Tag: back pain

Acute Wry Neck

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Have you ever woken up with an inexplicably stiff and painful neck that will only turn to one side? You might have been suffering from acute wry neck, a painful condition following a typical pattern of symptoms. In the clinic, wry neck is classified as one of two different types – Facet or Discogenic wry neck. 

Facet Wry Neck:

Facet joints are found on either side of the spine and allow controlled rotation and side bending of the neck. An awkward or sudden movement of the neck can cause a part of the joint capsule to tear or get caught in the joint, making it feel locked. The muscles around the area can also become tight and spasm, which amplifies the pain. The pain is usually sharp and can be pinpointed quite accurately to the part of the neck causing the problem, and the pain rarely travels down into the arm. It is usually possible to find a resting position where the pain goes away completely, only having pain when turning in specific directions. The good news about Facet Wry Neck is that your physiotherapist is usually able to help you ‘unlock’ the neck quite quickly with gentle mobilisations. Most of the time, a full recovery can be expected within a week. 

Discogenic Wry Neck: 

The vertebrae of the neck are separated from each other by fibrous discs, filled with a gelatinous centre. These discs provide support, flexibility and shock absorption. When placed under pressure, these discs may bulge or tear, and the resulting swelling can cause pain and muscle spasm in the surrounding area. It is important to note that in an area as sensitive as the neck, a small amount of damage can result in a large amount of pain. 

 

The development of discogenic wry neck is usually due to a combination of factors, including neck stiffness, poor posture and biomechanics than can contribute to the disc being vulnerable prior to the injury. In this case, it can be challenging to find a comfortable position, and it is more likely for the pain to travel into the arm and include pins and needles.

 

Treatment of discogenic wry neck is focused on reducing pain and muscle spasm with massage, taping, heat and postural education. Further treatment aims to reduce any stress that is being placed on the disc, mobilise any stiff spinal segments and correct any muscle imbalances. While the initial symptoms may settle down quite quickly, it can take up to six weeks to fully recover from discogenic wry neck. In this condition, it is also essential to address all the factors that may cause a recurrence of the issue.

Clinical Pilates – What is It and Is it for Me?

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Pilates is one of the most popular forms of exercise worldwide.  It is a mind-body conditioning exercise program that utilises a variety of different exercises to improve core muscle awareness and strength as well as posture, balance and flexibility.  Pilates classes are taught by a variety of different instructors in various locations.  A lot of Pilates classes are taught in fitness centres by fitness instructors and may not be specifically targeted to different populations or injuries/physical limitations.

Clinical Pilates combines traditional Pilates exercises with the knowledge and skills of a physiotherapist (or other suitably qualified health professional).  This enables the physiotherapist to specifically choose, modify or adjust exercises that meet an individual’s needs based on careful observation and clinical assessment.  The specific choice of exercises can be the difference between an exercise program that is effective and one that is not or has a potential for increased injury risk.  Clinical Pilates teaches body awareness, optimal posture and movement patterns, flexibility, improved balance and reaction time as well as improved local and global muscle strength.

 

At Hinteractive Physio, we offer clinical Pilates in either a mat or equipment (Pilates reformer machine) based setting.  Clinical Pilates is generally suitable for most people, however those who find it difficult to get on and off the ground, may prefer the Pilates equipment classes.  Classes run for just under 60 minutes and if clinically required for injury or condition management may be claimed through your health fund.  You will need to make an appointment with a physiotherapist for a Pilates assessment.  During this assessment, the physiotherapist will take a history of current and past conditions, assess your physical limitations or requirements for optimal functioning, assess your core muscle activation and control levels, and teach you the basic terms and positions that you will require for your Pilates program.  This initial Pilates assessment is claimable through your private health insurance.  If you have any questions regarding clinical Pilates or if it may be of benefit to you, please contact our friendly staff on 5442 5556 or drop in to the clinic at 3/11 Garnet Street Cooroy.  Alternatively, a current timetable and class information is available on our website: www.hinteractivephysio.com.au

 

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Are Your Kids Finding Studying a Pain?

