What is Low Back Pain: Types And Treatment

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.

Finally, it is important to remember how important it is for the treatment of low back pain, prevention, and for this each person must acquire good postural habits to carry out the activities of daily life, without damaging the back, in addition to fleeing sedentary lifestyle. With all this, we will get a muscle free of muscle tension.

How the Use of Tablets and Mobiles Influences the Cervical Spine

In less than a decade the technology has advanced so fast in terms of lighter and more portable electronic devices with the creation of tablets or Smartphones, to be connected to the network at any time of the day, whether at home, office, during a walk, etc. But it has also had a direct impact on our health, specifically in our cervical spine, producing pain at the level of the neck, due to the postures we adapt while handling these devices. Such has been the increase of the pain that has been described by physiotherapist in Dwarka as Text Neck Syndrome.

Neck pain has increased exponentially according to the best physiotherapist in Dwarka at least 42% of minors and almost 50% of adults use this device regularly during the day in unhealthy positions. body, producing changes in the natural anatomy of the body. But what is the real reason for this? 

The anatomy of the cervical spine.

Constituted by 7 vertebrae, between each of 6 intervertebral discs and no less than 30 muscles by their sides, back (nape) and anterior (area of ​​the throat), support and discharge directly and correctly the weight of the head.

The vertebrae joined together, have a natural curvature called lordosis, which relates harmoniously all the muscles of the area. In this way the head is aligned in its natural state and with less use of energy that produces wear to the body. This correct posture can be easily observed if we have the ear lobe aligned with the shoulder.

Due to the effect of gravity, the head goes forward, but the muscles of the back of the neck are constantly in action "pulling" back to the same and avoid changing the natural anatomy of the neck itself, thus maintaining a healthy balance

The movements that we can make thanks to these muscles are the rotation and inclination towards the right and left, flexion and extension of the neck.

Can the use of the tablet cause pain in the neck?

An investigation carried out in India where top physiotherapist in Dwarka reveal that due to the habitual postures that we adapt at the moment of using these devices cause a greater tension of the neck when it is lying down or It is placed on the lap, which can eventually cause discomfort or pain along the neck. Each year the acquisition of the mobile and its presence in the homes of India increases, with 42% of the minors being those who remain using the devices with more time and adults with ages between 35 and 49 years at least one they use it once a day.

What is cervical disc herniation and what are its causes and symptoms?

Discal protrusions or fiscal hernias at the cervical level or in the cervical vertebrae is a problem of increasing relevance due to the frequency with which it occurs in modern society, due in part to life stress, and partly to the adoption of bad postures of work origin, as well as the use of tablets and mobiles. It produces a variety of symptoms: such as radiculopathy or radiculalgia or cervicobrachialgia with loss of strength in the arm and hand and loss of sensitivity, warns physiotherapy doctor in Dwarka.

What is cervical pain and what are its causes and symptoms?

The term cervicalgia refers to a set of symptoms and affections that have in common are the pain of the cervical area of ​​the back.

While we use a mobile we change slowly with our postures the natural shape of the neck, flattens its lordotic curvature, especially when sitting and lowering the head to see better. Producing what is called "neck protrusion" or head forward.

The protrusion of the head happens when the ear lobe is much anterior to the position of the shoulders, not being correctly aligned with the rest of the body, and may produce future negative effects such as:

• Pain at the level of the neck, due to the use of the posterior musculature.
• Muscle contractures in the lateral or posterior area of ​​the neck.
• Appearance of herniated discs by pressure of the vertebral discs.
• Each centimeter that we advance the head can increase 5 g the weight that support our vertebrae, reaching a dangerous number of 13 Kg.
• The advanced head can, over the years, produce osteoarthrosis or osteoarthritis.

We are all prone to suffer from these bad positions, but we must pay attention to children and young people, because every year they increase the use of these devices at an early age and we do not pay attention to their positions, suggests physiotherapist in Janakpuri.

Recommendations to avoid pain in the neck while using the tablet.

