Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips out of place. This slight slippage can sometimes cause compression of the nerves and, in some cases, cause tingling, numbness, pain, and even weakness in the legs.

Spondylolisthesis can be the result of a trauma to the spine, a congenital defect or simply be a progression of osteoarthritis. Spondylolisthesis can occur, without apparent cause, as people age. In younger individuals, spondylolisthesis usually occurs as a result of trauma during sports such as gymnastics or football and can cause a fracture in the vertebra.

Spondylolisthesis is found in the spine. The​ spine​ is made up of bones called ​vertebrae​ and between them are the ​intervertebral discs,​ which act as shock absorbers. Spondylolisthesis most often affects the lumbar region, particularly the L5 vertebra.

Each person will react differently to the presence of spondylolisthesis and symptoms can vary considerably. Initially, spondylolisthesis may be present without any noticeable symptoms.

When pain is present, it is often felt in the lower back or the buttocks. It can range from mild to severe and can affect daily activities such as walking. Burning and tingling sensations may be felt in the area of the buttocks and legs.

Sitting or leaning forward is often less painful than standing or walking because of the positioning of the spine.

Relative rest is a good way to protect your back and prevent your condition from getting worse, but it is important to avoid over-protecting it. A temporary reduction in activity may be necessary, but a quick return to your daily activities, light cardiovascular exercise and specific strengthening and mobility exercises will allow for better recovery.

Follow your therapist’s advice. This will help you manage your symptoms and increase the chances of successful rehabilitation. Your therapist will accompany you during your rehabilitation program to restore your mobility, muscle strength and endurance, flexibility and functional status.

According to the principles of spondylolisthesis rehabilitation, the reduction of joint and muscle stresses in the lumbopelvic-hip complex (back, pelvis, hip), the improvement of posture and thoracic mobility, muscular balance and weight control would be important elements for a functional recovery.

A progressive training program over a period of a few weeks including education on load-lifting techniques is quite common.

Do not rely solely on a passive treatment approach. Patients who actively participate in their treatment plan tend to better manage the symptoms caused by spondylolisthesis. Remember that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, mild strengthening, mobility and cardiovascular exercises based on your tolerance.

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What to do about your Stress Fracture

Stress Fracture

Continuing on from yesterday’s stress fracture information, today we look at what to do and what to avoid with a stress fracture.

Relative rest is a good way to protect your bone against further damage. Initially, limiting pain-provoking activities is necessary. Then, progressive return to weight-bearing during your activities of daily living, non-painful light cardiovascular exercises and therapeutic exercises will allow better recovery.

In the presence of a stress fracture, it’s important that physical activities, such as training, for example, are performed below the pain threshold.

Follow your practitioner’s advice. It will help you manage the different phases of the recovery process and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain your normal range of motion, strength and endurance, balance and pre-fracture functional status.

As per the principles of rehabilitation for stress fractures, reducing impacts is one of the main elements of functional recovery. In most cases, temporarily modifying training to focus on non-weight-bearing activities such as biking or swimming can help maintain your training level while allowing optimal bone recovery.

Avoid returning too quickly to running or activities that caused the fracture. A stress fracture can lead to a more important fracture if pain signals are ignored. People that reduce the volume of high-impact activities typically recover faster.

Stress Fractures

A stress fracture is an overuse injury. This type of fracture is defined by a tiny crack in the bone, mainly caused by repetitive forces over time.

This condition affects mainly people that are involved in activities such as walking, running or jumping, where the lower body must absorb the bodyweight. Stress fractures can also develop from the normal use of a bone that’s weakened by a condition such as osteoporosis.

Generally, this injury happens when training intensity and/or volume is increased too quickly with inadequate recovery. Starting a new activity, modifying the training surface and quickly transitioning to a new type of inadequate training shoes are among the risk factors.A stress fracture is most commonly seen in the weight-bearing bones of the lower leg and foot. Metatarsals, which are five long bones between the center of the foot and the toes, are the most affected. Stress fractures are also common in the calcaneus, the talus, the navicular, the tibia and the fibula. The stress fracture generally occurs at the base or center of the bone.

Everyone will react differently after an injury and recovery will depend on the severity. A stress fracture can cause but is not limited to, pain and difficulty in weight-bearing activities and localized swelling.

Your rehabilitation plan, your health status, your fitness level and your nutrition affect recovery time. Generally, you can expect to fully recover from a stress fracture. Typically, this type of fracture heals within four to eight weeks.

Thoracic Outlet Syndrome

Thoracic Outlet Syndrome
Thoracic Outlet Syndrome

Thoracic Outlet Syndrome

Thoracic outlet syndrome is a collection of symptoms of pain and numbness that can extend from the neck area to the hand.

Symptoms often result from the compression of nerve and blood structures in the space between the scalene muscles in the neck, collarbone and first rib.

Thoracic outlet syndrome occurs more often in people who perform repetitive activities above the shoulders such as swimming, racquet sports or simply in manual workers. This syndrome is more common in women than in men.

Nerves and blood vessels in the space between the muscles of the neck, collarbone and first rib are often involved in this condition.

A fracture of the collarbone, altered posture, a supernumerary rib or overdeveloped chest muscles can lead to thoracic outlet syndrome.

Symptoms depend on which vascular or nerve structures are compressed. Thoracic outlet syndrome can produce, but is not limited to, pain in the neck, shoulder, arm or hand. Symptoms may also include numbness in the forearm and some fingers. People may also experience a feeling of weakness on the affected side.

Compression of the blood vessels may cause a decrease in blood flow to the arm, resulting in increased swelling and redness in that arm. Symptoms usually appear or increase when the arms are extended, or held high above the shoulders for a period of time. They are often more acute at night.

Your rehabilitation plan, health profile and fitness level affect the recovery time. In most cases, you can expect a full recovery from thoracic outlet syndrome. Recovery will depend on the severity of the compression.

A few days of rest by reducing activities that cause pain may be necessary. A gradual return to your daily activities, light cardiovascular exercise and mobility and strengthening exercises will allow for better recovery.

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your rehabilitation program to help you regain optimal posture, joint range of motion, muscle flexibility, muscle endurance and functional status.

According to the principles of thoracic outlet syndrome, improving posture and reducing muscle tension would be two important elements for functional recovery. A progressive rehabilitation program over a period of a few weeks is quite common.Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Remember that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light and progressive exercises based on your tolerance.

Acupuncture and Tennis Elbow

Acupuncture for tennis elbow

#Acupuncture treatment has been shown to help provide significant pain relief for tennis elbow.

Acupuncture treatment can help to reduce inflammation and improve blood flow to injured areas to aid and speed healing of various types of tendonitis. Pain in the outer elbow or forearm pain are signs of tennis elbow.

Dr. Natalie Carriere is now offering Acupuncture treatment at #AberdeenChiropractic. Call 204-586-8424 today for your initial consultation and treatment!

#Pain

#PainRelief

#Health

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#Winnipeg