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As we head towards the final part of the school year, our school kids are studying for school exams and carting ever increasing amounts of text books home. Unfortunately for a lot of kids, the long hours spent hunched over the books results in neck pain, back pain and headaches.  Sitting puts a lot of strain on the spine, especially when combined with the flexed postures often seen when using a computer or reading for prolonged periods.  Despite the need to study, there are ways to minimise the strain on the spine and prevent the pain and headaches from occurring.

Firstly, having a good posture and desk set-up for studying are essential.  Make sure that you are sitting with your bottom as far back in the chair as possible and if your lower back is sore, place a small cushion in the curve of your lower back to support it.  If your feet cannot touch the ground, get a small stool to place them on.  If you have an adjustable chair, ensure that the height of the chair allows you to look at your computer screen without looking up or down too far.  When reading textbooks, use a book support or place them on a cushion, bringing them closer to your eyes and requiring less forward bending of the neck and rounding of the shoulders.

Secondly, taking mini breaks every 30-60 minutes allows some relaxation and stretching of the muscles which become tight when studying.  Make sure you stand up, walk around and stretch the neck and back muscles.  These short breaks will allow you to continue to study for longer with less pain.  In addition to mini breaks, ensuring that you get regular exercise is important for numerous factors.  Exercise has many positive effects including keeping your muscles strong and flexible, improving your concentration and memory, as well as improving your sleep quality.  Despite these positive effects, many people stop exercising when they are studying due to time constraints.  As you can see though, a small time sacrifice for exercise will be outweighed by the benefits.

If you are suffering with neck or back pain from studying, get some assistance as soon as possible so that you are not sitting through exams in pain.  Seek assistance from your local qualified health professional. Hinteractive Physio has experienced therapists who can assess and treat the cause of your pain as well as offering a youth Yogalates class which combines yoga and pilates to improve posture, flexibility and strength. Hinteractive Physio can be contacted on 5442 5556 or visit our website: www.hinteractivephysio.com.au

How to Stay Comfortable in the Saddle

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Horse-riding is a very common activity among hinterland residents and is a great form of exercise. Back pain is also a common complaint, so, when is horse-riding beneficial and when it is harmful? What exercise should you do to help prevent back pain from riding and reduce your time off the horse.

Riding with a good technique uses most muscles in the body. Sitting on a saddle with a controlled, upright posture requires the core muscles to stabilise the body against the movements of the horse. This type of activity is great for the spine, as long as good posture and core stability are maintained. Problems occur when people are suffering with back pain and have lost their core control before they start riding, or when they are riding with poor posture and control or for longer periods than their fitness allows. Getting a horse to move in certain ways under command requires whole body strength along with core stability.

As physio’s we tend to see more injuries from looking after horses than we do from riding. The manual work required to look after a horse requires lots of lifting, bending and twisting. These repetitive actions are known to be harmful to the spine and often lead to injury. Be aware of your spine when you are cleaning and maintaining your horses. Use your legs more than your spine for lifting and turning and consider a back support if you have had a previous injury.

Most people ride on a weekend basis and may not be physically fit enough to cope with the length of ride and postural control required. Having good cardiovascular fitness is essential, so this type of exercise (eg. Walking, swimming, running, cycling) should be incorporated into your lifestyle. Core stability exercises such as pilates and fitball exercises will ensure that the postural muscles have the endurance required to support the spine during horse-riding. If you are already suffering with back pain, it is essential to have these muscles working well before you return to riding.

Seek advice from a physiotherapist early to avoid chronic back pain or time out of the saddle. Craig and Rebecca Steele operate Hinteractive Physio and can be contacted on 5442 5556.

Taking the Pain out of The Road Trip

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Well school holidays are just around the corner and Christmas is less than a month away, so many of us will be packing up the cars and starting the traditional road trip. For many people though, the thought of long car drives makes them cringe, with the memories of back aches and neck stiffness flooding back quickly. But it needn’t be such a painful experience! With some easy tips and a few exercises, you’ll be arriving at your destination full of the Christmas spirit instead of a belly full of paracetamol.