• Use these devices as much as possible, at the level of our eyes to avoid lowering the head and keep the neck straight and straight.
• Use a base on the table that can raise the view a little more and avoid loading the device with the arms.
• We must avoid long journeys using these devices, every 15 or 20 minutes take a break, to stop, walk, and thus promote a change of position.
• Maintain a regular physical activity to promote proper circulation and blood supply to our muscles. 
• Create a schedule of use for the little ones in the house, since from an early age they can develop pains characteristic of adulthood. 
• Correct the bad postures we observe in the minors when using the tablet, muscle shortening can be established from the early years of childhood and adolescence.
• Avoid using these screens before sleep, directly affects sleep cycles causing greater difficulty in sleeping and increase the chances of suffering from diabetes, obesity, depression or heart problems.
• In the same way avoid using the tablet as soon as your eyes open early in the morning, as it produces fatigue and visual stress.
• Every year the number of people sensitive to electromagnetic waves generated by electronic devices increases, therefore it is better to turn them off at night.

Neck pain every year has a high percentage of prevalence as one of the factors that produce discomfort on people at least once a day. Ignoring the discomfort from the first moment can lead to wear and produce pathologies so diverse that increase the chances of performing a surgical procedure over the years. Therefore, it is very important that you take these recommendations with caution for you and your loved ones, so that in a simple way you can keep your neck healthy and begin to change your bad postural habits.

Contact us today to know how to avoid discomfort of neck by physiotherapy in Dwarka.

Home care service in physiotherapy

1.- Concept:

This physiotherapy services at home in Dwarka is aimed at major subsidiaries of a physiotherapeutic treatment as a consequence of the different pathological processes that occur in this vital stage and in the search for greater independence of the patient, individual.

Aging is a biological process that progressively deteriorates the mature organism in apparently healthy individuals. Physiotherapy in Dwarka is aimed at alleviating and delaying, as far as possible, this functional and physiological deterioration.

The general objective of home physiotherapy in Dwarka is convincing: to achieve a state of health in the 3 dimensions: 

·         Physical: treatment in physical capacity 

·         Psychic: concerns, motivation to therapy. 

·         Social: possibility of social relations (mobility, communication, motivation before other people)

2.- Objectives:

General objectives of home physiotherapist in Dwarka: 

·         Delay of physiological deterioration. 

·         Search for motivation and patient collaboration. 

·         Achieve the highest degree of independence in daily activities (washing, combing, going down stairs) and functionality, as well as social integration in their environment. 

·         Avoid hospital admissions and other more traumatic alternatives for the elderly.

Specific objectives of home physiotherapist in Janakpuri: 

To prevent deformities ("senile" stooped posture) and the pain derived from it 

·         To avoid muscle weakness as much as possible, as well as the feared osteoporosis avoiding sedentary attitudes 

·         To keep the joints in good condition. 

·         Maintain the maximum strength and muscular strength before intense exercises within the age of the patient 

Prevention and treatment of the alterations of the different systems done by physiotherapist in Dwarka are: 

·       

  Digestive: constipation, etc. 

·         Circulatory: reduce heart rate, lower blood pressure 

·         Respiratory: improve respiratory capacity 

·         Genitourinary: treat urinary incontinence 

·         Others: sensitivity, intellect, sleep.

3.- Equipment and material needed:

·         Human resources: multidisciplinary team formed by the best physiotherapist in Dwarka, social workers, psychologists, etc. Fundamental family collaboration. 

·         Material resources

·         Dependency: address of the individual, in a place of this the best conditioning for therapy. 

·         Materials: stretcher, canes, bandages, electrotherapy equipment, dry heat systems.

4.- Considerations in the domiciliary treatment:

Consult the medical data of the person to be treated to determine the work intensities and our objective. 

·         Check pulse and tension periodically. 

·         Regular and constant physical activity. 

·         Do exercises that involve the movement of the person. 

·         Special care with injuries. 

