The largest group of people who seek help from a physiotherapist complaints to the back

The largest group of people who seek help from a physiotherapist complaints to the back. Most of these people are complaining about the low back (lumbar spine). The low back pain are divided into specific complaints and nonspecific symptoms. In specific symptoms you should think about herniated nucleus pulposis, arthritis, disc degeneration, stenosis (narrowing of the spinal canal), rheumatic diseases.

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By nonspecific symptoms can be no clear cause to be imaged. This particularly to instability or sciatica. By bringing the complaints originated in card (history), and perform a physical examination is a (manual) physiotherapist whether there may be a specific back problem or that there is more chance of a non-specific back problem. If the probability of a specific complaint is large will be sought contact there with the doctor you optionally after its own research, by may refer for further investigation (X-ray, MRI, blood tests). In but a few cases, treatment is necessary, by a specialist. Much more often you will be referred back to a diagnosis that the (manual) physical therapist can mobilize the right therapy. This is a hernia other than rheumatic disease.

Nonspecific symptoms are often more difficult to diagnose. Some features of instability include: difficulty with prolonged postures (long standing, sitting or walking), stroll, feel need to "crack" the back itself, more problems if you are fatigued. Instability can not, however, can see on an X-ray or MRI. It is the rhythm of contraction of the muscles more the problem. Whether or not the amount of tension in the muscles (tonus). Through training, you can learn the tightening of the muscles in the right way. Also, you are making it back stronger and will have fewer problems with the back. It is not to say that you will never have more complaints.

Sciatica is an irritation of the nerve root (sciatic nerve), wherein the inflammatory factors cause a (shooting) pain in the leg. Often a GP will prescribe medication to reduce the symptoms. continue to move may also help to calm level. Long sit (with legs stretched) is not desirable.

When you need to see a doctor?

if you were 50 years old and never back pain or nerve pain had in the leg.
if the pain is constant and does not change when you change or move out of position.
If you feel sick, has suffered from has nocturnal pain or malignant disease in history.
if you are a woman aged 60 or older, used with low body weight or long-term corticosteroids (has) such as respiratory protectors in lung disease, or has an enhanced bend in the thoracic spine.
If you are under 20 years.
if you have recently had an accident.
contact us directly at numbness in the genital area and around the anus, if you have incontinence or not to pee, or suffer from sudden strong progressive loss of muscle strength.
This text is with great care by physiotherapy in Horn | Institute D & C composite according to the latest guidelines. For questions please do not hesitate to contact us.