Ankylosing Spondylitis and Physiotherapy

Ankylosing spondylitis is an inflammatory arthritic disease or spondyloarthropathy, classified with reactive arthritis, bowel disease arthritis and psoriatic arthritis. The underlying relationships between these diseases are complex but they are connected by enthesitis (inflammation of the ligament/bone junctions) and by possession of the HLA B27 gene on white blood cells. The enthesitis process at the joint edges can cause fibrosis and then ossification of the area (bone formation).

AS is the commonest of the spondyloarthropathies and its occurrence varies with the occurrence of the HLA B27 gene in the population, AS being less common in the tropics and more common in northern European countries. 0.1 to 1.0% of people are affected but this varies with latitude and is more common in white people. About 1-2% of people with the HLA B27 gene actually develop AS but this becomes 15-20% likelihood if they have a first degree relative with the disease.

Three males to every one female is the ratio of patients with Ankylosing spondylitis, as female patients may have much less obvious symptoms and so be missed from the diagnosis. Young men are the commonest presenting group with most consulting a doctor before they are 40 and up to 20% before they are sixteen years old. 25 years is the average age that someone goes down with the symptoms and is uncommon to find a diagnosis of AS in a person over fifty. It is easily overlooked as it can look like mechanical back pain if care is not taken. On questioning how they are in the morning, a typical answer is very stiff.

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Be the first to comment - What do you think?  Posted by admin - October 13, 2017 at 4:29 pm

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Physiotherapy Importance – Great Solution For Quick Recovery From Pain

The Importance of physiotherapy in recovering from injury just cannot be over emphasized: the smallest injury reacts positively to physical therapy and even serious injury can heal safely and quickly without the need for any other medication of treatment.

While physiotherapy may conjure up images of joint manipulation through twisting of the limbs by the therapist into impossible positions, this is just one of the methods of healing through physiotherapy. Importance of physiotherapy in healing comes from the number of techniques available.

Popping a painkiller like Aspirin to overcome pain is useful only as long as the pain is a non-recurring one and not due to a serious injury. People suffering from back pain realize the importance of physiotherapy because it gives faster relief and facilitates the patient’s recovery through massage, easy to practice exercises and stretches, heat therapy and traction. If the patient has been bed ridden for quite some time, some or a combination of these therapies may be recommended by the therapist to remove muscle stiffness and return their suppleness and elasticity.

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Physiotherapy to Help Pain Management

Chronic pain, especially in the back and in the head, plagues a large percent of the populace. This painful condition might be traced back to an injury or to a disease. Whatever the cause, the anguish that it brings can make one do almost anything to have relief and comfort.

Individuals suffering from this recurring malady usually consult medical doctors for ways of alleviating the agonizing pain that they feel. They often go through a procedure which includes a series of tests to establish the reason of the painful condition and of course the prescription of medications to be taken by the patient. Most of the medications prescribed can do wonders in blocking the pain. Unfortunately, these medications also have ensuing side effects. The consequences can be in the form of damages in the organs like liver and kidneys, or it can be an addiction to the medication. Anti-pain medications such as Vicodin help alleviate the distressing condition of the patient but it is also prone to abuse. An individual can become dependent on these anti-pain medications which make matters worse. This spurred doctors to endorse a combination of medication and the use of physiotherapy to counteract the problem of how to cope with pain.

This has brought forth a growth of pain management clinics. An option has been given to chronic pain sufferers. Physiotherapy offers alternative ways to manage pain and patients are given a choice to cope with the situation without the after-effects of anti-pain medications.

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1 comment - What do you think?  Posted by admin - October 12, 2017 at 4:30 pm

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Why Use Physiotherapy to Treat Back Pain

Physiotherapy dates back to the ancient times but the modern practice of this allied medical care started in the 1920s. It is used to address conditions like recurring pain, musculoskeletal disorders, and movement disorders. The health care professional who is trained in this field of endeavour is known as a physiotherapist or a physical therapist.

Nowadays, the services of physiotherapists are widely sought by a large number of people who suffer from a wide variety of afflictions. The most common of which is back ache. It used to be that when an individual has backache, he goes directly to a doctor. At present, he has another option and that is to engage the assistance of a physical therapist.

Backaches come in different forms depending on the specific affected area. The causes are quite varied ranging with those resulting from injuries due to motor accident, some diseases or an unhealthy lifestyle. It may be in the form of lumbar back pain or thoracic back pain.

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Benefits of Physical Therapy

An active lifestyle is a healthy lifestyle. This is a very true statement and many people around the world live by it in order to stay in shape. While the pros of an active lifestyle far outweigh the cons, occasionally active people will end up getting injured while doing the things that they love. When this happens a doctor will usually refer them to a physical therapist in Seattle to help them overcome their injury and get back out the door and on their feet. Here are some of the major advantages of seeing a physical therapist in Seattle.

