Chapter 1
Introduction
During the course of their lives 70 – 80% of individuals will experience low back pain (LBP) (Deyo and Weinstein, 2001; Godwin and Goodwin, 2000; van Tulder, 2001); furthermore, over 80% of such patients report recurrent episodes (Waddel, 1998). It is estimated that 80 – 90% of patients will have recovered within 6 weeks, regardless of treatment (Bronfort et al, 1996; Jackson, 2001; van Tulder et al, 1997). However, 5 – 15% will develop chronic low back pain (CLBP; 12 weeks) (Bigos et al, 2001; Quittan, 2002; Tortensen et al, 1998): this is more difficult to treat (Cottingham and Maitland, 1997; Frost et al, 2000; Hidebrandt et al, 1997) and treatment has variable results (Carpenter and Nelson, 1999; Rainville et al, 1997) Current evidence suggests that exercise and intensive multidisciplinary treatment
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His spinal model assumes that three systems- the articular, muscular, and neural systems- work together to provide stabilization by controlling intervertebral movement. Arising from the Punjabi spinal model came, studies which popularised specific spinal exercise (core stability exercise, motor control exercise). Changes in the recruitment of deep spinal muscles thought to be responsible for the control of spinal stability have been reported in people with spinal pain. The onset of activity of the deep abdominal muscles, transverses abdominis, is delayed in people with recurrent episodes of low back pain (Hodges and Richardson, 1996; 1998). However, it is a fact that in normal human movement postural reflexes are organised well ahead in anticipation of movement or perturbation to balance (Lederman, 2009). It has been suggested that earlier activity of transverses abdominis may be a compensation for its long elastic anterior fasciae (Macdonald et al,
" Chronic Pain (CP) statistics astounding according to The Institute of medicine approximately 100 million adults suffer from chronic pain which is more than heart disease, diabetes, and cancer combined."(IOM Relieving Pain in America 2011, p. 1)
Currently, I am involved in a prospective cohort study with other colleagues from King Fahad Medical City that aims to study the effect of a low back care educational program on low back pain prevalence among health-care professionals.
Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Paanalahti, K., Holm, L. W., Nordin, M., Asker, M., Lyander, J., & Skillgate, E. (2014). Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial. BMC Musculoskeletal Disorders, 1577. doi:10.1186/1471-2474-15-77
Pain Relief – Causes of acute and/or chronic back pain may include weak stomach and/or back muscles, poor posture, spinal misalignment, and the force of compression caused by gravity. Inversion therapy is used like traction to relieve pressure on the discs and elongate the spine, which reduces the pressure on nerve roots, discs, and ligaments. All that relates to lessening back and neck pain. Sometimes those tense muscles create painful muscle spasms, which are also temporarily relieved by inversion therapy.
The vertebral column of the body remains stable due to the isometric co-contraction of the erector spinae, rectus abdominus and the e...
The most common causes of lower back pain can be poor posture, fracture, improper lifting, lack of exercise and arthritis. Infections involving the vertebrae can also lead to lower back pain. Bulging and ruptured discs as well as muscle strain can also cause lower back pain. The symptoms of lower back pain can be pain in the lumbar area. People may experience pain in the muscles and bones of the back, leg, and hip. The diagnosis for lower back pain can be known through the symptoms of the person. Other diagnosis can be the through the person’s medical history. There may also be diagnostic testing and may lead to a general diagnosis. The most common form of prevention can be exercise mostly to strengthen the core of the body. Although improper knowledge while exercising may do more damage than good, it is best to seek out information from a professional. Another may be to improve your physical health and and posture. As well as lifting heavy objects properly and with proper equipment like a lower back support belt. An intervention strategy can be to see foundations who are researching a way to help those who suffer from lower back pain. Another intervention strategy is education of students.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Tests after tests including MRI’s, X-rays, and experimental procedures were performed to show I had five ruptured disks in the lower lumbar section of my back. Tedious Examination done by a group of doctors concluded I had a crippling disease of the spinal column called spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that causes compression of the spinal cord. (Lohr,1) If this disease was ignored any longer, it would lead to many other problems affecting other areas of my back to help support this weakness. It was an extremely rare case for an athlete my age.
Simple musculoskeletal back pain has symptoms of pain in the lumbrasacral area of the back (Jackson & Simpson, 2006). The upper thighs and knees are also known to be affected (Jackson & Simpson, 2006). This pain is usually described as a dull pain (Jackson & Simpson, 2006). Spinal nerve root pain is localised down the leg, and usually continues below the knee and into the feet (Jackson & Simpson, 2006). It has been d...
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
Understanding Sciatica: symptoms & diagnosis. What is a sciatica? Sciatica is the name given to any case of pain that is caused by irritation or compression of the sciatic nerve. The sciatic nerve is the longest nerve in the body, running from the lower back down the back of each leg.
Rectus, and External and Internal Obliques flex the spine. Transversus aids in respiration and helps to compress the abdominal cavity to help support the spine in neutral. 4. How does the breath relate to flexion and extension of the spine?
This is an overview of the spinal deformation called Scoliosis. What Scoliosis is as a whole, as well as a breif mention of other spinal deformations that are in a similar catagory as Scoliosis. The causes of scoliosis, and how it develops in people who suffer from the deformation. How Scoliosis is diagnosed and the symptoms it causes people to suffer in cases that are both mild and severe; are all topics that'll be covered.
In a pain assessment, the pain is always subjective, in a verbal patient; pain is what the patient says that it is. Nurses must be able to recognize non verbal signs of pain such as elevated pulse, elevated blood pressure, grimacing, rocking, guarding, all of which are signs of pain (Jensen, 2011). A patient’s ethnicity may have a major influence on their meaning of pain and how it is evaluated and responded to behaviorally as well as emotionally (Campbell, & Edwards 2012). A patient may not feel that their pain is acceptable and they do not want to show that they are in pain. For some people, showing pain indicates that they are weak. Other patients will hide their pain as they do not want to be seen as a bother or be seen as a difficult patient.