Physio Soton

Krótkie wpisy z FB

A few short articles that have appeared on my FB page in recent weeks. Enjoy reading!

Back pain and treatment in the UK.

I’m writing an article about sciatica and I’ve come to the point where I need to describe what the treatment looks like here.

It seems that in our (or maybe theirs?) NHS (the English health service, the equivalent of the Polish National Health Fund) there is a division in the approach of therapists to the treatment of back pain in patients.

A large group of physiotherapists prefer patient education, believing that hands-on approach is not effective and it is simply better to give patients exercises to do at home. A physiotherapist is increasingly becoming a movement and rehabilitation consultant rather than a therapist treating with hands. For many patients, however, this approach is unacceptable and I see how much frustration it causes. Many patients go to private clinics looking for, it cannot be hidden, something completely different…

Also, do patients do exercises at home? Hmmmm, I think we all know the answer. Exercises are important, but you need to choose the right ones, targeted and as practical as possible. That’s why for me the best exercise for back pain will always be the most natural form of exercise…walking

However, there is a group of physiotherapists in the NHS (and I am one of them) who believe that the best results are achieved by using various therapeutic methods and treatment with hands.

And there are many ways and methods of treatment. The ones I use personally include:

manual therapy
osteopathic and chiropractic techniques
elements of craniosacral
therapy fascia therapy
Dr. Dalton’s musculoskeletal alignment techniques
MET techniques
therapeutic massage
techniques PR techniques

Back Pain – Never Lose Faith!

When the pain comes back and attacks with a vengeance, it is hard to pull yourself together and believe in a positive ending. The pain is depressing and prevents you from enjoying even the simplest things. He just gets discouraged. Anyone who has experienced this knows… It does not only apply to back pain, but also to other health problems.
It is hard because you lose what is very important in treatment – faith and hope that everything will be fine. Sometimes back pain can come back due to things we have no control over:

Temperature differences, weather changes,
nature of work,
, illnesses

However, sometimes it results from things we can influence, such as:

Physical activity
Return to sport after rehabilitation
Rest and sleep

Whatever back problem bothers us, my message is and will always be one –

Do not lose hope!

The prognosis is always very good and you have to believe that everything will be fine!

Regards and have a nice weekend!
Marek from Back Pain Clinic, Southampton

5 dangerous complications of hypertension… And why I check my patients’ blood pressure.

It seems to me that as a physiotherapist I have a duty to pay attention to threats that, while seemingly harmless, when combined with other factors, may mean serious problems. Arterial hypertension, as we are talking about it, requires a little more attention.

Arterial pressure is the pressure that develops after the contraction and relaxation of the heart muscle. There is no need to worry when it is 120/80 or slightly above or below these values. See the table in the photo and check if yours is normal 😉

How to lower your blood pressure?

Avoid sweets, coffee and fatty foods. Easy? Well, I know, not entirely 😉

Interesting fact: Your blood pressure will rise quickly when you drink 2 glasses of water.

Blood pressure spikes are DANGEROUS because they may indicate coronary heart disease.

How I remember my osteopathy training in 2018 in London, when one of the trainers called hypertension a SILENT KILLER. I remembered it for good…

High blood pressure combined with high cholesterol, high body weight, smoking, large amounts of alcohol, and diabetes can mean one thing… trouble.

The positive thing, however, is that we can help ourselves a lot by changing our lifestyle, diet, and generally taking better care of our health.

Hypertension itself does not have to be a tragedy, but if left untreated, it can lead to:

• Heart attack
• Stroke
• Kidney disease
• Eyesight problem
• Cardiovascular disease

How often should you measure your blood pressure?

Once a year, and hypertensives should 3 – 4 times a year.

Hypertension and therapy

Hypertension is a relative contraindication to therapeutic massage and physiotherapy, which means that you can undergo therapy… but you should be careful.

It happens that patients feel dizzy after a massage or therapy, suddenly changing position or standing up. Why? This happens due to the so-called orthostatic hypotension, or in other words, a significant drop in blood pressure when standing up

That’s why it’s worth taking care of yourself!

Take care of your blood pressure, because…
It’s better to prevent problems than to deal with them

Pain and change in sensation in the hand

Pain radiating to the hand may occur together with pain in the neck, shoulder, scapula and the entire upper limb. It can mean many things, but often there is a problem with the numerous nerves coming out of the neck. They run through a series of muscles down to the arm. There may be an obstacle in the form of overly tense muscles, which may press on the nerve.

