Doctor in Dharamshila Hospital and Research Centre
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
Submit a review for Dharamshila Hospital and Research CentreYour feedback matters!
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 of 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 the defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is the 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 for 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
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Lower back pains may underline a host of diseases, some of the most distinctive being the degeneration of lumbar disc and strain of back muscles. If left unattended, these acute durations of severe pain can lead to further complications, beyond the scope of both active and passive physical treatment regimes. Hence, it is always recommended to attend to these minuscule symptoms as soon as they are detected.
How physiotherapy works wonders in lower back pains:
- Physiotherapy is recommended when lower back pains are frequent, or stretch for days at a time. Most medical literatures, which shower their unanimous support in favour of physiotherapy for back pain, make note that physiotherapy relieves pain, as well as improves the functions, which are most likely to be affected by this disorder.
- Pain emanating, following a surgery, is recognized as one of the most significant aspects where benefits of physiotherapy are more visible. Generally, patients are advised to undergo physiotherapy sessions after surgical procedures irrespective of age and gender, unless the move is contraindicated in specific cases.
- Muscular spasms and muscle shrinking is a highly familiar phenomenon observed in individuals who are relatively less active. Muscle shrinking can often be attributed to very low usage of certain muscles, while muscle spasm can occur when neurons at the affected muscles are irritated. Physiotherapy is observed as both the first line as well as the second line of treatment regimen in such occurrences; a routine for gradual and slow stretching is recommended by physiotherapists involving the muscles of legs, hips, abdomen and lower back, based on their intensity of pain.
- Advanced stages of a physiotherapy treatment regime upgrade the simple stretching exercises to more rigorous ones like specific stabilizing drills, exercises involving balancing machines and/or exercise balls. This aspect of physiotherapy caters to the secondary spine muscles of the human body.
- The area of the body considered to be the core of lower back pain (lower back muscles and muscles of abdomen) requires more than just stretching or exercises involving machines. Workout focused on these core areas are based on a complex set of exercises, which may have to be improvised such that the aforementioned muscles absorb the maximum shock.
- In addition to these conventional exercises, which are based on applications of gravity, some centres offer a different environment for individuals who are unable to perform activities in normal conditions. The concept of aquatic pools addresses the issue, and makes exercising quite an easy feat for the physically challenged individuals.
Today I'm sliped by step and now I'm suffering foot pain I send my foot image please replying me what to do for me?thanks.
I run upto 3-4 kms daily. I am feeling weakness in my knees instead of proper protein diet also I am feeling pain in my feet bones. What should I do?
I had acl reconstruction surgery two days before and m on complete bed rest from then. Should I start walking because my leg has now become tilted and when I try to put it down it pain .What should I do?
I have a ACL tear on both the legs. Is there any other way than surgery to heal them? Doing regular exercise and. Will effect on knees?
I am 40 years old female from Baroda and have joint pain (system sclerosis disease) my right hand small finger is band now. What should do now?
After geting up from bed, my heels pain for 10-15 minutes and then turns normal. Do I need to worry or its normal?May age 44 and Male, sedentary life style.
My neck at right side bottom (from where back/shoulder starts) was paining since yesterday morning. I massaged it by hands by trying to press exact points. In night, I put towel below neck but in sleep for 1 hour ingot up with my back of head feel numb. I massed for 10 mins at back of head to reduce tht numbness. Then I removed tht towel and sleep on floor. Got good sleep till 5 am, now just I got up but my neck is so stiffed, I am unable to move it. It pains when I try to move. I had pain in neck before too at different point. I think I have posture related nerve problem as I found myself sit on sofa on one side (right) than right. I found myself when I sit on floor to eat food, after eating when I get up, my lower back (behind tummy) feels heavy and feel strain at lower back for 2 mins then get normal. Any chiropractor? It's nerve related. please help out with right diagnosis.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
What is the treatment or therapy of a dislocated shoulder?
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.