Spinal Injuries and Disorders
- LBP Syndrome; Herniated Disc; Degenerative Disc Disease;
- Pre and Post Operative Spinal Rehabilitation,
- Sciatica / HNP; Pinched Nerves; Radiculopathy
- Spinal Manipulative Therapy
- Computerized Spinal Traction
- Back School Education Classes
A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine.
A spinal disk is a little like a jelly donut, with a softer center encased within a tougher exterior. Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the softer “jelly” pushes out through a crack in the tougher exterior.
A herniated disk can apply pressure and cause irritation to nearby nerves and result in pain, numbness or weakness in an arm or leg. On the other hand, many people experience no symptoms from a herniated disk. Many people who have a herniated disk respond well to physical therapy management, sometimes combined with spinal epidural injections, thus avoiding surgery to correct the problem. When surgery is necessary, post-operative physical therapy is an important part of recovery.
Kyphosis is a forward rounding of your upper back. Some rounding is normal, but the term “kyphosis” usually refers to an exaggerated rounding — sometimes called round back or hunchback. While kyphosis can occur at any age, it’s most common in older women where the deformity is known as a dowager’s hump. Age-related kyphosis often occurs after osteoporosis weakens spinal bones to the point that they crack and compress. A few ypes of kyphosis target infants or teens.
Mild kyphosis may cause few problems. But advanced or severe cases can affect your lungs, nerves, and other tissues and organs, causing pain and other problems. Treatment for kyphosis depends on your age, the cause of the curvature and its effects. Physical therapy can help many cases through pain management, increased flexibility through manual therapeutic techniques and postural correction.
An exaggerated outward curve of the upper spine is called kyphosis.
Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty. While scoliosis can be caused by conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. Most cases of scoliosis are mild, but some children develop spine deformities that continue to get more severe as they grow. Severe scoliosis can be disabling. An especially severe spinal curve can reduce the amount of space within the chest, making it difficult for the lungs to function properly.
Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the curve is getting worse. In many cases, no treatment is necessary. Some children will need to wear a brace to stop the curve from worsening. Physical therapy in the form of focused flexibility and strengthening exercises, combined with postural correction is often helpful in younger patients. Others may need surgery to keep the scoliosis from worsening and to straighten severe cases of scoliosis.
Sacroiliitis (say-kroe-il-e-I-tis) is an inflammation of one or both of your sacroiliac joints — the places where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and may even extend down one or both legs. The pain associated with sacroiliitis is often aggravated by prolonged standing or by stair climbing.
Sacroiliitis can be difficult to diagnose, because it may be mistaken for other causes of low back pain. It’s been linked to a group of diseases that cause inflammatory arthritis of the spine. Treatment of sacroiliitis may involve a combination of rest, physical therapy and medications.
The sacroiliac joints link your pelvis and lower spine. They’re made up of the sacrum — the bony structure above your tailbone and below your lower vertebrae — and the top part (ilium) of your pelvis. There are sacroiliac joints in both the right and left sides of your lower back. Strong ligaments hold these joints in place. The sacroiliac joints support the weight of your upper body when you stand.
- Myofascial Pain Syndromes;
- Pinched Nerves,
- Chronic pain syndromes & Neck sprain or whiplash injury
Neck pain is a common complaint. Neck muscles can be strained from poor posture — whether it’s leaning into your computer at work or hunching over your workbench at home. Wear-and-tear arthritis is also a common cause of neck pain. Neck pain can be accompanied shooting pain into your shoulder or down your arm, in addition to numbness or loss of strength in your arms or hands. Medical evaluation and physical therapy treatment are helpful in most cases.
Numbness in one or both hands describes a loss of sensation or feeling in your hand or fingers. Often, numbness in hands may be accompanied by other changes, such as a pins-and-needles sensation, burning or tingling. The arm, hand or fingers may feel clumsy or weak.
Numbness can occur along a single nerve, or it may occur in both hands in a symmetrical pattern.
Whiplash is a neck injury that can occur during rear-end automobile collisions, when your head suddenly moves backward and then forward — similar to the motion of someone cracking a whip. These extreme motions push your neck muscles and ligaments beyond their normal range of motion.
Whiplash injuries can range from mild to severe. Treatment typically begins with over-the-counter pain relievers and ice applied to the painful neck muscles. Most people recover from whiplash in just a few weeks, but some people may develop chronic pain after a whiplash injury. If pain persists, prescription medications and physical therapy may be helpful.
Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks and small joints in your neck. As the disks dehydrate and shrink, bone spurs and other signs of osteoarthritis develop. Cervical spondylosis is very common and worsens with age. There also appears to be a genetic component involved because some families will have more of these changes over time, while other families will develop less. More than 90 percent of people older than age 65 have evidence of cervical spondylosis and osteoarthritis that can be seen on neck X-rays. Most of these people experience no symptoms from these problems. When symptoms do occur, nonsurgical treatments such as physical therapy often are effective.
Spasmodic Torticollis [wry neck]
Spasmodic torticollis [wry neck], is a painful condition in which your neck muscles contract and spasm involuntarily, causing your head to twist or turn to one side. Symptoms generally begin gradually and then reach a point where they don’t get substantially worse. Physical therapy treatment will focus on reducing pain and muscular spasm, restoring proper contractile functioning of the affected muscles and corrective postural mechanics to prevent recurrence.
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.
Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.
Women are much more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression. While there is no cure for fibromyalgia, a variety of medications can help control symptoms. Physical therapy guided exercise, relaxation techniques and stress-reduction measures are also effective at reducing and controlling the symptoms.
Myofascial Pain Syndrome
Myofascial pain syndrome is a another chronic pain disorder. In myofascial pain syndrome, pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body. This is called referred pain. Myofascial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by postural abnormalities, repetitive motions used in jobs or hobbies or by stress-related muscle tension. While nearly everyone has experienced muscle tension pain, the discomfort associated with myofascial pain syndrome persists or worsens. Treatment options for myofascial pain syndrome include various physical therapy techniques, trigger point injections, pain medications and relaxation techniques.