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BACK PAIN HELP!

Back pain (also known "dorsalgia") is pain felt in the back that usually originates from the muscles, nerves, bones, joints or other structures in the spine.

What is Back Pain?

The pain can often be divided into neck pain, upper back pain, lower back pain or tailbone pain. It may have a sudden onset or can be a chronic pain; it can be constant or intermittent, stay in one place or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. The pain may be radiate into the arm and hand), in the upper back, or in the low back, (and might radiate into the leg or foot), and may include symptoms other than pain, such as weakness, numbness or tingling.
Back pain is one of humanity's most frequent complaints. In the U.S, acute low back pain (also called lumbago) is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.
The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain. Large nerves that originate in the spine and go to the legs and arms can make pain radiate to the extremities.

Back Pain Classification

Back pain can be divided anatomically: neck pain, upper back pain, lower back pain or tailbone pain.
By its duration: acute (less than 4 weeks), subacute (4 – 12 weeks), chronic (greater than 12 weeks).
By its cause: MSK, infectious, cancer, etc.

Associated Conditions With Back Pain

Back pain can be a sign of a serious medical problem, although this is not most frequently the underlying cause:
Typical warning signs of a potentially life-threatening problem are bowel and/or bladder incontinence or progressive weakness in the legs.
Severe back pain (such as pain that is bad enough to interrupt sleep) that occurs with other signs of severe illness (e.g. fever, unexplained weight loss) may also indicate a serious underlying medical condition.
Back pain that occurs after a trauma, such as a car accident or fall may indicate a bone fracture or other injury.
Back pain in individuals with medical conditions that put them at high risk for a spinal fracture, such as osteoporosis or multiple myeloma, also warrants prompt medical attention.
Back pain in individuals with a history of cancer (especially cancers known to spread to the spine like breast, lung and prostate cancer) should be evaluated to rule out metastatic disease of the spine.
Back pain does not usually require immediate medical intervention. The vast majority of episodes of back pain are self-limiting and non-progressive. Most back pain syndromes are due to inflammation, especially in the acute phase, which typically lasts for two weeks to three months.
A few observational studies suggest that two conditions to which back pain is often attributed, lumbar disc herniation and degenerative disc disease may not be more prevalent among those in pain than among the general population, and that the mechanisms by which these conditions might cause pain are not known. Other studies suggest that for as many as 85% of cases, no physiological cause can be shown. 
A few studies suggest that psychosocial factors such as on-the-job stress and dysfunctional family relationships may correlate more closely with back pain than structural abnormalities revealed in x-rays and other medical imaging scans.

Underlying Causes & Sources of Back Pain

There are several potential sources and causes of back pain. However, the diagnosis of specific tissues of the spine as the cause of pain presents problems. This is because symptoms arising from different spinal tissues can feel very similar and is difficult to differentiate without the use of invasive diagnostic intervention procedures, such as local anesthetic blocks.
One potential source of back pain is skeletal muscle of the back. Potential causes of pain in muscle tissue include Muscle strains (pulled muscles), muscle spasm, and muscle imbalances. However, imaging studies do not support the notion of muscle tissue damage in many back pain cases, and the neurophysiology of muscle spasm and muscle imbalances are not well understood.
Another potential source of low back pain is the synovial joints of the spine (e.g. zygapophysial joints). These have been identified as the primary source of the pain in approximately one third of people with chronic low back pain, and in most people with neck pain following whiplash. However, the cause of zygapophysial joint pain is not fully understood. Capsule tissue damage has been proposed in people with neck pain following whiplash. In people with spinal pain stemming from zygapophysial joints, one theory is that intra-articular tissue such as invaginations of their synovial membranes and fibro-adipose meniscoids (that usually act as a cushion to help the bones move over each other smoothly) may become displaced, pinched or trapped, and consequently give rise to nociception.
There are several common other potential sources and causes of back pain: these include spinal disc herniation and degenerative disc disease or isthmic spondylolisthesis, osteoarthritis (degenerative joint disease) and spinal stenosis, trauma, cancer, infection, fractures, and inflammatory disease.
Radicular pain (sciatica) is distinguished from 'non-specific' back pain, and may be diagnosed without invasive diagnostic tests.
New attention has been focused on non-discogenic back pain, where patients have normal or near-normal MRI and CT scans. One of the newer investigations looks into the role of the dorsal ramus in patients that have no radiographic abnormalities. See Posterior Rami Syndrome.

Back Pain Treatment

The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible; to restore the individual's ability to function in everyday activities; to help the patient cope with residual pain; to assess for side-effects of therapy; and to facilitate the patient's passage through the legal and socioeconomic impediments to recovery. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation, which then can lead to long term pain relief. Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better.
Not all treatments work for all conditions or for all individuals with the same condition, and many find that they need to try several treatment options to determine what works best for them. The present stage of the condition (acute or chronic) is also a determining factor in the choice of treatment. Only a minority of back pain patients (most estimates are 1% - 10%) require surgery.

So what is a Physiotherapist?

Todays blog post is going to tell you more about what a physiotherapist is, the training they have had and what to expect when first meeting your Physiotherapist.

so first things first what is a physiotherapist?

The web definition is as follows:

Physical Therapist: therapist who treats injury or dysfunction with exercises and other physical treatments of the disorder.


Not much of an explanation is it. Let me give you our definition of a physiotherapist.

A Physiotherapist is a therapist who helps patients recover from injury and illness. Physiotherapy is a profession, which is very popular in the UK, Europe and Australia.

What is a Physiotherapist?

•    A physiotherapist is a health care professional who specialises in maximising human movement, function and potential.

•    A physiotherapist may work with someone after injury, accident or surgery, or may work to prevent injury for instance with sporting clubs or in the workplace.

•    Physiotherapists work in a wide variety of settings: hospital; private clinics; hospices; nursing homes; a patients own home; the workplace; sports clubs and gyms.

Physiotherapists are the British equivalent of a Physical Therapist

What training does a Physiotherapist have?

•     In July 2005 a law was passed in the United Kingdom protecting the title “physiotherapist” and “physical therapist” restricting its use in the UK to persons who are eligible to register as a physiotherapist with the Health Professions Council.

•    In order to receive a certificate to practice and register with the Health professions council Physiotherapists study for three years to gain a BSc in Physiotherapy. Some universities now also offer an accelerated two year course to students who hold a previous degree in a relevant subject.

•    Once registered with the Health professions council Physiotherapists must maintain a portfolio documenting their continuous professional development, undertaking extra courses and study.

You can check whether your therapist is registered with the HPC on their web site.   

What should I expect if I consult a Physiotherapist? 



First of all the physio will undertake a comprehensive assessment of your problem. This will include asking you a lot of detailed questions about the problem such as how it started, what activities make it better or worse, as well as more general questions about your general health and work, hobbies and sporting activities.
Treatment options depend on the problem that you are having but may include exercises 

to stretch tight structures, strengthen weak ones, improve balance, or change the way you move; hands on mobilisation to move joints; or electrotherapy which is the use of machines such as ultrasound or TENS

I hope you found this helpful and that you now fully understand the term Physiotherapist. Again why not click on the links at the side on this post and come visit our sites. We'd be happy to hear from you.


Also if there is anything you would like to ask, please feel free to leave a comment below and i shall reply to you asap.


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