Neck Pain Remedies – Pain Free Physiotherapy

Messed up lifestyles, inconsistent exposure to computer screens in wrong postures is giving birth to neck pains. This pain has become common affair amongst masses. People are introduced to neck pains once or more in their lifetime due to their own way of living. Even disc problems and trapped nerves can also be the major case.

Chronic neck pains' irritations are not just limited to neck. Often pains also invite weakness and tingling in the hands, arms and shoulders begin with a neck problem. Besides there are many other side effects associated with the neck pains.

Physiotherapy Treatments – Vital way to eradicate Neck Pain
Neck pains, also called as cervical pain can be overcome with number of ways which are available today in the field of medical sciences. But physiotherapy's standards are incomparable. We at Pain Free Physiotherapy Clinic are well aware about the management of the neck pain.

We treat the root cause and not just the symptoms.

From mild to intense, and hurdle to perform daily task due to neck pains. Annoying of neck pains not just disturbs neck, but other parts. Stiffness or soreness in the neck is often complained by the people.
It has been observed that cervical pains are mainly caused due to trauma and muscle imbalances. Stiffness in the neck is also due to abnormal positioning of the muscles, ligaments and joints. Our teams of physical therapists are blessed with rich experience to determine the root cause of the neck pain. Unlike others, we will never make you satisfied by just treating symptoms. Rather, we eliminate the neck pains through our methods of physiotherapy.

Our professionals are well versed with the treatments which are necessary while treating neck pains. We have highly advanced equipments which are vital for the treatment.


Visit us Pain free Physiotherapy Clinic and BOOK an Appointment Online at +91-800299652, +91-9650877527

Shin Splint Treatment

The pain on the front of lower leg is often referred to as Shin splint. This pain on the front of shin bone can appear due to number of causes. More often it can be categorized into overuse syndrome, resulting from rigorous training.. 

            

Symptoms:

Gradual onset of pain over the shin bone.

Pain before and after a rigorous training

Pain eases during the training phase.

Shin bone pain is the first worst thing noticed in the morning.

Swelling or lumps and bumps felt along the inside of the bone, particularly in more chronic cases where new bone growth as occured through repeated trauma. Occasionally in severe cases reddening of the skin over the inside of the leg from acute inflammation may be seen.

Differential diagnosis:

The Physiotherapist needs to rule out other conditions which can mimic similar symptoms, like

·         Tibia stress fracture,

·         Chronic compartment syndrome or

·         Poplitial artery entrapment.

 

What are shin splints

It is a common term which can include a number of diagnoses or causes and is not an actual injury or diagnosis in itself. It is the name athletes often give to pain along the inside of the shin bone. Medial tibial stress syndrome or medial tibial traction periostitis is a more accurate description of what is usually going on.

The muscles of the lower leg pull on the periosteum or sheath surrounding the shin bone causing pain and inflammation. This is an over use injury resulting from increasing running mileage too quickly, excessive training on hard surfaces and running on your toes as in sprinting repetitions.

Certain biomechanical factors such as over pronation (rolling in) of the feet may be seen or particularly tight calf muscles can increase the likelihood of developing shin pain.

Medial tibial stress syndrome is the most common cause of shin pain which people generally refer to as shin splints. It is primarily an over use injury where repetitive strain causes traction forces on the sheath surrounding the bone resulting in pain and inflammation.

Causes

Although too much running, jumping or sprinting is the obvious cause, there are a number of factors which can increase the likelihood of shin pain developing.

Overpronation occurs when the foot rolls inwards too much flattening the arch of the foot and causing the lower leg to rotate inwards. This in turn increases the stress on the soft tissues of the lower leg resulting in pain and inflammation.

Over supination is where the foot rolls outwards too much during the time the foot is in contact with the ground. If you think you have suspected biomechanical issues then a professional can do gait analysis tests either with a treadmill or using force plates to determine this and whether corrective orthotic inserts for your shoes are needed.

Inadequate footwear such as the wrong type of shoe for your running style or running shoes that are just too old and have lost their support and cushioning can cause injury. Over pronators may require a running shoe with a firmer midsole on the inside to reduce the amount of rolling in (known as a stability shoe or motion control shoe). Supinators usually require a neutral shoe with plenty of cushioning. A specialist running shop can advise.

