Back Pain
The goals of back pain physiotherapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent back problems.Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Pain can be temporarily relieved by hot and cold compresses. However, a more holistic and long-lasting approach involves spine rehabilitation using ::
- Isolation Treatment with device based therapy: The weak muscles and tissues are identified and treated in isolation.
- Self-Care Exercise & Physical therapy
- Posture correction or posture improvement
- Lifestyle changes such as engaging in physical activities, postural breaks, ergonomics correction

Lower Back Pain
Lower back pain or ‘Lumbago’ pain comes from muscle strain, tension or injury in the lower back, usually affecting the bones, discs, nerves or spine muscles. The most important thing about back pain is an accurate and timely diagnosis. Once that’s done:
- For temporary pain relief: Pain-killers, Yoga Stretches and Hot packs can provide temporary relief.
- For reducing swelling or inflammation in the area : Use an Ice pack or cold pack in case you see swelling.
- In extreme cases: Spine Surgery may be recommended (less than 5% such cases)

Slip Disc
The wear and tear in the spine can cause damage in soft muscle tissue which can lead to excess pressure on bones and disc. This causes the disc to move from its alignment and cause disc herniation (commonly called a slipped disc) It causes pain and difficulty handling day-to-day activities Depending on the severity of the case, a slipped disc can be treated in the following ways:
- Medication and pain management: Pain can be controlled with various pain relief treatments including medication.
- Surgery: In rare cases, the pain doesn’t subside for a prolonged period (6 weeks or more), and surgery can help relieve the pressure on the nerve endings caused by Sciatica.

Sciatica
When discs herniate in the lower back, they put pressure on the sciatic nerve which runs through the legs. The resultant pain spreads from the lower back to the legs, including the toes. Patients who suffer from sciatica often find it difficult to walk, sit or stand for long periods of time. The foremost symptom of sciatica is radiating pain from the lower back to the buttocks or legs.
- Medication and pain management: Pain can be controlled with various pain relief treatments including medication.
- Surgery: In rare cases, the pain doesn’t subside for a prolonged period (6 weeks or more), and surgery can help relieve the pressure on the nerve endings caused by Sciatica.

Lumbar Spinal Canal Stenosis
Pain is a common symptom of spinal stenosis and the location of the pain will depend on whether the stenosis is present in the upper or lower portions of the spine. The symptoms of lumbar spinal stenosis may become severe for a little while but then subside. These are some of the most common symptoms associated with lumbar spinal stenosis:
- Mild to moderate cases of lumbar spinal canal stenosis can be managed with conservative treatment alone.
- Surgery is only advisable if non-invasive treatments for lumbar spinal canal stenosis are ineffective.

Ankylosing spondylitis
The condition is more common among men and usually begins in early adulthood. Symptoms typically appear in early adulthood and include reduced flexibility in the spine. This reduced flexibility eventually results in a hunched-forward posture. Pain in the back and joints is also common. Convention treatment for ankylosing spondylitis depends almost solely on anti-inflammatory drugs, opioid painkillers, and corticosteroid injections. However, these medications have serious side effects; since there is no cure for ankylosing spondylitis, the long-term use of these medications increases the risk of other health complications. Similarly, conventional physiotherapy for ankylosing spondylitis may offer some benefits but again, this may be limited as most physiotherapists do not isolate the affected muscles but instead focus on muscle groups.

Spondylolisthesis
Spondylolisthesis is an abnormal alignment of bones in the spine and usually affects the lower back. It occurs when an upper vertebra slips in front of the one below. Pain is often the first symptom of spondylolisthesis. Misaligned vertebrae can pinch the nerves, and this can have painful and debilitating consequences. Other parts of the body, such as the arms or the legs, can also be affected by spondylolisthesis. The amount of slippage is graded on a scale from mild to severe. Treatment can range from bed rest to surgery. Spondylolisthesis is often known as anterolisthesis.

Facet Joint Arthritis
Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. It is caused by degenerative changes to the joints between the spine bones. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings.

Facet Joint Arthropathy
Facet arthropathy is degenerative arthritis which affects the facet joints of the spine. In the area of the spine where there are facet joints, pain associated with arthritis can develop. Facet joints are found in the posterior of the spine.

SI joint pain
Symptoms experienced with sacroiliac joint dysfunction commonly include: Lower back pain that feels dull, aching, and can range from mild to severe. ... Pain that spreads to the hips, buttocks, and/or groin. One of the most common areas to feel SI joint pain is in the buttocks and upper back or side of the thigh.

Neck pain
Neck pain can have causes that aren't due to underlying disease. Examples include prolonged straining (looking up or down), sleeping in an uncomfortable position, stress, chiropractic manipulation or wearing heavy necklaces.

Neck strain
Neck strain is an injury to the muscles and tendons that support and move the head and neck. The neck is susceptible to injury because it is capable of extensive range of motion. It is, as a result, less stable that many other body areas. In addition, the neck muscles are affected by the motion of nearly all other areas of the body.

Neck Pain & Headache
Because cervicogenic headaches arise from problems in the neck, different conditions can trigger this type of pain. These include degenerative conditions like osteoarthritis, a prolapsed disc in the neck, or a whiplash injury. A compressed or pinched nerve in or near the neck is another cause of cervicogenic headaches.

Fibromyalgia
Widespread muscle pain and tenderness. Fibromyalgia is often accompanied by fatigue and altered sleep, memory and mood. Widespread muscle pain and tenderness are the most common symptoms. Medication, talk therapy and stress reduction may help in controlling the symptoms.

Cervical canal stenosis
Cervical canal stenosis is a bone disease involving the narrowing of the spinal canal at the level of the neck. It is frequently due to chronic degeneration, but may also be congenital. Treatment is frequently surgical.Cervical canal stenosis may lead to serious symptoms such as major body weakness and paralysis.

Spondylitis
Spondylitis is an inflammation of the vertebra. It is a form of spondylopathy. In many cases, spondylitis involves one or more vertebral joints as well, which itself is called spondylarthritis.

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