Lower Back Pain (LBP)
Back pain can be caused by a number of different factors, and the first assessment at Advance Physiotherapy will be spent ascertaining the origin of your pain. The origin of the pain could include;
- Mechanical pain (e.g. joint, muscle, ligament, or disc)
- A pain from an internal structure/organ
- A reaction to medication
Your pain would need to be a Mechanical Pain to be treated with Physiotherapy interventions. If we feel that your pain is from another source, we will write to your GP to advise them.
Treatment can include includes mobilisations, manipulations, soft tissue therapy, acupuncture, nerve mobilisations (if required) and exercise therapy to improve your strength, flexibility, range of movement and promote stability of your back. Where necessary the therapist will offer advice on your posture, seating positions, workstation set up and weight.
As with Lower Back the most important thing is to ascertain the origin of your pain, and that Physiotherapy is appropriate to aid your symptoms.
Treatment is aimed at easing any pain, restoring any losses to your range of movement and advising where possible on prevention strategies in an effort to try and stop a recurrence of your problem. We use similar treatments as with the lumbar spine to achieve these treatment goals.
Whiplash is a term which is often used to describe symptoms experienced by patients after road traffic collisions, but can also occur after other traumatic events including those in sport. The most common symptoms complained of by patients include neck and lower back pain, difficulty moving or lifting your head, headaches, shoulder and arm pain, and occasionally numbness and pins and needles. Symptoms can occur quickly after the accident, or sometime can take a few days to become apparent. The most common area affected is the neck, and it is believed that the abnormal motion or force that is suddenly applied to the affected part of the body during the accident causes movement beyond the necks normal range of motion and results in the injury and pain.
Treatment should include mobilisations, manipulations, soft tissue therapy and exercises to address the reduction in range of movement. In some instances acupuncture and electrotherapy can also be of benefit.
Ligaments are present at joints to provide extra stability. A sprain of a ligament can result from a fall, a sudden twist, or a blow that forces a joint out of its normal position. This results in an “over-stretch” or tear of the ligament supporting that joint.
The usual signs and symptoms include pain, swelling, bruising, and loss of the ability to move and use the joint (called functional ability). However, these signs and symptoms can vary in intensity, depending on the severity of the sprain. Sometimes people feel a pop or tear when the injury happens.
The most common ligament sprains occur at the ankle and knee.
Treatment for both conditions involves reducing any inflammation by following the R.I.C.E. guidelines (see below), joint mobilisations, exercises to address any losses to the range of movement and strength, taping, acupuncture plus advice and guidance on your return to function/sporting activity.
(R.I.C.E – Stands for Rest, Ice, Compression, Elevation.)
The “tendon” is the connective tissue between the muscle and bone. Tendon pain is a very common problem in both athletic and non-athletic populations, and can be occasionally attributable to inflammation (Tendonitis) or more often to changes in the structure of the tendon (Tendinopathy).
There are a number of treatments which we can use to help improve your symptoms including a specific exercise programme to target the changes in the tendon, soft tissue mobilisation, taping, acupuncture, biomechanics assessment and electrotherapy.
A muscle strain is a tearing of some or all of the muscle fibres which make up a muscle. They are graded from 1 to 3 and the grades are based on the percentage of fibres that are damaged in the muscle.
Typically, people with a strain experience pain, stiffness, bruising, muscle weakness and an inability to perform sporting activities.
Treatment includes a variety of soft tissue treatments, nerve glides where appropriate, joint mobilisation techniques alongside specific graded exercises at appropriate stages of your recovery.