Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.

How does physiotherapy help?

The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.

Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.

Low-intensity back pain can be cured using a combination of heat packs, ultrasound wave therapy and Iontophoresis (using a localized current source to introduce medical ionic compounds to the body).

A physical therapy program for back pain usually has two components:

Passive physical therapy to help reduce the patient's pain to a more manageable level

Active exercises

Passive Physical Therapy - Modalities

The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:

Heat/ice packs

TENS units

Iontophoresis

Ultrasound

Active Physical Therapy - Back Pain Exercises

In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:

Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.

Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.

One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.

Physiotherapy for Back Pain

The body receives its source of energy and nutrition through the blood, which is the transport medium. The blood runs through a highly complex network of blood vessels, with the aorta being the largest one. It originates in the heart, the left ventricle precisely and supplies oxygenated blood to all parts of the body. Coarctation is a condition where there is a narrowing of the aorta. The heart, therefore, has to exert extra pressure to push out blood so that blood supply to the target organs is not affected.

The exact cause of aortic coarctation is not known, though it often develops at birth and so is known as a congenital disorder. Depending on the severity of the narrowing, symptoms develop at various times in life. While some infants demonstrate symptoms, some may not show any symptoms well into adulthood. Infants with severe narrowing may manifest the below symptoms quite early in life.

Difficulty in breathing may gasp
Difficulty in feeding
Be extremely irritable
Profuse sweating
Pale skin
When these symptoms are not noticed and treated in time, the child may have heart failure or even die. If the symptoms do not manifest early in life, the infant can grow into childhood quite normally. Symptoms may then manifest which would be different, as below.

Increased blood pressure
Headaches (frequent)
Weakness in the muscles
Nosebleeds
Chest pain
Frequent fainting spells
These are generic symptoms and it is difficult to suspect coarctation of the aorta. Therefore, further imaging would be required to rule out coarctation of the aorta. There are some risk factors, most related to the heart, which puts one at increased risk of developing aortic coarctation.

Bicuspid aortic valve
Aortic valve stenosis and/or regurgitation
Mitral valve stenosis and/or regurgitation
Patent ductus arteriosus
Treatment: Diagnosis is the first step in treating coarctation of the aorta. This would include a series of imaging tests including an echocardiogram, electrocardiogram, chest x-ray, CT scan, and MRI.
Surgery is often the most definitive mode of treatment, and the approach chosen depends on the severity and stage of identification. The most common approach is to open up the narrowed portion and keep it from collapsing again, so that blood flow is restored. This is known as a balloon angioplasty and stenting. Some of the other procedures used include:

Resection with end-to-end anastomosis
Bypass graft repair
Subclavian flap aortoplasty
Patch aortoplasty
In all affected individuals, after surgery, medications are prescribed to maintain blood pressure levels, which is often increased. In addition, lifestyle changes including exercise and healthy eating habits have to be developed.

Coarctation of the Aorta - Symptoms and Treatment

A broken bone or a crack in the commonly known as a fracture. Any bone in the arm can be broken, but common areas for fractures in the arm is wrist, specifically the distal radius, forearm bones (radius and ulna), elbow, humerus and shoulder. 

What causes fracture in bones?

Fall: Falling an outstretched hand or elbow is the most common cause of a broken arm.
Sports injuries: Direct blows and injuries on the field or court are a common cause of all types of arm fractures.
Significant trauma: Any of your arm bones can break during a car accident, bike accident or other direct trauma.
Abuse: In children, a broken arm may be the result of child abuse.
How to identify?

An audible snap or cracking sound may be your first indication you've broken an arm.

Signs and symptoms include:

Severe pain, which may increase with movement
Swelling
Bruising
Deformity, such as a bent arm or wrist
Inability to turn your arm from palm up to palm down or vice versa
When to see a doctor?

If you have enough pain in your arm that you can't use it normally, see a doctor right away and do the same for your child. Delay in diagnosis and treatment of a broken arm, especially for children who heal faster than adults do, can lead to poor healing and deformity.

Fracture In Upper Limb Bones - 4 Things That Can Cause It

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
Opiates, for example, hydrocodone, for pain relief
Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
Exercise routinely to help you recover quickly.
Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Spondylitis - Can Non Surgical Methods Help You?

Top tips to help you fight anxiety

Anxiety is the latest problem affecting a majority of the population, owing to our hectic and fast-paced lifestyles. All of us are so busy in our lives that we forget to provide our mind and body with the basic care that they need in order to function effectively. Here are five useful tips to help you overcome anxiety, on a daily basis.

1. Maintain the right diet
Though it may sound like a cliche, maintaining a healthy diet on a regular basis is the key to beating anxiety. Try and consume food products rich in Vitamin b which is known to improve mental health; and Omega-3s which can effectively counter severe anxiety and depression.

2. Get adequate sleep
Not getting enough sleep not only affects your mind but has an adverse effect on your body as well. Even anxiety can result in irregular sleep patterns and thus ensure that in any situation, you manage to get six to seven hours of sleep on a daily basis.

3. Engage with people
Man is indeed a social animal. People make us happy. The hormone oxytocin significantly reduces anxiety levels and it is released during the process of socializing; thus it is essential to be in contact with your close group of people.

4. Keep your immediate environment clean
A cluttered home or workplace not only adds to physical clutter but contributes towards building up mental clutter as well. Spend a few minutes every day in keeping your immediate environment clean and organized. You are bound to feel calmer and more relaxed.

5. Indulge in breathing exercises
When your brain is tensed, your breathing pattern automatically becomes short and shallow. In order to send relaxing signals to your brain, try taking deep and long breaths and continue the process for a few minutes.

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5 Most Effective Ways To Drive Anxiety Out Of Your Life

Do you have someone who is passive-aggressive in your life? Perhaps your parents, your siblings, your partner or your friends? It can be difficult to handle such a person. When two people, who are having a healthy relationship with each other are angry with each other, they show anger, they say that they are upset, they discuss things and sort things out. There are so many different ways to express anger. But when it comes to a person with passive-aggressive behaviour, it is not going to be the same when they are angry. This is basically a way to express anger indirectly, as they are unable to or uncomfortable to express their feelings and anger openly.

They need help, and it is you who will be able to help them get out of this pain or anger. Here are six steps to changing someone's passive-aggressive behaviour:

When there is an argument going on between both of you or when one of you is angry, do not say something or do something negative. This will make them shut down completely and they will never open up. It may also happen that the situation gets worse. So, take some time and calm down.
Do not go for any guesswork. You are trying to help someone to get over his/her passive-aggressive behaviour. You need to know what they actually feel. So, ask them how they feel and if they have anything to say about it. This can help them open up.
Brainstorming can be one of the best steps. Yes, if you think that you often argue on some common point, then you need to come up with a solution for it first. Ask for their opinion, make a list of all the points and try to make it as detailed as possible.
Check out the pros and cons of your opinions. When you are done with brainstorming, you need to consider each opinion or decision you made in order to make sure that both of you are comfortable with it.
Choose a win-win situation. In other words, pick up those solutions which make both of you happy.
Execute your opinion or plan and evaluate if it is working for you. If plan A does not work for you, then you can still consider the other options that you left behind to draft a plan B.
Communication is very important and when you are able to communicate well, you will be able to get what you actually need. You should start to think that your feelings are valid and learn to enjoy how good it feels when others value your feelings. Open up and talk!

Passive Aggressive Nature - 6 Things You Can Do To Help!

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