What Spinal Cord Injury Patients Can Accomplish with Physiotherapy

Sports injuries and car accidents, among other injuries, can cause spinal cord injury. The range of spinal cord injury is wide. Some of these injuries are fairly minor and will heal well with a limited amount of physiotherapy, while others need physiotherapy for the rest of their lives.

As always with physiotherapy, the first step is evaluation. A plan is formulated that will include therapies specific to the kind of spinal cord injury the patient has. Neck injuries can cause quadriplegia, which requires special treatments.

An important issue in spinal cord injury is the level of the damage. If a physiotherapy program is not followed faithfully, the spine will begin to atrophy below the level of the spinal cord injury. The spine will shrink and the whole body below that point will become weaker as time goes by.

It is important that spinal cord injury patients get exercise of some form. They are prone to osteoporosis and heart problems, among other conditions. If there is a total lack of exercise, these risk factors become even more pronounced.

Physiotherapy for spinal cord injury involves exercising and stimulating the nerves and muscles below the level of the damage. This will allow patients with spinal cord injury to stay in good physical condition where they can. That way, if a cure becomes available, they will not be too weakened to benefit from it.

Every exercise the physiotherapy personnel go through with the spinal cord injury patient should be video-taped. This allows work to go on at home with an example of each exercise. Range-of-motion exercises are done by a caregiver, who moves the limbs so that they will not become set in one position.

For spinal cord injury patients who are not quadriplegics, there is physiotherapy using mats. These mats are raised off the floor, and can be operated by a hand crank or a power system. The physiotherapist will give exercises where the patient lies on the side, back, or stomach and works out or sits up and works out.

There are many restorative therapies in physiotherapy for spinal cord injury patients. These include electrical stimulation, biofeedback, vibrational therapy, laser therapy and other stimulation activities. Aqua therapy is also a physiotherapy method that is conducive to progress in spinal cord injury patients.

With all these therapies, spinal cord injury patients can sometimes restore themselves to earlier functioning. Other times, they can simply keep their bodies from deteriorating as they wait for a cure.

Spinal cord injury research is being conducted constantly. Physiotherapy is one of the fields that are being explored. One study is putting spinal cord injury patients in harnesses over treadmills stimulating walking. They are trying to find a way to help people walk again who had given up hope of doing so.

Physiotherapy gives hope for spinal cord injury patients. It allows them to have the most normal functioning that they are currently able to have. Perhaps when a cure comes outcomes will be even better. However, physiotherapy will probably always be needed for spinal cord injury patients.

Proper Causes of Back Pain

Back pain may strike anyone. It can affect younger people but is more prevalent during adulthood especially those aged between 45 and 59 years old.

The spine is comprised of small bones known as vertebrae. These are normally good structures, which are separated by discs that allow free mobility. Muscles and ligaments further support these vertebrae.

Close to one hundred percent of all complaints with regards to back pain is directly linked to improper coordination and workings of these components. The cause of back pain may be sudden rather than what is usually perceived as the result of overworking for a single period of time. However, during tests abnormal conditions on the back may not be identified using x-rays and typically, nothing in the back is mildly or severely damaged.

The majority of cases of back pain documented occur to people aged 55 and above and nearly all of them show signs of being with good health. So this means that the cause of back pain is not or may be minimally affected by the health of the sufferer. This pain is often felt in the lower section of the spine and cases of upper and middle back pain is rare. Additionally, some people may also experience coexisting pains such those felt at the thighs and the legs. These are separated cases that may be triggered by several sets of complex sets symptoms.

Simple back pain may be caused by the following:

poor posture

lack of exercise

long periods of bending and standing

sitting on a chair that lacks supports for the back, especially for the lumbar area

sleeping on a mattress that lacks support for the back

lifting, pushing or pulling loads, carrying objects that are typically heavy or doing tasks the wrong way

a trip or fall

There are other causes that may be associated with back pain but cases like these appear on minimal basis. Around 5% of all sufferers experience back pain due to nerve root problems. The compression of the nerve root, which is triggered by the bulging, or displacement of the vertebral disc normally brings about the pain. This irregularity of the vertebral disc is called a slipped disc.

It must be noted that the back bone structure is especially adopted to carrying loads and carrying the whole body weight if need be. But there are certain conditions that may affect its performance. These generally cause back pain and the intensity of the pain produced depends on the rigidity of the activity.

A Quick Look At Chronic Fatigue Syndrome

Chronic fatigue syndrome is a debilitating disorder that is characterized by a condition of extreme exhaustion and fatigue that lasts for extended periods of time usually six months or more. Doctors have yet to uncover what exactly causes this disorder but it is widely believed that a number of factors trigger its onset. These factors include stress, viral infections, hormone levels and lack of adequate sleep.

Poor diet and lack of exercise are also considered as factors that strongly contribute to the development of chronic fatigue syndrome. Because there is no known exact cause of CFS, doctors find it difficult to diagnose if a patient is indeed suffering from CFS or if the symptoms are actually of another ailment.

