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Approximately 70% of the people who suffer from frequent intermittent headache complain of neck symptoms. This proposes the possible relationship between the cervical spine and headache. Such cervical spine related headaches are termed as Cervicogenic headache. As always, an accurate diagnosis is important in the effective treatment of the headache
The non- surgical, conservative treatment and management of idiopathic scoliosis has been traditionally included the use of a rigid brace, physiotherapy treatment involving the release of tight muscles and core strengthening exercises and in some cases manipulation by chiropractors. Although these techniques have been used for many decades, the overall management lacks specificity.
Very often, patients with pain either over the lateral or medial side of the elbow, are diagnosed with having Tennis or Golfer’s elbow respectively. Patients have been known to have recurrent pain and that the prognosis for complete recovery has been about 46-49%. But why does such a simple problem have such moderately poor prognosis? The answer lies with poor compliance to treatment and coping strategies. This poor compliance arises from the inadequate understanding of the nature of injury
Proper function of the shoulder complex is essential in most sports performance. As the most mobile joint with six degrees of freedom, the greatest challenge is to maintain shoulder stability during movement. Sports that require overhead activities like swimming, tennis and cricket are in the high risk group for unstable shoulders. Patient history may reveal a traumatic incident where the shoulder was dislocated, repetitive microtrauma from sporting activities or even non-traumatic cases where the shoulder feels like it “pops” out. The situation is evident in people with general joint hyperlaxity. A proper shoulder history and appropriate clinical tests will help to diagnose an unstable should
Retraining of the core muscles in spinal rehabilitation is now widely accepted as beneficial in the management of low back pain. The inhibition and the loss of control of the Multifidus and Transverses Abdominus as a result of low back injury do not recover spontaneously (Hides et al, 1996; Hodges and Richardson, 1996) and require specific exercises in stimulating their recovery (O’Sullivan, 2000). The use of real time ultrasound imaging facilitates this process by accurately diagnosing poor motor pattern and accelerates motor learning through instant visual feed back
Taping or strapping is commonly used in the sporting community and its effects and role are widely understood and accepted. In the early years, taping helped prevent recurring injuries by stabilizing and restricting the range of motion of a joint. This is done using rigid and non-elastic tape and is known as restrictive taping.
For centuries pain has been afflicting man. It is intangible, mysterious and yet ubiquitous. Myofascial Trigger Points are the commonest cause of undiagnosed or misdiagnosed aches, pains and other puzzling symptoms. The daily clinical experience of thousands of physiotherapists, massage therapists and physicians verifies that most back and neck pain and headaches which are recurrent and stubborn are caused by trigger points or muscles knots