Mowbray Physiotherapy Services

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It is time to stop causing harm with inappropriate imaging for lower back pain

Posted on 16 November, 2016 at 21:50 Comments comments (1)

Copy and paste this link in your browser for an interesting read in regards to lower back pain and X-ray results.


http://bjsm.bmj.com/content/early/2016/10/20/bjsports-2016-096741.extract ;



Research update about MRI findings for disc problem and its association with low back pain

Posted on 3 April, 2015 at 7:00 Comments comments (0)

Low back pain (LBP) is a very common but largely self-limiting condition. The problem arises however, when LBP disorders do not resolve beyond normal expected tissue healing time and become chronic. Eighty five percent of chronic low back pain (CLBP) disorders have no known diagnosis leading to a classification of ‘non-specific CLBP’ that leaves a diagnostic and management vacuum. Even when a specific radiological diagnosis such as disc bulges, disc protrusion or a ‘slipped disc’ is reached the underlying pain mechanism cannot always be assumed. It is now widely accepted that CLBP disorders are multi-factorial in nature.

 

Degenerative changes in the inter vertebral discs are commonly found in spine imaging but often occur in pain-free individuals as well as those with back pain. Imaging findings of spine degeneration are present in high proportions of asymptomatic individuals, increasing with age. Many imaging-based degenerative features are likely part of normal aging and unassociated with pain. These imaging findings must be interpreted in the context of the patient's clinical condition. Disc bulges are common and poorly correlates with back pain.

Recent Systematic review by Brinikji et al, 2014 and Published in American Journal of Neuroradiology revealed that the prevalence of disk degeneration in asymptomatic individuals increased from 37% of 20-year-old individuals to 96% of 80-year-old individuals. Disk bulge prevalence increased from 30% of those 20 years of age to 84% of those 80 years of age. Disk protrusion prevalence increased from 29% of those 20 years of age to 43% of those 80 years of age. The prevalence of annular fissure increased from 19% of those 20 years of age to 29% of those 80 years of age.

So, if your MRI shows disc bulge or some one told you that you have a slipped disc, not necessary it is symptomatic or painful as it is common finding even in the asymptomatic population. Just Cheer up and Call us for an appointment to find out the cause of your back pain.


Irfan


 

IS MY PAIN IS DUE TO SOMETHING IS BEING OUT OF PLACE?

Posted on 25 March, 2015 at 19:45 Comments comments (0)


 

Many people with chronic pain will have been told, and may themselves believe that they have something (e.g. a disc, a bone) out of place, and which needs to be realigned or put back into place for their pain to resolve. This recent article by researchers from Curtin University, including Prof. Peter O’Sullivan from Pain-Ed, discusses this possibility with specific emphasis on the pelvic region. In short, all relevant studies find no difference in pelvic movement or bony alignment between painful and non-painful sides in people with chronic low back or pelvic pain. Many people will of course feel better after undergoing manual therapy of various kinds. However, this improvement is due to reductions in pain, muscle tone and fear rather than realigning of body structures. Unfortunately, being told that you have something out of place can lead to fears about the structural integrity of the body, and increase dependence on others for help. Instead, best practice for such pain disorders should involve a multidimensional approach using a range of physical, lifestyle, cognitive and coping strategies.

Interesting facts and research update about neck ain

Posted on 23 March, 2015 at 5:55 Comments comments (0)

Here is some research update about Neck Pain.

Neck pain is common, It is recurrent, and episodic. It is significantly affecting everyday functional activities and quality of life. Discomfort with daily activities can be greater than for back pain. Outcomes for acute neck pain are surprisingly poor and resolution is incomplete. Faster rate of recovery independently associated with better self rated general health, shorter duration of symptoms whereas, higher disability is associated with the higher level of pain. Physiotherapy in general and manual/manipulative Physiotherapy in particular along with supervised exercises improve the outcomes and reduce the disability. Strong evidence base of manual therapy and exercise in neck pain. However, it is important to assess each patient on individual basis to find common impairments in their muscular and joint system.  If you are currently a neck pain sufferer or have suffered neck pain in past, make an appointment at Mowbray Physiotherapy. Our assessment will assist you to manage your symptoms with specific intervention such as manual therapy, specific exercises and dry needling. 


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