Increasing training too quickly is one of the more common causes of shin splints. Running on hard surfaces or on your toes as in sprinting and generally doing too much too soon will increase the risk of injury.

Poor flexibility at the ankle can cause increased stress on the soft tissues, muscles and tendons of the lower leg when running. The calf muscles and in particular the tibialis posterior muscle may need stretching. Calf stretches of the use of a plantar fasciitis night splint can help.

Shin splints treatment

Treating shin splints involves reducing pain and inflammation, identifying and correcting training errors and biomechanical problems and restoring muscles to their original condition through stretching, exercises and massage.

Apply the PRICE principles of protection, rest, ice, compression and elevation to reduce initial pain and inflammation. Apply a cold therapy and compression wrap to the painful area of the shin for 10 minutes every hour initially reducing frequency to 3 or 4 times a day as symptoms improve.

Rest - avoid running, jumping or any other activities which make symptoms worse. Replace running with swimming or cycling. If you have to be on your feet a lot then applying a simple shin taping technique can reduce the strain on the lower leg helping rest the soft tissues and often may instantly relieve painful symptoms. Taping can be applied all the time until pain has gone and then occasionally during exercise as activities levels are built up.

Protect and support the area with a shin splint sleeve or compression support. This will help keep the muscles warm and supple as well as providing support to the inflamed tissues.

A doctor may prescribe anti inflammatory medication such as Ibuprofen in the early or acute stage (do not take if you have asthma) and orthotic insoles to correct biomechanical problems of the foot may be prescribed. A full rehabilitation program with exercises, particularly stretching for the calf muscles is important with a very gradually return to full fitness. Finding a shin splints cure involves combining a number of different treatment techniques together.

Sports massage can be used to reduce tension in the muscles of the lower leg which may be causing traction on the bone. Removing any tight lumps, bumps and knots as well as encouraging blood flow may aid the healing process. However, it is important to avoid the bone as massage for shin pain done incorrectly may increase inflammation and pain. Read more detail on treatment & rehabilitation.

Exercises to stretch the muscles of the lower leg are important, in particular calf stretching exercises will stretch the tibialis posterior muscle which is often associated with shin pain. Calf stretching exercises should be done both with the knee straight and bent. Strengthening exercises may also be required although being an overuse injury it is rest and stretching which should be the priority. A gradual return to full fitness is important. Calf raises and toe raise exercises can help get the muscles of the lower leg working again. Read more on exercises for shin splints.

Visit us: https://www.painfreephysiotherapy.com/ and Book  Appointment Online at +91-8800299652, +91-9650877527

Meralgia Paresthetica Physiotherapy in Dwarka

Meralgia Paresthetica is also called as Bernhardt-Roth syndrome.
It is a neurological condition that causes numbness, tingling and sometimes pain in the outer aspect of thigh, but often not so serious. Lateral femoral cutaneous branch of femoral nerve compressed in the inguinal ligament is the most probable cause of the symptom.

Pain is usually located on the lateral side of the thigh.

CAUSES:
• Age between 30-60 years.
• Pregnancy.
• Tight clothing.
• Hip surgery.
• Obesity.
• Standing/walking for longer periods/running/biking etc.
• Surgery/trauma to hip/ back.

SYMPTOMS:
• Pain,
• Burning,
• Tingling sensation,
• Partial loss of sensation,
• Aching in Groin area,
• Outer thigh is usually sensitive to touch light than to firm pressure.
• Muscles aren’t affected.

COMMON CAUSES:
• Lateral femoral cutaneous nerve is compressed/trapped/pinched.
• From lower spine to the pelvis under inguinal ligament
• If it is pinched/squeezed then it causes pain, loss of sensation, other etc.

INVESTIGATIONS
• X-ray/MRI for images of hip/pelvis
• NCV for damaged nerves
• Nerve blockade
• Anesthetic is injected 30-40 min of duration

REMEDIES:
• Loose clothing
• Resting
• Losing weight
• Stretching
• NSAIDS
• Aspirin, ibuprofen, acetaminophen
• Deep tissue massage
• Exercises for groin area
• Increase flexibility and strengthening of hip.
• Pelvis/low back mobility, stabilization and relaxation exercises
• Corticosteroid injection
• Tricyclic anti depressant
• Gabapentin, pregabalin
• Nerve decompression surgery
• By wearing loose fitting clothing or by losing weight we can reduce pain.
• Pregnant women can get relief after giving birth to their baby.
• Medications are recommended in severe cases.

