Tag: ultrasound

Types of Physiotherapy That Help Lower Back Pain

Lower back pain plagues Americans to the extent that 80% will suffer from it at some time in their lives. It is one of the most common reasons people visit the doctor. For many, the problem is more than a passing incident; they need physiotherapy.

Physiotherapy of different types can be used to treat lower back pain. Acupuncture is fast becoming an important method for the relief of such pain. The doctor has the patient lie face-down and inserts the acupuncture needles across the back. The doctor then finishes the procedure for lower back pain. Pain relief after a series of treatments usually lasts months.

Massage is also used for lower back pain. The massage used must be done by someone well-versed in the treatment of lower back pain. A massage done by an untrained person may do more harm than good.

These methods are called passive therapies, or modalities. They are done to the patient and not by the patient. There are other modalities that are commonly used. Heat and ice packs are a well-known form of passive physiotherapy. They can be used separately, or they can be used alternately by a person who is suffering from acute lower back pain.

A transcutaneous electrical nerve stimulator (TENS) can be used as another modality for lower back pain. The patient will feel the sensation of the stimulator instead of his pain. If the TENS unit seems to work well for him, he will be sent home with one to use at his convenience.

Ultrasound is especially useful as a passive therapy for anyone with acute lower back pain. It delivers heat deep into the muscles of the lower back. This not only relieves pain. It can also speed healing.

Back exercises may be assigned by a physiotherapist. These exercises will help with lower back pain if one does them correctly and faithfully. The only exception is if the back is in an acute condition requiring emergency care or surgery.

The exercises that will help with lower back pain the most will be assigned and supervised by a physiotherapist. They may be done at home, but it will be necessary to follow instructions and check in frequently.

These exercises include ones for lower back pain that stretch or extend the back and ones that strengthen it. One is an exercise where one lies prone and moves as if swimming. This protects the back while giving the surrounding muscles a workout.

Lower back pain exercises called flexion exercises strengthen the midsection to provide support for the back. If the lower back pain is reduced when one sits, these exercises are important. One is a knee-to-chest exercise.

Aerobic exercise such as walking is excellent for reducing and preventing lower back pain as well. Massage and acupuncture can be counted on to relieve pain for most patients. Exercises can make the back stronger to both relieve and prevent lower back pain. Any physiotherapy that can help relieve lower back pain will help millions of people.

How Physiotherapy Can Help With Sports Injuries

When players have sports injuries, they turn to physiotherapy for rehabilitation. Physiotherapy, also called physical therapy, offers help whether the player is having surgery to correct the damage or not.

One example of the many sports injuries is an anterior cruciate ligament (ACL) injury. This is an injury to the knee. It is one of the common sports injuries in people who play sports that challenge their knees, such as hockey, skating, skiing, basketball, and of course, football. It can limit the range of a player’s motion in that leg, and make the leg weak.

Surgery is sometimes done for these sports injuries, but physiotherapy is always a part of the treatment. The three major exercises done to start the healing process of ACL are heel slides, quad sets, and straight leg raises.

Heel slides are exercises for ACL sports injuries that are easy to understand, but may be painful to do at first. One simply lies on the bed or floor with the foot down. Then, one slides the foot slowly towards the buttocks until it hurts a little, and slides it back. This and the other exercises help prepare the knee for surgery or to heal without it.

Another of the sports injuries that physiotherapy is used for is tennis elbow. One might get tennis elbow from playing tennis, certainly, but it can also come about from any activity that involves twisting the wrist.

Sports injuries like tennis elbow are treated with a comprehensive plan of physiotherapy. Exercises are explained and assigned. Another common procedure for sports injuries is the use of ultrasound. Ultrasound is a way of applying heat deep into the muscle for pain relief.

Electrical stimulation can be used to keep pain from being felt through the nervous system. It is used for tennis elbow and many other sports injuries. Massage and manual therapy can also be used for physiotherapy.

Massage is one of the forms of soft tissue manipulation. However, soft tissue manipulation is to muscles what chiropractic is to bones. It deals not only with muscle, but with tendons and connective tissue as well. It is a specialized field of physiotherapy that has been used for people with sports injuries on many occasions.

As many children’s sports teams are becoming ever more competitive, sports injuries among youngsters is increasing. Often, a well-meaning parent will tell the child to shake it off and keep playing. It is even more important for children to get adequate physiotherapy than it is for adults. Children are just developing, and a problem in childhood can lead to lifelong pain.

Some sports injuries happen because something physically traumatic happens to your body. Someone runs into you as you run with the football towards the end zone, for example. Other times, it is simply a matter of the physical demands you put on your body.

Physiotherapy is instrumental in the healing of many sports injuries. Many professional sports teams have physiotherapists on their staffs. In fact, either ACL or tennis elbow can become permanent conditions without the use of physiotherapy procedures.

Breast Implant Ruptures

A saline implant rupture results in quick deflation and is easily removed. Recent FDA approved studies show rupture/deflation rates of 3-5% at 3 years and 7-10% at 5 years. Older studies depended on clinical exams to determine rupture rates.

Recent reports have determined these exams arent adequate to evaluate rupture rates. One study reported ruptures in asymptomatic patients are correctly detected by experienced plastic surgeons 30% of the time. This is compared to a detection rate of 86% by MRIs.

The FDA currently recommends MRIs be used to screen for ruptures beginning three years after implantation and continuing every two years thereafter.

Other countries consider MRIs useful only in cases of suspected ruptures and to confirm ultrasound or mammographic studies suggesting a rupture.

Silicone implant ruptures rarely result in deflation. The silicone leaks into the space around the implant. This indicates the need for removal of the implant. The risk and treatment of extracapsular leakage is controversial. Its agreed the gel is difficult to remove, but theres disagreement about the health effects.

The majority of MRI data for silicone gel implants indicates after 11 years, most women had at least one ruptured implant with silicone leakage outside the capsule of 21% of the women. The available long term data deals with 3rd and 4th generation implants and shows a 15-30% risk of silent rupture. MRI evaluation of the 5th generation implants implies improved durability. A rupture rate of 1% or less at an average age of six years is reported.