The NIAMS (National Institute of Arthritis and Musculoskeletal and Skin Diseases) says that in order for a patient to be diagnosed with CFS, he must be suffering from severe chronic fatigue for six months or beyond and at the same time, should have four or more of the following symptoms: impaired short term memory, prolonged feeling of extreme exhaustion, muscle pains, swelling and tenderness of multiple joints and the lymph nodes, recurring sore throat, severe headache and un-refreshing sleep.

Since the exact cause of chronic fatigue syndrome is yet to be determined, there is no known cure for it at present. Treatments for CFS are meant to relieve the symptoms and improve the patient’s bodily functions. Doctors recommend a combination of medications and non-drug therapies. Dietary restrictions and nutritional supplements are also used to help suppress the symptoms of chronic fatigue syndrome. In addition to therapy, lifestyle changes are also highly recommended.

Although it might seem contradictory, regular exercise is also a good way to help treat chronic fatigue syndrome. However, doctors should carefully supervise any physical activity that the patient does to avoid aggravating the symptoms. Mild exercise for 10-15 minutes followed by 30 minutes of rigorous physical activities such as tennis, swimming, brisk walking and others. Such activities help make the heart stronger and healthier to promote better circulation.

Aside from these, individuals afflicted with chronic fatigue syndrome can also do stretching and other relaxation exercises to help manage stress. A doctor should approve any exercise routine to avoid injury or worsening of the CFS symptoms.

Many doctors also recommend herbal remedies because they are natural and effective. There are a number of herbal medicines that CFS victims can take. Echinacea root is known for its ability to boost the immune system. Since viral infection is one of the factors that trigger chronic fatigue syndrome, using Echinacea strengthens the immune system to fight of viruses and eliminate their harmful effects.

Ginseng root, long used in the orient as a herb to restore vitality and energy, can be taken in capsule or tablet form to help keep the body active and strong. Licorice is primarily known for its ability to purge toxins from the body and can help keep the immune system resistant to attacks by viruses.

Aside from herbal medications, just living a healthy life and having a balanced, healthy diet can help the individual overcome the symptoms of chronic fatigue syndrome. Fruits and vegetables provide the body with the important vitamins and minerals to keep the immune system strong.

An Overview Of Chronic Fatigue Syndrome

Chronic fatigue syndrome or CFS is the name given to a debilitating disorder characterized by conditions of extreme and lasting fatigue. Chronic fatigue syndrome is also commonly referred to as myalgic encephalomyelitis or ME. The name chronic fatigue can be somewhat confusing since chronic or persistent fatigue is also a symptom of several conditions such as rheumatoid arthritis and lupus. Fatigue is the feeling of exhaustion that results from exertion, lack of sleep and illnesses. However, ordinary fatigue is not extreme or persistent, and the patient generally gets better after getting some rest.

What is Chronic Fatigue?

Chronic fatigue happens when this sensation of extreme exhaustion and lack of energy persists for over six months. The exact cause of chronic fatigue is not known but it is believed that several factors play a role in its symptoms, such as stress, hormone levels and infection. Lack of sleep, insomnia and other sleep disturbances can also result to chronic fatigue. Other factors that contribute to the development of chronic fatigue are poor diet, lack of exercise and certain medications.

What is Chronic Fatigue Syndrome?

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases or NIAMS for a patient to be diagnosed as suffering from chronic fatigue syndrome, he must be having severe chronic fatigue for six months or longer. At the same time, the patient should also have four or more of the following symptoms:

Impaired short-term memory and concentration

Prolonged general malaise after physical exertion of any kind

Muscle pain

Pain, swelling and redness in multiple joints

Severe headache

Tender lymph nodes

Recurring sore throat

Un-refreshing sleep

Diagnosing Chronic Fatigue

Diagnosing chronic fatigue syndrome can be quite tricky since there are no physical signs that identify it. There are also no diagnostic laboratory tests that confirm chronic fatigue syndrome. A diagnosis of CFS is given if the symptoms recur for six consecutive months or more and there are no apparent explanations for the fatigue such as disease. However, it should be noted that there are other conditions that overlap and sometimes coexist with CFS and have similar symptoms.

A study of patients suffering from CFS revealed that only 38% of the patients were diagnosed solely with the syndrome. The rest had a diagnosis of a number of diseases such as fibromyalgia and multiple chemical sensitivity or both. Doctors are still unsure whether these conditions are direct causes or have common causes with CFS; or whether that have no relationship whatsoever with chronic fatigue syndrome.

Treatment and Medication

There is still no known cure for CFS so treatments are aimed at relieving the symptoms and improving the body’s functions. To achieve this, doctors usually recommend a combination of medications and non-drug therapies. Lifestyle changes, dietary restrictions, nutritional supplements are also recommended as an addition to drug therapy. Patients who suffer from CFS are also urged to have regular exercise to help reduce the symptoms of chronic fatigue.
However, the doctor should carefully supervise physical activity as this can exacerbate the symptoms of chronic fatigue.

It is important that the patient discuss his/her symptoms with the doctor. It is also important that doctors know what other medications the patient is taking since some medications can exaggerate the symptoms of CFS. Recovery rates from chronic fatigue syndrome are varied.

In a 2005 review of published studies on CFS, it was revealed that improvement rates varied from 8% to 63% with 40% of the patients improving during follow-up.