The first major benefit of going with a professional physical therapist is that they are well-trained and have gone through years of schooling to be able to help you out with your ailments. These medical professionals will have had experience with dealing with patients that have gone through joint injuries or replacements, surgeries, and also broken bones. They will usually have experience with smaller issues that have to do with sprains, muscles that have been torn, nerve problems, and even carpal tunnel. Read more…

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Be the first to comment - What do you think?  Posted by admin - October 11, 2017 at 4:27 pm

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Physiotherapy and Back Exercises

The cost of low back pain to society is very great, with high financial costs in terms of lost income, lost production and time off work and the costs of medical and physiotherapy and other treatments. This is apart from the personal consequences of the loss of one’s work or job role, loss of the ability to do normal activities and the pain itself. Many back pain treatments have been developed, most of which do not have high levels of effectiveness, and much is down to self management. An exercise programme has been shown to be an important aspect of this and this includes stability work, gym or aerobic exercise and lumbar and pelvic ranges of movement.

Joint ranges of movement are not obvious to most of us but are vital to our ability to perform day to day activities. The shoulder is an important example of a highly functional joint which allows us to place our hands in front of our vision so we can perform precise actions. To do this it has a very large range of movement, allowing us to put our arms behind the back, behind the neck and right above the head. A joint can change due to Read more…

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Treating Lumbar Spinal Pain by Physiotherapy

Low back pain is very common and most people have some experience of a back pain episode at some time of life. Attendances at physiotherapy clinics for low back pain are very high so physios have a variety of assessment and treatment techniques to manage spinal pain and improve patients’ function.

A serious medical condition such as cancer or infection is a very uncommon cause of back pain, but several medical problems can present this way and physiotherapists need to be aware of this so they can refer the patient on to the appropriate doctor. The physio will ask about past medical history (cancer, arthritis, diabetes, epilepsy), any loss of weight or appetite, bladder and bowel control, feeling unwell, sleep disturbance and worse pain when lying down to sleep.

The physio is looking for the patient to react as if they have mechanical spinal pain, a condition where normal physical stresses such as sitting or walking have a worsening or easing affect on the pain. The examination starts by observing the posture and movement of the patient during the questioning and the physio follows this by examining the spinal posture and ranges of movement. Abnormalities of posture are common and not always important, with leg length differences, a reduction or increase in the back curves and a scoliosis being common findings.

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Knee Replacement Surgery With An Un-Cemented Prosthesis

Having your knee replaced with an un-cemeted prosthesis has it advantages and dis-advantages. The advantages however outweigh the disadvantages depending on your age. Younger adults generally but not always get un-cemented components initially for several reasons.

Having components that are un-cemented are used for those patients that have healthy bone stock and quality. The un-cemented components have what is called a porous material that is built within them. This allows for your bone to grow naturally into the prosthesis giving them a more natural fit. Read more…

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Be the first to comment - What do you think?  Posted by admin - October 7, 2017 at 4:27 pm

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Handling and Physiotherapy Management of Lacerated Achilles Tendon

Physiotherapy and Medical Treatment of Achilles Tendon Rupture
by Jonathan Blood-Smyth

The largest and the strongest tendon in the body is the Achilles tendon in the distal posterior calf. Typical patients with Achilles tendon rupture are men in good health from 30-50 years old and who have not suffered major injuries or any kind of difficulty with the leg before. Rupture occurs typically in people who have not been recently active and who may indulge in infrequent physical activity such as playing weekend sport, players known as “weekend warriors”. Read more…

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Physiotherapy of Your Shoulder

The function of the human arm is to allow placement of the hand in useful positions so the hands can perform activities where the eyes can see them. Because of the huge range of positions required the shoulder is very flexible with a large motion range, but this is at the expense of some reduced strength and greatly reduced stability. A “soft tissue joint” is often a description of the shoulder, indicating it is the tendons, muscles and ligaments which are important to the joint’s function. Shoulder treatment and rehabilitation is a core physiotherapy skill.

The shoulder joint is constructed from the socket of the scapula and the humeral head, the ball at the top of the upper arm bone. The head of the upper arm is a large ball and important tendons insert onto it to move and stabilise the shoulder, but the shoulder socket, the glenoid, is small in comparison and very shallow. A cartilage rim, the labrum of the glenoid, deepens the socket and adds to stability. The acromio-clavicular joint lies above the shoulder joint proper and provides dynamic stability during arm movements, being made up from part of the scapula and the outer end of the clavicle.

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Be the first to comment - What do you think?  Posted by admin - October 6, 2017 at 4:46 pm

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