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POSTURAL PROBLEMS |
| Kyphosis Scoliosis and Lordosis |
Kyphosis is an over exaggeration of the normal thoracic curve, causing a rounding of the shoulders.
There are two types of kyphosis, fixed and non fixed. Fixed kyphosis means the patient is born with it, and corrective surgery is needed to rectify the condition.
Unfixed kyphosis is a muscular imbalance where by the muscles of one side of the back are stronger than the other, allowing the dominate muscles of one side of the spine to twist the spinal column to one side, giving the spine an S shape.
A quick test to determine if a patient has fixed or non fixed scoliosis, is with the patient standing up, using a body pen draw a dotted line down the centre of the patients spinal column, note the direction of the curve on the spine, outlined by the body pen.
Ask the patient to lie on their stomach and note the direction of their spine. If the S shape has disappeared the scoliosis is muscular, and not fixed.
If however the S shape remains the same scoliosis is fixed.
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| Lordorsis |
Lordorsis is an over exaggeration of the normal curve of the lower back. Lordorsis sometimes can be congenital depending on the shape of the patient’s vertebrae at birth, or may also be formed by bad posture or a combination of having kyphosis.
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| Spinal degeneration Spinal Sternosis & Osteoarthritis |
Wear of the spinal disc and tear can cause narrowing of the spinal canal and this may cause stiffness and weakness in the back muscles. Special mobilizations and spinal manipulation are performed with added rehabilitations helping the patient gain mobility and pain relief.
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| Spinal Manipulation - Do I need it? |
Most lower back pain is muscular and affects the deep muscles of the lower back, and therefore triggers an inflammatory process.
Thus causing the spine to be immobilized setting a cascade of events which end in severe back pain, if left more than six days, may cause degeneration of the facet joints of the spine. The latest research shows that if the spine was immobilized for six days, degeneration will start to form in the facet joints of the spine. The study also showed once the spine had been manipulated, mobility quickly restored, and degeneration of the facet joint dissipated.
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| Soft Tissue Techniques/Massage |
Soft tissue techniques can be used to increase mobility of the muscles surrounding the spine, one muscle is stretched against another muscle group and this may reduce muscular spasm thus increasing movement and reducing pain.
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| Spinal Manipulation |
Manipulation of the spine can stop muscle spasm in the lower back.
Within every muscle end are Golgi apparatus which instigates the reflex action of muscles. We all know when a doctor taps our knee with a reflex hammer, the knee automatically jerks forward this is called the reflex action.
Spinal manipulation can beat the reflex action of muscular lower back spasm, thus stopping the spasm immediately.
How does it work?
When muscles normally work they require nerve impulses from the brain and spinal cord, when the spine is manipulated very quickly, the speed of manipulation is one hundredth of a second and this disrupts the normal massages along the nerve pathways thus releasing the muscle from spasm.
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| All Chartered Physiotherapists at City Clinic Group are skilled in soft tissue release techniques and spinal manipulation. |
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City Clinic Group including City Back Pain Clinic
conveniently located
at SE1 location
Tulip House, 70 Borough High Street, London Bridge SE1 1XF
Private Medical Insurance Accepted & Billed For You
AXA PPP, Norwich Union, BCWA, WPA, HSA and Sun Alliance
© 2010 Christopher Curtis, Chartered Physiotherapist, Qualified Acupuncturist
Call Free Phone Now : 0800 328 3704 |
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