Presentation on theme: "Neck & Back Care Michelle Kwong"— Presentation transcript:
1 Neck & Back Care Michelle Kwong Http://www.painrelief.sg B.HSci(Phty), MSPA, Cert. Clinical PilatesPrincipal PhysiotherapistPractice Director
2 SPEAKER PROFILE MichelleKwong.com QualificationsGraduated with Bachelor of Health Science (Physiotherapy) in University of SydneyAustralia Certified Clinical Pilates InstructorCertified Aquatic PhysiotherapistMember of Singapore Physiotherapy AssociationExperienceMore than 7 years of clinical experience in:PhysiotherapistClinical Pilates InstructorErgonomics ConsultantPersonal Trainer in Prehabilitation/Rehabilitation
3 SPEAKER PROFILE MichelleKwong.com AchievementAwarded GOLD Service Excellent by SPRING Singapore 2003Principal Physiotherapist and Director of Physiotherapy ClinicTHE PAIN RELIEF PRACTICEVisionHighly committed to help people with musculoskeletal pains to speedily recovery with latest clinically proven physiotherapy technologies & success in mastery of good health and fitness.
4 TOPICS COVERED Structure of the Spine Common Spinal Condition Causes of Spinal Pain/ ConditionsPain ManagementPrevention of Neck/Back PainExercises for Neck/Back muscles.
9 Intervertebral DiscThe intervertebral disc is a jelly like substance, which consists of annulus fibrosis and the nucleus pulposus. Acts as a shock absorber.
10 Spinal cord & Nerves Roots Nerve roots exit through holes in the bone of the spine (foramen) on the right side and left side.Branch out at each level of the spine.The nerve roots innervate different parts of body.
11 Ligaments Ligaments are fibrous bands or sheets of connective tissue. They link two or more bones, cartilages, or structures together.
12 Muscles Muscles attach to the spinal column, pelvis, and extremities. They serve to support the spine
13 Core MusclesDeep trunk muscles- acts as stabilisers‘Power House’
15 Causes of Neck & Back Pain Poor Carrying PosturePoor Sitting Posture
16 Causes of Neck & Back Pain Poor Sleeping PosturePoor Working Posture
17 Causes of Neck & Back Pain Overuse e.g. repetitive bending, static postureOverstress e.g. heavy object, excessive turningDegenerative changes i.e. Wear and tearTrauma e.g. fallGenetic predispositionPhysical inactivityMental StressTumor
19 Common Conditions of Neck & Back Pain Joint sprain e.g. locked joint syndromeMuscle and Ligament injuriesDegenerative changes e.g. spondylosis, osteoarthritis, spondylolisthesisProlapsed Intervertebrae disc (‘slipped’ disc)Nerve roots irritationFractures
20 Compression Fracture Usually due to trauma (very hard pressure or fall)Higher risk for osteoporosis/ elderly
21 Disc Herniation 1 Disc Degeneration Stages of Disc Herniation1Disc DegenerationChemical changes associated with aging causes discs to weaken, but without a herniation.2ProlapseThe form or position of the disc changes with some slight impingement into the spinal canal. Also called a bulge or protrusion.3ExtrusionThe gel-like nucleus pulposus breaks through the tire-like wall (annulus fibrosus) but remains within the disc.4Sequestration or Sequestered DiscThe nucleus pulposus breaks through the annulus fibrosus and lies outside the disc in the spinal canal.
28 SIGNS & SYMPTOMS Localised pain in the neck/ back Diffused pain over a wide areaPain radiating to the lower limb
29 SEVERE SYMPTOMS Numbness/ Pins & Needles in the upper/ lower limb WeaknessConstant painDifficulty sleeping/ awaken by painUnsteady with walkingInability to control bowel / bladder To seek early medical doctor/ physiotherapist advice if presence of severe symptoms
30 Self Management Doctor Physiotherapy Surgery MANAGING PAINSelf ManagementDoctorPhysiotherapySurgery
32 Pain Management Advice Avoid activity that may cause pain especially:- Strenuous activity- Prolonged activities, repetitive movement- Heavy loadsNeck/ Back Support for acute severe pain.(Not advisable for chronic pain.)HeatGentle stretching when pain reduced
33 Pain Management Advice When self management does not work, SEEK HELP EARLY especially if you are suffering from any neck/back pain and radiating pain down arms/legs.The longer your pain condition, the harder for doctor/physiotherapist to treat, the longer the time for recovery and more medical fees involved.
34 Physiotherapy Goals of Treatment relieve pain improve joint function maintain flexibilityStrengthening weak musclesAchieve a healthy lifestyle
35 Physiotherapy Pain relief treatment Postural Correction Heat (Ultrasound, Hotpack, Shortwave)Electrical (Interferential, TENS, microcurrent)Joint mobilisation/ manipulationMassageTractionPostural CorrectionSports Taping/ Kinesio TapingCore/ Back Therapeutics ExercisesReturn back to sports/work
36 - Advanced high tech Traction ADVANCED TREATMENTS: COLD LASER THERAPY- Stimulates immune system- Generate healthy cells & tissues- Promotes faster healingSpinal Decompression Therapy(DTS)- Advanced high tech Traction- Proven to reduce most neck/backsymptoms >86%EM SIGNAL THERAPY- Activate & Regenerate cells- Bone & Cartilage Repair- Significant pain reduction ELECTROACUPUNCTURE- Non-invasive- Effects of electrical & acupuncturetherapy to reduce pain & promoterecovery
37 Physiotherapy Education on lifestyle modifications Avoid prolong activitiesAvoid strenuous activitiesAvoid heavy loadAvoid squatting/kneeling prolongedAvoid stairs climbing
38 Medications Medicines doctors use to treat osteoarthritis include: Acetaminophen, which may help relieve pain.Nonsteroidal anti-inflammatory drugs (NSAIDs), which reduce inflammation and relief fever.Corticosteroid injections in the joint (intra-articular), which reduce inflammation.Hyaluronan injections, which may relieve pain.Opioids, which may relieve moderate to severe pain.