Most often, the little finger and its neighbor will hurt, but pain in the entire hand is not uncommon. Pain symptoms may vary and worsen at different times of the day and night. Why is this happening?

There may be several reasons, but the most common are:

1. Sleeping with your arm above your head

2. Work requiring constant hand movements, especially above the head

3. Stress; We often respond to stress by lifting our shoulders and changing our breathing, which can also lead to these types of problems.

If pain radiates to the hand, it is worth:

☑️Avoid sleeping on your forearm, it is best to keep your hand below shoulder level

☑️Avoid sleeping on the side that hurts

☑️Try some corrective exercises; those with connecting the shoulder blades will be appropriate – they will allow you to relax the muscles that may cause the problem and strengthen those that do not work very well

4 rules to avoid stress fractures

Many of us started the New Year with a strong resolution to improve our fitness, lose excess weight and take care of our health. We decided to return to sport and hard training. And it’s GREAT!!!

However, it is worth returning to running or the gym carefully and planning accordingly, because you may get injured.

And today, as a warning, a little about such an unusual injury, i.e. a stress fracture

Stress lesions and fractures can lead to pain and exclude you from sports for a long time. They occur relatively often not only in athletes, but also in people with osteoporosis. Today, however, I will write more about fractures in sports.

Fractures are very common in athletes who constantly overload their joints and bones without giving them adequate rest.

The pain increases at the end of training, and then even at the beginning and outside of training. Pain during the night is also not an exception

This happens when training loads increase rapidly over a short period of time. For example, returning to running, we go from a distance of 10 kilometers one week to 25 kilometers the next. We do it because we feel good and we think we can do it. No wonder our body refuses to obey.

Stress fractures occur especially in the bones of the lower leg (tibia) and foot.

Now what to do to avoid breakage:

1. Don’t go crazy

Nothing quick. Do not increase training load and training time rapidly. Rather, do it gradually and increase the number of repetitions, kilometers or kilograms so that the body can adapt to these changes.

2. Rest

You should take care of the breaks between training sessions – this is the time for the regeneration of muscles, bones and joints.

3. Eat a good diet

You should follow an appropriate diet that will replenish the deficiencies that occurred during training. Women should especially pay attention to calcium.

4. Remember to wear appropriate footwear

You should exercise in appropriate footwear. Running and jumping puts stress on the joints, so it is important to choose appropriate footwear.

And finally, I wish you pain-free sports in 2020!

5 very dangerous diseases that cause back pain

First of all, it should be noted that all the diseases described here are very rare and the probability of their occurrence is very small.

If your back hurts, the cause is most likely in the musculoskeletal system.

However, pain may be the result of:

Cancer metastases (metastases) to the bones, including the spine. Metastases often result in: breast, prostate and lung cancer (80% of cases). The spine is most often attacked by metastases, which may cause symptoms of pain, a feeling of spinal instability and neurological symptoms. Very often, additional surgical intervention or radiotherapy is required.

Tuberculosis – Tuberculosis of bones and joints accounts for approximately 3% of tuberculosis cases and is the third most common extrapulmonary location of this disease. In approximately 1/3 of patients with this form of tuberculosis, changes occur only in the spine. Tuberculous spondylitis is caused primarily by Mycobacterium tuberculosis, much less frequently by Mycobacterium bovis or BCG bacilli.

Pancoast syndrome – It accounts for approximately 5% of lung cancer cases. This is a special clinical form of bronchial cancer located near the top of the lung. It may infiltrate the ribs, vertebrae, chest wall and structures of the superior thoracic foramen. This cancer often causes damage/pressure to the brachial plexus, which means pain radiates to the arm, loss of sensation and muscle strength. This lung cancer will not cause symptoms of cough or chest pain.

Multiple myeloma (Myeloma) – is an incurable cancer of the hematopoietic system. Its first symptoms are not very specific, so it can develop unnoticed for a long time. Pain often occurs in bones such as the spine, pelvis or skull. Early detection and initiation of treatment can significantly extend the patient’s life.

Ependymoma (Ependymoma) is a cancer of the nervous system. In children it will be more common in the skull, while in adults it will occur in the spine. In addition to pain, patients may have serious neurological symptoms.

In the above diseases, apart from back pain, other symptoms very often occur (more on this on another occasion). For a physiotherapist who often sees a patient with back pain first, this is very important. Often, it can act quickly and refer you to another specialist or family doctor, which translates into a better prognosis for patients


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