But like most things, preparation is the key. If you have any niggling problems, get them sorted out before you go away. This way, you are starting your trip in good physical condition, rather than having to stop half way for urgent treatment. If you have room in your vehicle, be sure to pack your own pillows. This reduces those “wry” necks when you wake on the first morning of sleeping in a strange bed with a strange pillow. Next step- check your car set-up. Make sure that your seat is adjusted to provide optimum lumbar support and reduced arm straining to reach the steering wheel. Headrests need to be positioned so that they are not pushing the head forward, as this will cause neck pain and stiffness.

Most people, and especially those with back pain, will find that the in-built lumbar support in their car seats is not enough to support the lower back on a long drive. Lumbar rolls (round or d-shaped foam rolls) are a cheap and effective way to support the lower back while driving. They are simply placed in the curve of the lower back between the chair and the spine, and help to hold the natural lumbar curvature of the spine. Place your backside as far back in the chair as it will go, to help reduce “slouching”.

Try and stop every hour or so to reduce muscle and joint fatigue. Simply go for a short walk and try the following stretches.

  1. Place your hands in the hollow in the lower back and gently arch backwards as far as comfortable. Repeat this 5-10 times.
  2. Place one heel on the ground with the toes pulled back. Lean forward, poking the bottom out the back until you feel the stretch in the back of the thigh. Hold 20 seconds and sway sides.
  3. Stretch your neck by looking on a diagonal into your armpit. Hold 20 seconds and swap sides.

Obviously, if you have any specific problems you should consult a therapist before you go, to get more specific exercises for your body. So with regular breaks, not only will you be protecting yourself from driver fatigue, but you will be doing your body a favour.

For more information on back supports or exercises, contact your health professional. Craig and Rebecca Steele own Hinteractive Physio and can be contacted on 5442 5556.

Ladies – How’s your “core and pelvic floor?”

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By Rebecca Steele

With Mother’s Day fast approaching, it is timely for all women to have a think about the health of their “core and floor”. The “core” muscles, refers to the deep muscles of the abdomen and lower back which have a stabilising role in the body and help to maintain a good posture. In addition to this important function, in women who are pregnant or have had a baby, they are vital for minimising the strain placed on the lower back while pregnant, and help to re-gain abdominal tone post pregnancy. A lot of women perform sit-ups diligently, but still have the tell-tale “pot belly” in the lower abdomen due to the lack of tone and endurance in the core muscles. The deep abdominal “core” muscles do not just return to normal function after they have been stretched, cut (caesarean section) or inhibited by moderate to severe back pain. They need specific exercises which can be taught to you by a physiotherapist or other suitably qualified fitness professional. The up-side to getting your core muscles working again is that the overall tone of your abdomen will improve, along with your posture.

The other essential health area for women to be aware of is their pelvic floor. Most women have heard of pelvic floor exercises but aren’t exactly sure of what they need to do and if they are doing it correctly. There are also some myths surrounding whether or not they should be performed while pregnant. The pelvic floor muscles are a sling of muscles which run from the tail bone at the back, through to the pubic bone at the front of the pelvis. The openings for the bladder, womb and bowel, all pass through the pelvic floor muscles, which are essential for the optimal functioning and support of the pelvic organs. Weak pelvic floor muscles can develop for numerous reasons, including pregnancy, childbirth, hormone changes, straining to pass bowel motions and chronic coughing. It is essential for all women, regardless of their age, to understand how to correctly perform a pelvic floor contraction, and ensure that they exercise the muscles regularly, especially when pregnant and following the birth. Like any muscle, if you don’t use it, you lose it. This is even more important as we age, as the hormone effects contribute to muscle weakness. Weak pelvic floor muscles can contribute to prolapses, incontinence and urgency symptoms in the bladder and bowel.