·         Perseverance, tenacity and patience to achieve the desired goal.

5.- Subsidiary patients of physiotherapy in Dwarka:

Patients with respiratory problems (both acute and chronic): 

·         Improve their respiratory capacity. 

·         Make them capable of facing a somewhat greater effort at rest without leading to fatigue. 

·         Clean the respiratory system of secretions. 

·         Give health advice (no smoking, fresh air)

Patients with rheumatological processes and osteoarthritis following activities are done by physiotherapy doctor in Dwarka: 

·         Relaxing, toning and analgesic massage. 

·         Improve joints and muscles. 

·         Postural hygiene. 

·         Tips to avoid major consequences.

Patients with neurological problems (hemiplegia, stroke, paraplegia, PC, Parkinson's) 

·         Reeducate their nervous system 

·         Give them the greatest possible mobility and sensitivity 

·         Achieve the greatest functionality in the activities of daily life. 

·         Observe and control the support systems (prostheses, canes, wheelchairs) 

·         Check the neurologist's revisions to see their evolution.

Patients with problems of urinary incontinence: 

·         Prevent it in the case of signs of onset. 

·         Toning exercises. 

·         Advice and considerations to avoid it as much as possible. 

·         Psychological support.

Patients who perform a superior physical activity (sport) within the age in which they are: 

·         Treat possible injuries derived from the activity (sprains, contractures, fractures) 

·         Control the intensity of the exercise. 

·         Advise about the possible problems that sport involves in excess. 

·         Encourage this type of activity among the elderly.

Patients who have suffered a trauma (bone, muscle, nervous), following point should be considered by top physiotherapist in Dwarka: 

·         Prevent from the factors that can cause the trauma: falls, stairs. 

·         Favor the recovery of the trauma with the least possible pain. 

·         Take the patient to the state he was in before the trauma (as much as possible)

Patients with impairment of the intellect (Alzheimer's): 

·         Dynamize the person suffering from dementia, as it is confined due to communication difficulties. 

·         Help in the process of "new learning of the environment" 

·         Collaborate with the family in adapting the home to the needs of the person. 

·         Improve their degree of independence.

6.- Sessions - duration - follow-up:

The sessions of the treatment are one per day with a duration between one hour - hour and a half, which will depend on the abilities of the person treated (fatigue, physical condition, motivation, interest) and of the maneuvers carried out. 

The monitoring is carried out by home physiotherapist in Dwarka through a series of elements: 

·         Initial evaluation: here the initial state of the person is recorded (processes that afflicts, accompanying diseases, general physical state). Objectives are established. 

·         Follow-up report: progress is recorded and no progress is made towards achieving the goals. 

·         Report to the discharge: at the end of treatment the status of the person is established again.

7.- Clinical case: Parkinson's patient treated at home; 

This case is an example (already treated case) of the steps that would be followed:

Sessions: one every 2 days. 

·         Duration of the session: one hour- hour and a half (variable in this space) 

·         Displacement: medium tourism. 

·         Materials: portable stretcher, portable electrostimulation device - analgesia, infrared lamp. 

Practical advice for daily life: 

·         Get ​​out of bed. 

·         Personal hygiene 

·         Dressing 

·         Working in the kitchen. 

·         Eating 

·         Changes in bowel habits. 

·         Control tremor 

·         Walk

·         Talk 

·         Lie down 

·         Get ​​up off the ground 

·         Make activities as independent as possible. 

·         Change position in the bed.

·         Correct posture

To keep fit: 

·         Head and neck exercises. 

·         Exercises for shoulders. 

·         Breathing exercises. 

·         Exercises for hands. 

·         Exercises for feet. 

·         Exercises for legs.

Number of sessions: 10 sessions.

Improvements achieved: the patient manages to perform daily activities with greater independence, the tremor has decreased when moving and presents fewer difficulties when starting to walk. His motivation and mood is better because he is better able to fend for himself. He knows how to perform each exercise and is aware of the importance of these.