synovial fluid (the joint's lubricant, Editor's note) to form. It’s the bursting of this bubble that produces a sound,” explains Frédéric Srour, physiotherapist and founder of Kiné to TOP .When they are mobilized or stretched, the joints of the fingers , but also the vertebrae of the neck, tend to “crack” easily. This phenomenon is purely physiological. It is not a sign of a pathology.When you crack your fingers, there is no risk of long-term joint damage. Frédéric Srour, physiotherapist.This joint cracking is, moreover, of the same nature as that which occurs during spinal manipulation carried out by a healthcare professional.Does cracking the joint provide relief?By manipulating you, osteopaths or chiropractors often cause this characteristic crunch. Some patients feel relieved. But what is it really? “ Cracking is not a therapy in itself. It is only the consequence of the manipulation or mobilization of a joint ,” explains Frédéric Srour. “It is likely, ” he adds, “that spinal manipulation leads to a temporary drop in muscle tone around the joint and a neurological modulation of pain. The patient feels better and has the impression that the joint is moving better. But this feeling does not last. »Snapping hip or shoulder: how to explain it?Other joint noises particularly concern the hip and shoulder joints . In this case, it is more of a clicking sound produced by the friction of a muscle or tendon on a bone .Frédéric Srour gives an example: “During a sporting activity or a rolling-unrolling movement of the shoulder, you may feel a snap between the scapula and the ribs. This is called scapula snapping . Some people consult us because this feeling bothers them. In reality, this phenomenon is not pathological. Sometimes it is enough to provide care to modify inappropriate behavior and, if necessary, to combine it with rehabilitation based on simple exercises so that the noises disappear,” he explains.Does osteoarthritis cause joints to crack?Very common, osteoarthritis causes pain and hinders mobility. It also happens that it is the cause of joint grinding , as Frédéric Srour explains: “Osteoarthritis deteriorates the cartilage of the joints. When we mobilize a patient suffering from advanced osteoarthritis, we sometimes hear a sort of grinding noise linked to the fact that the cartilage is of poorer quality or that the synovium no longer plays its role. But these noises do not concern all osteoarthritis patients. »
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Gordon Wallis
Licensed Massage Therapist - semi retired
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1st title: A TRIGGER POINT IS OFTEN TIMES JUST THAT, A TRIGGER POINT. But dozens of trigger points can mean more then just dozens of trigger points. 2nd title: MEDICAL WORK DONE BY NON MEDICAL PEOPLE really?—————————————————————————————————"The truth is always hidden in simplicity." - Paulo Coelho—————————————————————————————————Eliminating myofascial trigger points is crucial for maintaining overall health and well-being. In vertebrates, a segment refers to a specific region that is supplied by a spinal nerve and encompasses various structures such as the skin, musculature, bones, and internal organs. These subdivisions, known as dermatomes, myotomes, sclerotomes, enterotomes, and neurotomes, play a fundamental role in the communication and interaction between the body's surface and its internal systems.Each subdivision has its own significance:- Dermatomes correspond to specific areas of the skin.- Myotomes are responsible for the muscular part of the segment.- Sclerotomes represent the skeletal structures within the segment.- Enterotomes pertain to the visceral or internal organ part of the segment.- Neurotomes refer to the neural component of the segment.A disturbance in one of those ‘tomes’ can influence and cause a disturbance in any of the other tomes(of that same spinal segment).*** - a spillover effect.Eliminating trigger points, especially those in the abdominal area, may be of crucial importance for those suffering chronic pain and weird vague pain symtomes(migrainers and the iliocecal valve come to mind). https://lnkd.in/g9ECtitFMassage therapists are not doctors. And don’t need to be. ***Because eliminating myofascial trigger points is by far the easiest and most effective thing we can do to end chronic pain, dysfunction, and suffering on the planet. All the while staying within our non medical license. And if you really think about it. Nobody else is doing it. Or even bothering too. https://lnkd.in/gy23NanQAnd the 12 Muscle Matrix makes eliminating those trigger points easy to do. Very easy to do. Often enough we don’t even have to touch them(trigger points). https://lnkd.in/gF4E4aGXIT WAS ALL TRIGGER POINTS FOR THESE FOLKS: This is not the result of normal trigger point work. This is trigger point work on another level. It’s the 12 Muscle Matrix.https://lnkd.in/gcAaG7PEhttps://lnkd.in/g6V28eZuhttps://lnkd.in/g-xZFNcs
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Bibi Farishta
Physiotherapy Alumni(2016) NIC-SOP 🕊
