Low Back Pain Physiotherapy Treatment and Exercise :

 

If you are looking for Low Back pain Physiotherapy treatment and exercise related information then this article is informative for you, Here we update Low Back pain cause, symptoms, Diagnosis of Back pain and common Medical and Physiotherapy treatment and exercise details.

Low Back pain is the most common symptoms seen mostly each and everyone one in a lifetime, Low Back area lumbo-sacral area which are responsible for Back movement such as Back flexion, Extension, side flexion and rotational movement, lift mostly upper body in day to day activity.

Higher the usage higher the chances of wear and tear around Back may lead to Back pain. Lumbo-sacral junction where L-4-5, s-1 is located where higher Back movement as compared to other lumbar and sacral vertebrae, so mostly l-4-5 and s-1 vertebrae related degenerative and Disc related Low Back pain.

Related Anatomy of Low Back Pain :

There are too many Causes Of Low Back Pain, to understand of Anatomy ( Structure Of Body) Particularly Low Back Area is beneficial for Diagnosis/Cause Of Low Back Pain. Low Back area have Lumbar Spine, Sacral Spine, Related Disc (Discs between the vertebrae) ligaments around the spine and discs, spinal cord and nerves, Paraspinal muscles of the low back, internal organs of the pelvis and abdomen, and the skin around the lumbar area.

The Lower back is working with complex structure of muscles, ligaments, tendons, disks, and bones, which work together to support the body and enable us to move around.

The Lower lumbar and sacral Vertebrae is worked Together Make Lower Back Area can provide a movement that  support structure while also Providing protection from the spinal cord from injury. The spinal cord is composed of nervous tissue that extends down the spinal column from the brain.

Each vertebra has a spinous process, a bony prominence behind the spinal cord, which protect the cord’s nervous tissue from impact trauma. Vertebrae also have a strong bony “body” (vertebral body) in front of the spinal cord to provide a platform suitable for weight bearing of all tissues above the buttocks. The lumbar paraspinal muscles responsible for lumbar movement such as flexion, extension and rotational movement, which are we use in day to day activity.

Movement/Function Of Low Back :

Understanding or Functioning Of Low Back And Bio-Mechanics Of Low Back is Also Important to make proper treatment plan.

There Are Too Many Importance function Of Lower Back ( Lumbar Area ) in human body. These Importance Are Like structural support, movement, and protection of certain body tissues.

When we stand,Walk the lower back is functioning to support the weight of the upper body. When we bend, extend, or rotate at the Lower Back, Weight is Lifted By Mostly Lower Back Muscle Mainly Back Extensor Muscle And Back Core Muscle While Back Flexion Are Used Mainly as a Stabilizer Of Lower Back.

Low Back Also Protecting the soft tissues of the nervous system and spinal cord as well as nearby organs of the pelvis and abdomen is a critical function the lumbar spine and Related muscles of the low back.

Cause Of Low Back Pain :

There are too many causes of low Back pain , following are few most common causes, However it may variable person to person or mix of causes.

Most common causes of back pain are :

• strained muscles
• sprain ligaments
• a paraspinal muscle spasm
• muscle tension (Tightness of muscle)
• Disc Bulging - damaged disks
• injuries, fractures, or fall On Low Back
  

Activities that can lead to strains or spasms include:

• lifting something improperly. ( Incorrect Lifting Technique )
• lifting something that is too heavy.
• making a jerky and awkward movement.
• occupational causes such as job in which lifting activity required continuously.

Structural Body parts Around Low Back Can Cause Pain :

Bulging disks/Ruptured disks: Each vertebra in the spine is cushioned by disk like structure. Mostly Heavy lifting activity causes pressure on disc and sometimes disk ruptures this may leads to pressure on a nerve, resulting in Low back Radiating pain.
Sciatica pain: A sharp and shooting pain travels through the buttock and down the back of the leg, caused by a bulging or herniated disk pressing on a nerve.
Osteoarthritis: Osteoarthritis can cause problems with the joints in the hips, lower back, and other places. In some cases, the space around the spinal cord narrows. This is known as spinal Canal stenosis.
Abnormal curvature of the spine: If the spine curves in an unusual way, back pain can result. An example is scoliosis, Lordosis, in which the spine curves to the one side.
Osteoporosis: Bones, including the vertebrae of the spine, become brittle and porous, making compression fractures more likely.

Kidney problems: Kidney stones or kidney infection can cause back pain.

