TREAT YOUR BACK PAIN

Why should I use a Medi-care lumbar roll
As few seats provide adequate support for the lower back ,dr.m.r.islam found it provide his patients with a portable lumbar roll that could be used when sitting . A portable roll is essential equipment for people with ongoing back problems. When sitting on seat with a back –rest, a lumbar roll will facilitate the maintenance of a correct lordosis (curve in the spine )and posture.
Ideally the back of all chairs should provide lumbar support so that the lordosis , naturally present during standing , is also maintained while sitting. It is relatively easy to find seating that has some degree of lumbar support . but few seats or chairs provide adequate support for the low back and it is usually still necessary to use a lumbar roll.Price -500 BDT( wholesale only for physiotherapy centre-must be bulk amount).


 Before starting exercise you must concern graduate physiotherapis





Who Should You See for Low Back Pain?



Having Low Back Pain is one of the common reasons for visiting a Primary Care Provider in the United States.

Initial treatment for LBP at this stage could range from prescription medications, use of imaging and diagnostic studies, instructions to rest and cease most activity and possibly a referral to physical therapy or other specialist. Early access to Physical Therapy services has shown to be helpful in preventing chronicity and repeated episodes of LBP but it's sometimes the last place the patient ends up.

As a Physical Therapist I have new patients come to me every week with LBP and limitation doing normal activities and even their job, be it physically demanding or not. It isn't uncommon that I see patients with LBP of several months sometimes even a year's duration that have been on medications, have had an MRI (and have no idea what it revealed), have stopped all previous meaningful activity and are not better but only worse. Let's think about this, the patient and other payers have spent thousands of dollars looking for a solution and the patient at this point just wants an answer. Sadly, I don't think the scenario above is exclusive to me, many fellow professionals share the same frustration.

Sources and Causes of Low Back Pain

There is no certain cause of LBP. Many structures in the lumbar spine can be sources of pain when stressors are applied. Any structure that has a nerve supply has the potential to cause pain and in the lumbar spine these include but are not limited to, bones (vertebrae), joints, ligaments, nerves, intervertebral disc and muscles. All these structures are delicately interconnected and function as a system. During the initial Physical Therapy visit the functional movements that are limited and painful should be identified and emphasis on movement restoration, not just pain resolution be established as a primary focus.

There are a few activities I routinely hear about that aggravate a patient's pain; bending, sitting, standing, and walking. Sitting and standing by nature are static activities and I find can be made “less bad” with some practical instruction on posture, positional preference, ergonomic education and use of a lumbar support. Walking and bending are more complex to assess and this is where the Physical Therapy Examination and Evaluation will provide a proper explanation once carried out. See “What a PT Evaluation Should Be.”

Physical Therapy Intervention

A multitude of treatments exist for low back pain. Recent guidelines support identifying which patients will benefit from a specific treatment based on predictors found during the examination process. Manual Therapy, general exercise, traction, specific exercise, graded activity and patient education are just a few of the treatment approaches used in Physical Therapy, and they are often used in conjunction with each other, rarely as a stand alone treatment to optimize results. During the rehabilitation process patients should be reassessed and careful tracking of specific outcomes and measures should be consistent. It is important that worrisome signs and symptoms be continually tested and evaluated to determine if improvement has occurred or if there are signs of worsening that might justify an immediate referral to another specialist.

In summary, there is a need for the public to better understand the complexity of low back pain and how it can be managed. Causes of low back pain are difficult to pinpoint but a thorough examination by a Physical Therapist can be a great choice. Physical Therapy can be accessed directly in many states in the U.S. This means you don't necessarily have to go to your primary care physician to be referred to Physical Therapy. Often it is very appropriate to seek primary medical attention for specific conditions, however, Physical Therapists are among the professionals in medicine who are trained to identify conditions that require immediate referral to more appropriate services, this should ease your worry.