PHYSIOTHERAPY MANAGEMENT:
• CAT Exercises
• MAT Exercises
• Spine stabilizers
• Lumbar extension exercises
• Abdominal exercises
• Quadriceps stretch
• Lunges
• Bridging exercises
• Strengthening thigh, Quadriceps, Hamstrings, Gluteal muscles etc
• Soft tissue release techniques

Visit us: www.painfreephysiotherapy.com and Book an Appointment online at +91-8800299652, +91-9650877527

Sciatica Nerve Pain - Causes, Symptoms and Treatment

Most of us at some point of time may have experienced numbness or tingling sensations due to sleeping foot/leg, which goes off after few steps on the floor. This is mainly due to temporary compression of sciatic nerve. But the condition can get quite debilitating if the compression is prolonged for few weeks to month.

Sciatica is more of a symptom than a condition, caused due to sciatic nerve compression. The nerve can be compressed at the spinal level or below along its course.

Sciatic nerve is the thickest nerve in the body. It is the terminal branch of lumbo- sacral plexus.

It is formed by the ventral rami of L4, L5, S1, S2 and S3 nerve roots. The nerve is divided into two parts called the tibial part and the peroneal part.

Tibial part is formed by the ventral division of ventral rami of L4, L5, S1, S2 and S3.

Peroneal part is formed by the dorsal division of ventral rami of L4, L5, S1 and S2.

COURSE

Sciatic nerve arises in the pelvis, passing through the greater sciatic notch below the piriformis (at times through the Piriformis muscle) to enter gluteal region.

It lies deep to the gluteus maximus and crosses superior gamellus, obturator internus, inferior gamellus and quadratus femoris to enter back of the thigh. It curves around the greater trochanter to enter the lateral aspect of thigh.

In back of thigh it lies deep to biceps femoris superficial to adductor magnus.

It ends by dividing into its two terminal branches at the back of the thigh.

During its course it gives muscular, articular and terminal branches.

Muscular branches:

There are no branches in gluteal region, in the back of the thigh from the tibial part long head of biceps femoris, semitendinosis, semimembranosus and ischial part of adductor magnus are supplied while from the peroneal part short head of biceps femoris is supplied.

Articular branch:

There are no branches in gluteal region and peroneal part of the nerve, in the back of thigh from the tibial part it gives single branch to hip joint.

Terminal branches:

The nerve terminates by dividing into common peroneal nerve and tibial nerve.

SYMPTOMS

·         Pain in leg

·         radiating leg pain

·         Numbness/ tingling

·         Muscular weakness

·         Gait dysfunction/ abnormal walking

·         Sensory impairment

·         Hot and cold alteration /burning sensation in the leg

·         Reflex impairment

·         Paresthesia/dysesthesia and oedema in lower extremity

·         Symptoms may aggravate with increased intra-abdominal pressure (cough, constipation etc)

CAUSES

·         PIVD (prolapsed inter-vertebral disc)

·         Spinal stenosis

·         Spondylolisthesis

·         Nerve entrapment (piriformis syndrome)

·         Inflammatory conditions of spines/ malignancies

·         Traumatic pathologies

MANAGEMENT:

Physiotherapy

Precautions and preventive measures are taught to the patient to reduce the episodes of severe pain. Proper posture, ergonomics and back care are taught to the patient. Patients need to be in active rest as being bed ridden has shown worse results.

Physiotherapist aims at reduction of pain by means of therapeutic modalities and manual techniques.

Chiropractic adjustments can be used in suitable candidates.

Nerve mobilization and dry needling helps relax the nerve. Exercises can be implemented depending on the basis of activities that aggravate or relieve patient’s pain.

Physiotherapist needs to emphasize on Core strengthening to enhance spinal stability.

If weakness is observed than lower limb strengthening and gait training also forms an important part of the rehabilitation programme.

Hope he have helped you understand your problem better.

At Pain Free Physiotherapy Clinic we have treated thousands of cases with sciatica problem. We have successfully identified the real cause in most of them and helped most of them live a pain free life