Wrong Movement and Poor posture Can Cause Pain in Low Back :

Poor Posture & wrong Movement pattern May Lead To Back pain Are :

• Jerky twisting movement
  
• Too Much coughing or sneezing
• Muscle tightness
• over Exercise-stretching
• bending awkwardly or for prolonged time
• Over pushing, pulling, lifting, or carrying something
• standing or sitting for prolonged periods
• straining the Back forward, such as when driving or using a computer
• long driving sessions without a break, even when not hunched
• sleeping on a mattress that does not support the body and keep the spine straight.

Disease Around Low Back :

Few Medical Disease also responsible for low Back Pain :

Cauda equina syndrome : The cauda equine is a bundle of spinal nerve roots that starts from the lower end of the spinal cord. Symptoms include a dull aching pain in the lower back and upper buttocks, as well as numbness in the buttocks, genitalia, and thighs. There are sometimes bowel and bladder function also lost in sever cases.
Tumor of the spine: A tumor on the spine may press against a nerve, resulting in back pain.
Infection of the spine: A fever and a tender, warm area on the back could be due to an infection of the spine.
Spina bifida : is a form of birth defect known as a neural tube defect. Spina bifida results from an incomplete formation of the brain, spinal cord, and/or meninges in an infant.
Paget’s disease of bone is a condition of unknown cause in which the bone formation is out of synchrony with normal bone remodeling. This condition results in abnormally weakened bone and deformity and can cause localized bone pain.
Ankylosing Spondylitis (AS) : is a form of Rheumatoid disease that mainly affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort. In more severe cases this inflammation can lead to ankylosis — new bone formation in the spine – causing sections of the spine to fuse in a fixed, immobile position.
Rheumatoid Arthtitis : Like RA and Other Disease Cause Pain Around Low Back Pain With Other Joint Pain.
Other infections: Pelvic inflammatory disease, bladder, or kidney infections may also lead to back pain.
Sleep disorders: Individuals with sleep disorders are more likely to experience Low back pain, compared with others.
Shingles: An infection that can affect the nerves may lead to back pain. This depends on which nerves are affected.

Risk factors For Low Back Pain :

The following factors are Increase for developing low back pain :

• occupational activities eg.Over-activity where Back lifting required too many times a day.
• pregnancy
• a sedentary lifestyle
• poor physical fitness
• older age
• obesity and excess weight
• smoking/Alcohol/Drugs
• Over physical exercise or work, especially if done incorrectly
• genetic factors
• medical conditions, such as Rheumatoid Disease and Tumor

Lower back pain also tends to be more common in women than in men, possibly due to hormonal factors. Stress, anxiety, and mood disorders have also been linked to back pain.

Sign And Symptoms of low back pain:

The main symptom of back pain is a Back pain around the back, and sometimes all the way down to the buttocks and legs also called sciatica pain.

Some back referred pain can cause pain in other parts of the body, depending on the nerves affected.

Following are associated Symptoms with Back Pain :

Few or More Symptoms May Be Associated According To Diagnosis Of Low Back Pain.

• Para-spinal Muscle Spasm
• Tenderness Over Lower Lumbar Spine
• Difficult to sit for long periods
• Difficulties in sitting from lying down
• Difficulties in lifting objects from ground floor.
• Sudden weight loss
• fever
• inflammation or swelling on the back
• Radiating Pain in Bilateral Or Unilateral Lower Limb.
• persistent back pain, where lying down or resting does not help
• a recent injury, blow or trauma to the back
• Bladder-Bowel urinary incontinence or difficulty urinating
• Tingling numbness around the genitals
• weakness in lower Limb.

Best Paralysis Treatment in Ahmedabad:

Best Paralysis Treatment in Ahmedabad

 If you are looking for Best Paralysis treatment in Ahmedabad then Asha Physiotherapy clinic and Neuro Rehabilitation is also one of the Best option for you.

Asha Physiotherapy clinic and Neuro Rehabilitation clinic started in 2009 By Dr. Bhavnaben Malavia with Purpose of Giving best of Physiotherapy treatment in Neurology field, She is certified Neurodevelopmental  Therapy (NDT) and Sensory Integration (SI) which is Best treatment of Choice in Paralysis related condition mainly in Hemiplegia.

Paralysis after stroke are called Hemiplegia in which left side of the Body or right side of the body become paralyzed in which restoration of Body movement is required , This Body movement restored with the Help of Physiotherapy treatment who are specialized in neurology field.

We have experienced team of Physiotherapist working since more than 20 years assure Best quality treatment if you are looking for Paralysis treatment at Home and in clinic in Ahmedabad.