39 Supplements Chondroitin & Glucosamine sulfate natural substances found in the joint fluid.chondroitin is thought to promote an increase in the making of the building blocks of cartilage (collagen and proteoglycans) as well as having an anti-inflammatory effect. Glucosamine may also stimulate production of the building blocks of cartilage as well as being an anti-inflammation agent.
40 Supplements CH Alpha (Collagen hydrolysate) Only product with a U.S. patent for cartilage regenerationClinically proven to stimulate specialized cells called chondrocytes. Chondrocytes control the rate of cartilage regeneration in joints and detect changes in the composition of the cartilage. They respond to these changes by growing more cartilage.Studies have shown that CH-Alpha increases the concentration of collagen and proteoglycans through this stimulatory effect on chondrocytes.
41 SurgeryIn some cases surgery is necessary, more often it is not necessary.Another 6-8 weeks of physiotherapy, at 3 to 5 times per week.Lower rate of success, dependent- Pain- Increased danger from anesthetic- Increased danger from possible infections- Possible post operation complications(eg pneumonia, DVT, delayed union/nonunion, spinal cord injury)- Noticeable scarsProlonged recovery time, generally 6 to 8 weeks
42 Prevention of Neck & Back Pain PREVENTION IS BETTER THAN CURE!
43 Prevention of Neck & Back Pain Adopt good body mechanics/postureAdopt correct lifting techniqueExercises for a healthy backHealthy LifestyleStress Management
47 PRACTICAL Neck Mobility Exercises Neck Strengthening Exercises Back Mobility ExercisesBack Strengthening ExercisesDISCLAIMER:Exercises shown should be done with caution especially for people suffering in pain or previous condition. In case of doubt, check with your doctor/physiotherapist with regards to your condition.
48 Neck Mobility Exercises Neck Flexion/ ExtensionTilt head forward and backward as far as possible.Slow, repeat 8-10 timesNeck Side FlexionTilt head toward shoulder keeping shoulder stationarySlow, repeat times
49 Neck Mobility Exercises Neck RotationTurn head from side to side as far as possibleSlow, repeat 8-10 times
50 Neck Strengthening Exercises Deep Neck FlexorsTuck in ChinHold 10 seconds, 8 -10repsIsometric Neck ExtensorsGiving resistance with clasped hands at back of head, push backwards with head.Hold 10 seconds, reps
51 Neck Strengthening Exercises Isometric Neck Side-FlexorsPlace hands on side of the head and push head against hands resistanceHold 10seconds, 8-10reps
52 Back Stretching Exercises Bent Over StretchHold the back of a chair with your arms shoulder-width apart.Walk backwards as you bend forward from the hips and straighten out your arms.Keep your feet together, your back straight and your head between your arms in line with your spine.Hold for 10 – 30secs
53 Back Stretching Exercises BACK EXTENSION & SHOULDER BLADE PINCHStand with feet apart & lean backward to the point of tension with arms reaching back.Tighten shoulder blades and lower back muscles.Feel a mild stretch on your abdominals.Hold for 10-30secs
54 Back Stretching Exercises Lower Back StretchStand with feet hip-width apart.Come into a squat position by bending your knees and pushing your buttocks backwards. Place your hands on your thighs.Pull belly button toward your spine as you tilt or curl your pelvis under.Return to starting position.
55 Strengthens Transverse Abdominus Stomach HollowingStrengthens Transverse AbdominusBreath out and relax your stomach musclesPull lower part of stomach inwards and upwardsHold 10 seconds and perform 8-10repsCrook lying, sitting, standing
56 High PlankStrengthens the chest, shoulders, triceps, buttocks, hamstrings & trunk.Start on your hands and knees. Arms should be directly under your shoulders.Extend one leg back at a time until your body weight is supported on your arms and toes.Hold for 5-10seconds, perform 8-10 reps
57 Back Strengthening Exercises Bridging ExercisesLie on the floor with your knees bent, feet flat.Tighten the muscles of your lower abdomen and buttocks.Slowly raise low back and buttocks from the floorHold for 5-10 seconds, do 8-10reps
58 Back Strengthening Exercises Low Back ExtensorsLie face down on a mat with your arms beside you and your legs together.Lift your head and shoulders off the mat by squeezing the muscles in your lower back. Keep your feet on the floor.Slowly lower to the mat.Hold for 5-10 seconds, do 8-10reps
59 Summary Prevention is better than cure. When self management does not work, SEEK HELP EARLY if you are suffering from any neck/back pain or any radiating pain down arms/legs.LIVE A PAIN FREE LIFE!
60 QUESTIONS & ANSWERSIf you have any queries, please feel free to Michelle atOr call
61 THANK YOU World Malayali Club Michelle Kwong Presented By: B.HSci(Phty), MSPA, Cert. Clinical PilatesPrincipal PhysiotherapistPractice DirectorWorld Malayali Club
62 DisclaimerThe Pain Relief Practice Educational Material is for information only. This information is not intended to diagnose, treat, or cure any medical/health condition. It is not a substitute for formal, real world medical or physiotherapy care, and should not be considered as such. The Pain Relief Practice is not in a position to independently evaluate any of the advice or claims on behalf of any particular therapy. Any information or suggestions we provide should be discussed with your doctors or physiotherapist in real person when treating your condition. Our discussion of possible pain treatments are just options which may be significantly limited by the incomplete full physical examination of a doctor/physiotherapist.