In this article we will try to explain low back pain and role of physiotherapy in
Dwarka, pathology that is extraordinarily frequent in the
society in which we live and we will try to give the guidelines in the
prevention and treatment of this problem.
First of all, its definition, pain located in the lower
part of the back, referred or not to the buttocks or the posterior proximal
part of the thighs, and without exceeding in the vast majority of cases the
knees. It affects 60% -80% of individuals at some time in their
lives, with a peak incidence in 45 years. It is one of the most
frequent causes of pathology that cause low back pain.
Types of low back pain
Acute back pain, lumbago, without irradiation, (or simple
lumbalgia)
It is defined by physiotherapist in Dwarka
as that back pain of sudden onset referred to the lower back. The
pain may be of mechanical characteristics, that is, improve
with rest and worsen with movement, or not be modified by effort (not
mechanical), pointing to a cause outside the spine. It is very frequent
due to the lack of good postural habits in daily life and at work.
It almost always starts abruptly when making an
effort to lift a weight or making a false move. This produces a
blockage in the lumbar spine, with pain and attitude or important antalgic
posture. It will be acute in pain processes less than 12 weeks. According
to the best
physiotherapist in Dwarka, it is less than 15 days long. Being
subacute for 15 to 30 days.
Chronic low back pain
or recurrent acute low back pain
It causes a pain that can be continuous,
intermittent or accentuated in certain positions (sitting,
standing, lying down, in anterior flexion, etc.), lasting more than 30
days. Sometimes it manifests as diffuse and vague pain located in the
lumbosacral region. It usually gets worse at night and even causes
fatigue, or in the morning when getting up. There is no blockage as such,
so the person who suffers can walk and move with some freedom, and are actually
prolonged static postures that become intolerable. In many occasions the
cause of this type of lumbago is an imbalance of forces in the spine in
general, which can be caused in turn by overweight and poor posture, explains physiotherapist in
Janakpuri.
They are low lumbar pains, diffuse and often unilateral,
that radiate towards the buttocks, which increase with effort and fatigue and
decrease with rest
Psychosomatic or
emotional low back pain
It is one that occurs without apparent cause and does not
follow any kind of logical pattern, so that the person who suffers does not
know how to clearly explain the place of pain or the situations in which it
appears or disappears. Anxiety, anger and sadness are the emotions that
most often cause lumbago of emotional origin. Although most low back pain
have associated emotional factors.
Lumbosciatica
This disc pathology can be caused by a herniated disc or a
simple disc protrusion. This problem is usually located between L4 - L5
and L5 - S1.
It is important to know what are the risk factors in order
to avoid them. According to top physiotherapist in
Dwarka the most frequent we have: sedentary lifestyle, overweight,
lack of abdominal tonicity, smoking, people who lift weight, drivers,
constipation, depression, anxiety, contained negative emotions, painful rules,
vitamin B and vitamin B deficiencies. omega 3 and 6 fatty acids, bad gesture when running, technical deficit,
among others.
Treatment of low back
pain
We will now explain the treatment that will depend on the
cause that produces it, but in general it will be symptomatic. The most
indicated is to prevent them and once a cause has been ruled out, we will help
to alleviate the pain with the following methods of physiotherapy in Dwarka:
- Electrotherapy:
physiotherapy doctor in
Dwarka can apply both the microwave and the
infrared. Both with the main goal of soothing and reducing
pain. In the case of the microwave, we will work at the joint
level. And with the infrared, at the level of the musculature.
- Lumbar
tractions: to release nerve roots and as a consequence get an
increase in joint travel.
Exercises of flexibilization of the
column; Best physiotherapy
doctor in Dwarka explain some examples:
- Isometric
abdominal and paravertebral: We perform a deep inspiration
through the nose. Then we exhale slowly through the mouth, so that we
press the lumbar area against the stretcher or floor (BREATHING
DIAPHRAGMATIC). Keep the contraction 5-7 seconds and inspire to relax
the posture.
- Abdominals:
In this exercise, we will place our hands on the back of the neck, placing
one hand on top of the other. The cervical spine will be raised as a
board.
- Loin
of cat: Starting in quadruped (supported on the hands and knees and
with the column in a straight position) to catch the air round the back
pulling the column up. We return to the starting position and perform
the exercise in reverse, that is, we will sink the back trying to bring
the column down. We have to draw with the column a convexity and then a
concavity.
Another modality of this exercise is starting in quadrupeds,
we will take air and stretch the left leg and the right arm keeping them
up. When releasing the air, we will rest, and we will do it again with the
opposite arm and leg.
- Mahoetana
position: We stand on all fours, with our arms extended in front
of our head. The exercise will consist in that we will take air by
the nose and when releasing it, we will try to go growing by extending our
fingers of the hand forward. Taking care not to drop the weight of
our body towards the arms.
- Masotherapy:
to relax the lumbar and gluteal muscles.
- Postural
hygiene: With the aim of correcting the vicious posture. It
refers to the correct use of the body at all times. In fact, the
muscles, joints, bones and ligaments must not strain for the body to
function in a healthy way.
When the body position is correct, the internal
organs have enough room to function normally and the blood circulates
more freely.
Learning to live with good posture will make our muscles
protect and support the back in intense efforts.
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