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As a physiotherapist, I'm interested in gaining your expertise on managing low back pain. How do you approach the assessment and treatment of patients with this condition, and what exercises or techniques have shown positive outcomes in your experience?As far as I have knowledge about non specific low back pain there are no identifying features for NSLBP on currently available clinical tests to determine a definitive link between a pain-sensitive structure, such as annulus fibrosus or ligament, and the patient’s pain.#Mechanism Any innervated structure in the lumbar spine can cause symptoms of low back and referred pain into the extremity or extremities includes the muscles, ligaments, dura mater and nerve roots, zygapophyseal joints, annulus fibrosis,vertebrae.The determination of a pathoanatomic origin of low back pain is made difficult by the rate of false-positive findings on imaging studies, that is, individuals without low back pain showing abnormal findings.For example, evidence of herniated disc material is shown on computerized tomography (CT) scans, MRI, and myelography in 20% to 76% of persons with no sciatica.#ExaminationPhysiotherapy assessment aims to identify impairments that may have contributed to the onset of the pain, or increase the likelihood of developing persistent pain.These include:biological factors (eg. weakness, stiffness), psychological factors (eg. depression, fear of movement and catastrophizing) social factors (eg. work environment). A strong therapeutic alliance, underpinned by a motivational approach and characterized by open, reflective, empathetic, and validating communication.Triage aims to exclude those cases in which the pain arises from either problems beyond the lumbar spine (e.g., leaking aortic aneurysm); specific disorders affecting the lumbar spine (e.g., epidural abscess, compression fracture, spondyloarthropathy, malignancy, cauda equina syndrome); or radicular pain, radiculopathy, or spinal canal stenosis. #Treatment The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT) is an internationally researched and acclaimed system of assessment and management for spinal and extremity musculoskeletal disorders.the patient is asked to move in various directions (flexion, extension, sideflexion in standing/sitting and lying) and reports back to the clinician on the effect of these various movements. For spinal patients, rapid changes occur in 50-70% of cases. Assess AROM in this order: flexion, extension, side-gliding R, side-gliding L. Record movement loss –Note pain or stiffness that is reported during ROMAssess the effect of repeated movements on symptoms.Ask about pain response.If the patient is having pain in lumbar flexion, then check if the pain decrease in extension is the treatment.
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Andy Barker
The New Grad Physio Mentor
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The shoulder 'special' test that doubles up as a treatment technique!Today felt like 'shoulder' day in the clinic!4 of the 6 patients I saw, including 3 new patients all had shoulder pain.They must have all known about my free shoulder pain training webinar tomorrow night!Whilst all today's shoulder pain patient's had different problems...From proximal bicep tendinopathy...Acromio-clavicular joint (ACJ) pain...A lower trapezius issue...And a more straightforward glenohumeral joint (GHJ) problem...I did the exact same 'special' test with all 4 patients to help me determine what their main problem was.This helped me to prescribe the right hands-on treatment and rehab exercises for each and every patient.Interestingly...The proximal bicep tendinopathy patient had a scapula problem...The ACJ pain patient had a GHJ issue...The lower trapezius issue was driven by a scapula-thoracic joint issue...And the GHJ problem was actually an ACJ problem.Can you see how easy it is to treat the wrong thing?You find a ACJ problem...So you treat the ACJ.Or you diagnose a GHJ or proximal bicep injury, so you focus on that...Even though they do not actually have a problem at that part of the shoulder!The simple 'special' test I used to work out exactly what was going on...And work out in under 30 seconds what was driving their symptoms is not even that 'special.'It is so easy to use and will tell you exactly where to start with each and every patient you see.It can often even double up as a treatment technique!!!I'll be revealing this test (and treatment technique) and showing you exactly what to look for during your shoulder objective assessments in tomorrow night's FREE shoulder pain training webinar…'Simplifying the Shoulder'It's happening tomorrow on Wednesday 20th March 2024.I'll be going live at 7:30 PM sharp (UK Time).This is the only place to see this webinar for free...So do your best to join us tomorrow night!Register Here >>> https://lnkd.in/eJweyMT3Catch you tomorrow!Andy BarkerNew Grad Physio Mentor#newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor
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