The “core” and “floor” (pelvic floor muscles) work together to provide a support network to the trunk from around and below. Squeezing up your pelvic floor while you are training your core muscles can assist the core muscles to work. However, if you suffer from pelvic floor weakness or incontinence, it is important to ensure you are performing an adequate pelvic floor contraction before doing core exercises, otherwise, more strain can be placed on the already weak pelvic floor. The good news is that pelvic floor weakness and incontinence can often be managed by a physiotherapist who has had extra training in assessing and treating conditions of the pelvic floor. Core muscle exercises can be provided by a physiotherapist, or suitably qualified health/fitness professional.

If you have any concerns about your “core and floor” please contact an appropriate health professional. Rebecca Steele co-owns Hinteractive Physio in Cooroy and can be contacted on 5442 5556.

What is Physiotherapy and Can it Help Me?

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As physiotherapists, we are often asked what we do and how it benefits the client. Physiotherapists primarily deal with movement. Another words, we ensure that your body functions and moves in an optimal, pain free and effective way. Problems with movement can be related to congenital (birth) issues, be a result of an accident, sporting or workplace injury, or be due to a major medical event such as a stroke or neurological condition. So whether you are young and active or elderly and sedentary, chances are at some stage in your life, you may benefit from physiotherapy.

Physiotherapists use a variety of techniques to ensure the optimal functioning of the muscles, joints and nerves. These include joint mobilisation or manipulation, muscle releases/massage, muscle retraining, exercise programs, electrotherapy to speed up healing and reduce inflammation, strapping and assistance with using various aids or braces. These techniques are used to help treat a variety of problems, including:

*Back pain
* Neck pain, headaches and whiplash,
*Arthritis
*Sports Injuries
* Rehabilitation from neurological disorders such as stroke, head injuries
* Upper limb pain including RSI, rotator cuff strains, tennis elbow etc
* Childrens problems such as cerebral palsy
* Pregnancy pain and weakness as well as incontinence

When you visit a physiotherapist, they will take a detailed history, perform a thorough physical examination, provide hands on treatment to address the problems found, advise you on the best course of management for your condition, and provide a home exercise program for you to optimise your physiotherapy consultation. The number of consultations required will depend on the severity and duration of your problems. If you have any queries about how physiotherapy may help you, please call your local physio who will be more than happy to answer any questions.

Rebecca Steele owns Hinteractive Physio in Cooroy and can be contacted on 5442 5556.

Are Your Kids Finding Studying a Pain?

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It’s at this time of the year that our high school kids are studying for their most important school exams. Unfortunately for a lot of kids, the long hours spent hunched over the books results in neck pain, back pain and headaches. Sitting puts a lot of strain on the spine, especially when combined with the flexed postures often seen when using a computer or reading for prolonged periods. Despite the need to study, there are ways to minimise the strain on the spine and prevent the pain and headaches from occurring.

Firstly, having a good posture and desk set-up for studying are essential. Make sure that you are sitting with your bottom as far back in the chair as possible and if your lower back is sore, place a small cushion in the curve of your lower back to support it. If your fee cannot touch the ground, get a small stool to place them on. If you have an adjustable chair, ensure that the height of the chair allows you to look at your computer screen without looking up or down too far. When reading textbooks, use a book support or place them on a cushion, bringing them closer to your eyes and requiring less forward bending of the neck and rounding of the shoulders.

Secondly, taking mini breaks every 30-60 minutes allows some relaxation and stretching of the muscles which become tight when studying. Make sure you stand up, walk around and stretch the neck and back muscles. These short breaks will allow you to continue to study for longer with less pain. In addition to mini breaks, ensuring that you get regular exercise is important for numerous factors. Exercise has many positive effects including keeping your muscles strong and flexible, improving your concentration and memory, as well as improving your sleep quality. Despite these positive effects, many people stop exercising when they are studying due to time constraints. As you can see though, a small time sacrifice for exercise will be outweighed by the benefits.

If you are suffering with neck or back pain from studying, get some assistance as soon as possible so that you are not sitting through exams in pain. Seek assistance from your local doctor or qualified health professional.

Rebecca Steele owns Hinteractive Physio a Cooroy based Physiotherapist and can be contacted on 5442 5556.

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