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Click on the body parts or the list below to find out more about your pain and how physiotherapy in [all-and-town][state-name] can help.

• Post-surgery Rehab

  

  About Post-surgery Rehab
  There are many surgical procedures for the lower back including discectomies, laminectomies, and even spinal fusion surgeries. The goal of most of these surgeries is to remove any broken bone, tissues, or discs that may be pressing on exiting nerves from the spine. Furthermore, bringing stability to the spinal area is critical. It is important that you discuss with your physician conservative treatments first, such as physiotherapy before surgery is absolutely necessary.

  How physiotherapy helps
  Physiotherapy plays a critical role in the recovery after low back surgeries. We work closely with your physician to ensure that we follow the surgical protocols in your recovery. Typically, the first phase is to help with pain relief and education in proper movement to protect your surgery site while healing occurs. As your physician clears you for more activities, gentle hands-on therapy and very gentle exercises of the legs, hips, abdominals and supporting muscles begin. Generally, the range of motion begins with and activation of stabilizing muscles.

  As you heal and your surgery protocol allows, gentle strengthening exercises are begun along with specific stabilization exercises to rehabilitate your core muscles that support your spine. Physiotherapy for walking, balance, and spinal coordination is also performed. The goal is to reduce your back pain quickly, protect your spine during recovery, and properly rehabilitate your spine to allow you to return to normal activities. Call us today before or after spinal surgery, we can help!

• Compression Fractures

  

  About Compression Fractures
  Compression fractures in the lower back typically occur in older individuals and those suffering from osteoporosis. However, with severe trauma, such as in an accident, the force can cause a compression fracture in the bones of the spine (vertebrae). There are many minimally invasive surgical procedures today that can stabilize the broken area, such as kyphoplasty.

  The goal of managing compression fractures is to stabilize pieces of bone from moving around and allow time for the bone to heal. Dealing with a compression fracture can be quite painful. Difficulty with getting up/down from bed, a chair, and even difficulty walking are experienced.

  How physiotherapy helps
  Our physiotherapists work with your physician’s protocols for compression fractures. Based on your individual difficulties, we work with you to gently rehabilitate your spinal movement and strength. Our physiotherapists have years of training in helping patients with back injuries and will work with you to relieve your pain, improve your mobility, and strength and get you back to normal activities as soon as possible. Call us today to discover how we can help you relieve your back pain and get back to normal activities!

• Degenerative Diseases

  

  What are Degenerative Diseases?
  Degenerative diseases of the spine fall under the categories of Degenerative Disc Disease (DDD) or Degenerative Joint Disease (DJD). In the spine, this is typically due to age and genetics. The wearing down of the joints or discs causes loss in normal height of the bony segments in the back. This can cause excessive joint pressures, bone-on-bone rubbing, and increased inflammation. Typically with DDD or DJD comes stiffening of the spinal joints and weakening of key spinal muscles.

  How physiotherapy helps
  While the degenerative process cannot be reversed, there is a lot that can be done to improve mobility, reduce pain, improve strength, and improve function. Physiotherapy is the ideal, non-invasive treatment that helps to improve spinal flexibility, and core muscle strength, reduce pain, and improve posture. All of these contribute to less pain and a return to normal or modified activities. Call us today to discover how we can help your back pain and return you to the activities you love!

• Spondylolisthesis

  

  What is Spondylolisthesis?
  Spondylolisthesis is a condition by which one spinal bone (vertebrae) is not in alignment with the other. Typically, a slippage forward is found in the very low back at the 4th or 5th lumbar (low back) vertebrae. This is due to a stretching out of the ligaments that hold the bones together or possibly a fracture. With poor posture and weakened abdominals as well as spinal muscles, the increase in the angle of the spine becomes too much over time, and misalignment of the bones occurs.

  Symptoms can be mild such as general fatigue in the lower back, achy pain, or severe symptoms if there is compression on the nerves exciting the spine or spinal cord. There are varying degrees of severity. Most fall into a mild to moderate category that can be stabilized with improved posture and muscle strengthening. In severe cases, surgery may be necessary to fuse the area and bring stability back.

  How physiotherapy helps
  Physiotherapy helps to bring stability and support to the lower back pain allowing the muscles to create more support for the overstretched ligaments. We work with you and your physician to create a program that improves mobility in other spinal areas that may be inflexible, strengthen key muscles to stabilize the spine, and educate you on the proper techniques to maintain spinal stability.

  Other areas may need to be addressed such as hip weakness, poor balance, or radiating symptoms to the legs. Physiotherapy can help treat the root source of these symptoms and get you back to feeling great quickly. In the event that surgery is required, we will be with you every step of the way to ensure a thorough recovery.