 Sciatica Pain Relief


As many as 40% of people will get sciatica, or irritation of the sciatic nerve, at some point in their life. This nerve comes from either side of the lower spine and travels through the pelvis and buttocks. Then the nerve passes along the back of each upper leg before it divides at the knee into branches that go to the feet.
Anything that puts pressure on or irritates this nerve can cause pain that shoots down the back of one buttock or thigh. The sensation of pain can vary widely. Sciatica may feel like a mild ache; a sharp, burning sensation; or extreme discomfort. Sciatica can also cause feelings of numbness, weakness, and tingling.
Recommended Related to Back Pain
Nighttime Back Pain
Nighttime back pain is a special type of lower back pain that could indicate a serious problem with your spine. If you've never had pain in your lower back, chances are you will. In the U.S., between 60% and 80% of the population experiences some form of low back pain during their life. It's the second most common reason people see their doctor. But as debilitating as back pain can be, most instances of it are manageable, and people often see improvement within a matter of weeks. A key element...
Read the Nighttime Back Pain article > >
Pain may be made worse by prolonged sitting, standing up, coughing, sneezing, twisting, lifting, or straining. Treatment for sciatic pain ranges from hot and cold packs andmedications to exercises and complementary and alternative remedies.
Medications for Relief of Pain From Sciatica
Several types of medications may be used for sciatic pain. Oral medications include:
• Over-the-counter pain relievers such asacetaminophen, aspirin, or NSAIDs (such as ibuprofen [Advil, Motrin], ketoprofen, or naproxen [Aleve])
• Prescription muscle relaxants to ease muscle spasms
• Antidepressants for chronic low back pain
• Prescription pain medications for more severe pain
Do not give aspirin to a child aged 18 years of age or younger because of the increased risk of Reye's syndrome.
In some cases, a steroid medication is injected into the space around the spinal nerve. Research suggests these injections have a modest effect when irritation is caused by pressure from a herniated, or ruptured, disc.
Surgery for Sciatica
If pain from sciatica persists for at least six weeks despite treatment, you may be referred to a specialist. At that point, surgery may be an option. The goal for surgery is to remedy the cause of the sciatica. For example, if a herniated disc is putting pressure on the nerve, then surgery to correct the problem may relieve sciatica pain.
If sciatica symptoms are severe or become progressively worse, then immediate referral to a specialist is necessary.
Physical Therapy for Sciatica
Sciatica pain may make it difficult to be active. But bed rest is not recommended as a mainstay treatment. To manage new sciatica pain, you may find that certain positions and activities are more comfortable than others.
If symptoms are not severe but persist beyond a couple of weeks, your doctor may recommend physical therapy. The proper exercises may actually help reduce sciatic pain. They can also provide conditioning to help prevent the pain from coming back.
The exercises recommended will depend on what's causing the sciatica. It's important to work with a specialist who has experience working with people with sciatica. It's also important to do the exercises exactly as directed.
To get the proper direction, you will most likely work with one of the following specialists:
• Physical therapist
• Physiatrist -- a doctor who specializes in physical medicine
•

• Complementary and Alternative Remedies for Sciatica Pain Relief
• Some people find pain relief from complementary and alternative therapies such asbiofeedback and acupuncture. Keep in mind, though, that these therapies have not been shown by scientific studies to help sciatica.
• Biofeedback is a technique that helps make it possible to control bodily processes such as heart rate, blood pressure, and muscle tension. It works by using a machine that provides information about the process being addressed. Having that information displayed, the person is often able to find ways to achieve conscious control of these processes. Probably the most common use of biofeedback is to treat stress and stress-related conditions.
• Acupuncture is a treatment that uses fine needles inserted at specific locations on the skin called acupuncture points. The points are located along meridians, or channels. The channels are thought to conduct qi, which is said to be the energy or vital force of the body. The theory behind using acupuncture is that pain is thought to result from imbalances or blockages of the flow of qi. Acupuncture is supposed to remove those blockages to restore the balance.
• One theory is that stimulating these points produces an effect by stimulating the central nervous system. This, in turn, would trigger the release of chemicals that either alter the experience of pain or produce other changes that promote a sense of well-being.

 Before starting exercise you must concern graduate physiotherapis