Home visit Physiotherapy treatment facility is available in East part of Ahmedabad if you are not able to go to clinic on daily basis. Our Physiotherapist visit your Home, take assessment and according make a treatment plan and  start treatment according to assessment.

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Physiotherapy treatment of Paralysis are depends on Diagnosis of Paralysis, symptoms of condition, Rehabilitation of Individuals and assessment, Physiotherapist are take assessment of condition, according to make a treatment plan, and discuss with relatives about outcomes of the paralysis , then started treatment.

Medical Treatment :

Medical Treatment are Variable according to Diagnosis,cause, symptoms,  Primary Treatment is to Control Blood Pressure, Control High Sugar Level with rest if stroke is present And Other Symptomatic Treatment Are Important, Sometimes Emergency Surgery Also Require.

If spinal cord injury or other paralysis related disease occurs treatment may vary.

Physiotherapy treatment in Paralysis :

After assessment Physiotherapist will make treatment plan, following are the goals of Physiotherapy treatment in Paralysis :

Most common Physiotherapy treatment Goal :

• Improving / Maintaining Range Of Motion (ROM).
• Restoring Movement control/ or Strengthening exercise of weak Muscle according MMT/Voluntary Control
• Improve Balance. (Sitting and standing)
• Stretching exercise for Reducing Spasticity/ Tight Muscle
• Use Of Rehabilitation Principle for Paralysis.
• Gait Training with Walker / stick according to Balance
• Use Of Physiotherapy Modalities/Equipment for associated symptoms such as ES for Muscle re-education.
• Bed Sore Management if present.
• Chest Physiotherapy and Deep Breathing exercise.
• Correct The Deformity of Limb.
• Motivation Of Patient/ counseling the relatives.

Improve or Maintain Range Of Motion(R.O.M.) :

To improve Range of Motion is Easy exercise by simply giving relaxed passive movement of body part with 10 to 15 repetition two times a day is enough to avoid joint stiffness and maintain R.O.M, if patient is complete bed-ridden then sometimes 3 to 4 time passive exercise is required.

Patient with paralysis which have not taken treatment properly leads to joint stiffness in- reduce joint R.O.M and require proper Range of motion exercises at regular intervals.

Restore Movement control /Strengthening exercise of Muscles :

Restoration of Movement control is Main Goal of Physiotherapy Treatment. In hemiplegia or stroke related patient where upper motor neurone type paralysis occurs in which brain lost movement control, so physiotherapist are uses various neuro technique/Approach to restore movement control such as Rood’s approach, Bobath approach, PNF Technique and weight bearing exercise.

Strengthening Exercise of weak muscles are useful in lower motor neurone type of paralysis. Manual Muscle Testing (MMT) are done from 0 to 5 Grade and according to which strengthening Exercise are started. In Nerve Palsy Physiotherapist also use electrical stimulation (ES) to strengthen muscle and rarely use Russian current.

Balance Training Exercise :

Loss of Balance are common in paralysis patient, so according assessment of Balance in sitting position, standing position and walking balance training are required.

Main 2 type of Balance are

• Static Balance
• Dynamic balance

This Balancing exercise in sitting position and standing position are required, as your Balance are improve Physiotherapist are reduced support and make your Balance activity more challenging with the Help of Balance Board exercise and also use of Gym Ball.

Dynamic Balance training is ultimate goal to achieve if you want to stand and walk without any fear of fall.

Stretching Exercise to Reduce Muscle Spasticity/Tightness :

Stretching exercise to reduce Spasticity/muscle tightness are important part of Physiotherapy Rehabilitation programme. Physiotherapist are take ashworth’s scale of spastic muscle, according which stretching exercise and weight bearing activity treatment are required.

Positional stretching exercise and long stretching exercise with 10 seconds to 30 seconds hold with joint compression-traction are best way to reduce spasticity. Earning Morning stretching exercise and 3 times a day is so important in reducing spasticity.

Muscle Tightness are most common in paralysis due to inactivity mainly seen in Bed-ridden patient, and stretching exercise are useful in paralysis patient.

Deformity Correction :

Limb Deformity are also common in paralysis mainly due to spasticity of one group of muscle or long Bed-ridden position, Body parts moves mainly in flexed position so braces/orthosis play important part in removing muscular deformity with regular stretching exercise helps in removing spasticity and correct the deformity.

Gait Training in Paralysis :

When you are able to stand with Walker or Parallel Bar, Gait training started , earlier lower limb movement restoration or strengthening exercise enough to stand and walk, require proper gait training exercise. Initially use of walker, stick or Parallel Bar and other supporting equipment to help walking. Standing Dynamic Balance Training is Also Part of gait training.