• Osteoporosis

  

  What is Osteoporosis?
  Osteoporosis is a very common condition in women after the age of 40, but men do suffer from this condition too. Osteoporosis is a thinning of the bones due to the change in calcium depositing and uptake. As we age, this cycle tends to take out more calcium than is put into our bones. Common areas for osteoporosis are in the spine and hips.

  Osteoporosis makes people more susceptible to fractures from ordinary activities. Often, compression fractures in the spine a crumbling of the bone. A lot can be done to address osteoporosis and even improve bone strength. This comes from strengthening exercises, medication, a good walking program, and proper nutrition.

  How physiotherapy helps
  Since strengthening is a critical part of osteoporosis management, physiotherapists are experts in preparing a coordinated, easy-to-do exercise program to target specific osteoporotic areas. Often, people with osteoporosis will also have limited spinal and hip movement, which increases the stresses on bones. Physiotherapists are experts at treating these limitations and restoring your body to a more optimum state.

  We work in conjunction with your doctor to program out a specific treatment plan for you ensuring a road to stronger bones and injury prevention. Call us today to discover how we can help your osteoporosis!

• Herniated or Bulging Disc

  

  What is a Herniated or Bulging Disc?
  A disc is a jelly-like, fluid-filled sac that acts as a cushion between the bones of your neck (vertebrae). Your discs change as you age, drying out and becoming more brittle. In addition, as the discs dry out with age, the change in height between the vertebrae decreases, causing changes in posture and function. In younger adults, the center of the disc (nucleus) is held in place by many rings of the disc (picture a cross-section of a tree trunk). With minor or major injuries, poor posture, and strain, these rings can rupture allowing a pressing outward of the disc nucleus. Finally, as the nucleus reaches the outer edges, the disc can begin to bulge, which in turn can rub and irritate nerve roots exiting your spine.

  In more severe cases, the disc can become herniated, which further presses into the spaces where nerves are exiting. Symptoms can range from localized pain to numbness/tingling in a specific part of the shoulder, arm, or hands. In more severe cases complete lack of sensation, muscle weakness, and paralysis of an area of the upper extremity can occur.

  Changes in posture, strength, and range of motion can all affect the positioning of the disc and how much bulging or herniation is occurring.

  How physiotherapy helps
  The good news is that the majority of bulging and herniated discs can be treated conservatively with physiotherapy. By working with your medical history, symptoms, and testing, our physiotherapists can determine what areas have been affected.

  A thorough plan is then created to relieve pressure on the disc by improving joint function, muscle strength, and posture. Modalities, such as ultrasound or electrical stimulation may be used to reduce pain, muscle spasms, or inflammation. Our therapists work with you to recover lost strength and range of motion. In addition, we then train you on the correct exercises to maintain good posture and reduce the risk of future episodes. Call us today to discover how we can help relieve your pain quickly and restore your function!

• Spinal Arthritis and Spinal Stenosis

  

  What is Spinal Arthritis?
  Spinal Arthritis is a very common area for osteoarthritis and rheumatoid arthritis. The low back takes a tremendous strain throughout our lifetime, supporting the body, moving, sitting, and repetitively bending. In addition to these contributing factors, arthritis can also be affected by genetics, age, previous injuries, diet, and exercise.

  With abnormal forces on the back, the cartilage on the joints at each level of the spine can rub down causing even wear, build up of bone, and eventually bone-on-bone rubbing. This can result in painful movement of the spinal joints and chronic, achy pain in the lower back. Much like an arthritic knee, the spinal joints are helped by restoring natural movement, improving support from the spinal muscles, and proper posture.

  What is Spinal Stenosis?
  Spinal Stenosis is a condition that typically goes hand in hand with spinal arthritis. Spinal stenosis refers to a narrowing of the central spinal canal or the canals where the nerves exit the spine to the lower legs (called foramen). These canals are made up of overlapping spinal bones (vertebrae) over one another. With degeneration of the spinal joints, collapsing of the disc height or abnormal bone growth, the canals can narrow. This leads to rubbing and even pressure on the nerves, which can cause a multitude of symptoms.

  How physiotherapy helps
  Physiotherapy can have a very positive effect on patients with spinal arthritis and spinal stenosis. While our therapists cannot revert your arthritis degeneration, we can restore more natural movement to the spinal joints, improve flexibility to increase joint fluid circulation, improve spinal muscle strength, and educate you on correct posture and prevention techniques.

  The result is that you can do more, with less pain. Often, patients report a significant reduction in pain and improvement in daily activities from just a few short weeks of physiotherapy. Call us today to find out more about how we can help you have pain relief from spinal stenosis!

• Mid Back Pain

  

  About Mid-back pain
  Mid-back pain refers to pain in the “thoracic” spine. This is the area from the shoulders down to the mid-back area. Pain in this area can be for a variety of reasons but typically occurs from poor posture or a forward-slouched posture. With this posture, your back muscles stretch out, causing weakness.

  Pain can often feel like a burning or sometimes shooting pain to the mid back area. At times, pain can even feel like it is radiating under the shoulder blade. However, with most mid back pain, it can be difficult to really pinpoint the area it is hurting.

  How physiotherapy helps
  Physiotherapy is very important in treating mid-back pain. Our physiotherapists work with you to discover spinal areas that may not be moving ideally. This limitation in movement can cause strain on the sections above and below that affected area. By improving spinal joint mobility, soothing sore muscles, and restoring posture, your mid-back pain can be relieved quite quickly.

  We then educate you on proper strengthening and postural techniques to maintain your gains in therapy. Call us today to discover how we can relieve your mid back pain quickly and return you to a pain-free life.

• Low Back Pain

  

  About Low Back Pain
  Low back pain is one of the most common conditions seen by physicians across the country. It is said that over 80% of people will suffer some sort of low back pain during their lifetime. Low back pain can occur for a variety of reasons, but typically all have one or more of the following factors:

  • Poor motion and mobility
  • Spinal, abdominal or hip weakness
  • Poor coordination of the spinal, abdominal and pelvic muscles

  While there are many items to mask low back pain, such as medication, it is important to address the true causes of low back pain. Most low back pain is caused by the 3 factors above. When your spinal joints and muscles don’t move properly, tremendous strain occurs in your low back. This causes irritation and inflammation, which build up over time. Typically, low back pain suffers will have more pain after sitting or lying down for prolonged periods, such as getting up from a chair or first thing in the morning after sleeping. With severe pain, reaching or bending down for objects can be limited.

  If pain is felt more with prolonged standing or walking, this can be a result of significant hip or spinal weakness, again causing strain to the low back. With weakness in the spinal, abdominal or hip muscles, the amount of force transferred to the back with everyday activities increases. With bending down, the knees are often not used properly, and the muscles of the spine have to do extra work. This sets up the person for injury with lifting or even something as simple as bending down to tie one’s shoes.

  How physiotherapy helps
  Physiotherapy is one of the best choices to treat low back pain. By addressing the three main issues, your normal back movement and strength can be restored. Our physical therapists focus on your posture, spinal mobility, strength, flexibility and the way you move your body (body mechanics). As we observe and measure these indicators, we can detect weak areas and evaluate where your primary problem is coming from.

  A thorough plan is then worked out to address your core issues and relieve your low back pain quickly. This allows you to have fast pain relief, improving your spinal range of motion and body strength. We also focus on prevention of future injuries and educate you on proper poster and body mechanic techniques. If you are suffering with low back pain, call us today for fast back pain relief that will get you back to your favorite activities quickly!

• Sprain / Strain

  

  About Back Sprain / Strain
  It can be quite easy to sprain or strain your back. A sprain refers to an overstretching injury of the ligaments in your spine, whereas a strain refers to an overstretching injury to your muscles. There are hundreds of small muscles in the spine, which guide the intricate movements of each bone and multi-level joints. This delicate ballet of movement can get into trouble when heavy lifting is involved.

  The majority of people sprain or strain their back when they combine lifting with twisting. The best way to avoid an injury to the lower back is to use your legs when lifting, bending at the knees, and keeping your back fairly straight. If you have to turn while lifting, move your feet, otherwise the strain of lifting while twisting can cause injury.

  Tearing of the tissues occurs during a sprain/strain. While this is often not a full complete tear, the resulting damage can cause significant swelling and pain to occur deep in the back. Typical healing times can take at least 6-12 weeks for complete healing.

  How physiotherapy helps
  Physiotherapy is very important in your recovery from a back sprain/strain. The sooner we can see you, the better. After the injury, it is important for you to receive therapy to reduce the inflammation process as quickly as possible. Often, the root cause of the problem is limited motion in the hips or pelvis and even mid-back which causes abnormal forces in the lower back.

  Our therapists work with you to loosen any restricted areas, improve movement, quickly reduce your pain, and strengthen your core muscles to prevent injury. It is vital that you complete a full course of therapy to ensure that you don’t reinjure your back again. Studies have shown that people who do not properly retrain their core muscles after a sprain/strain injury are more likely to re-injure their back again. Call us today to discover how we can help you quickly relieve your back pain and get back to the activities you enjoy.