Physiotherapy of the spine

Mana Physiotherapy Clinic is trying to play an effective role in the recovery of respected patients by providing treatment services including treatment of orthopedic lesions, neurology, rheumatology, treatment of sports injuries, needle therapy and manual therapy and taping with the best treatment methods and advanced equipment. In this article, we are trying to introduce you to the spine and the types of vertebrae, the problems and complications that arise for it, and to introduce you to the basic methods of spine physiotherapy. Stay with us. spine One of the important parts of the human body, which has the role of protecting the nervous systems that transmit brain signals to different parts of the human body, is the spine of the human body, which, in addition to the protective role, also has the role of support for the human body. This sentence shows the importance of the spine in the body. The spine has 33 vertebrae, which are placed inside each other and locked, and intervertebral discs, which are cartilaginous, are placed between them to avoid their erosion due to sliding on each other during movement. spine 24 beads of this column are movable and 9 are fixed. Movable vertebrae are generally divided into three categories: cervical vertebrae, thoracic vertebrae, and lumbar vertebrae. The first seven vertebrae from the top of the neck are called cervical vertebrae. These vertebrae hold the human head and allow the head to move and rotate in two directions, and their range of motion is greater than other vertebrae of the spine. Inside the cervical vertebrae, there is a cavity through which, in addition to the transmission of nerve fibers, blood supply to the brain is carried out. 12 vertebrae after cervical vertebrae are thoracic vertebrae. These vertebrae support the ribcage, which protects the heart and lungs, which are the vital organs of the human body. The next 5 vertebrae are the thoracic vertebrae and the lumbar vertebrae that bear the weight of the body. The next five vertebrae are joined together and consist of 5 vertebrae and are called sacral vertebrae. The next four vertebrae are also connected and attached and are called coccyx. This column determines the shape of the body, and all body movements depend on this important structure, whether it is in terms of transmitting brain signals through the spinal cord, which is a set of nerve fibers, to body parts, or in terms of physical movement performed by muscles and bones. Spine injuries The spine may be damaged due to various reasons such as abnormality, excessive pressure, incorrect standing of the person, unwanted blows to the spine and fracture or displacement and protrusion of its vertebrae and many other factors. In this part of the article, we will start from the cervical vertebrae and discuss the factors that cause pain in this area and its symptoms, and we will explain the same for other vertebrae in the body up to the end of the spine. Cervical vertebrae problems The most common symptoms of spine problems are neck pain, which may be mild or cause unbearable pain. This physical problem is one of those problems that most people have felt at least once. In any case, you can easily find your way to recovery as soon as possible by referring to doctors and specialists in this field. Damage in the cervical vertebrae of the spine usually manifests itself with symptoms such as pain in the neck, pain in the head, pain in the areas leading to the neck such as arms and shoulders, feeling weak in the legs, numbness and slowing of body movements, etc. The reasons that usually cause neck pain are related to problems and damage in the neck vertebrae, muscles around the neck, or the nerve fibers of the spinal cord in the neck area. These causes include the cervical vertebrae being in an improper position when sitting or sleeping for a long time, wear and tear of the discs between the cervical vertebrae, stress and nervous pressure, stretching of the muscles around the cervical vertebrae due to intense and damaging movements in these areas such as lifting heavy objects, spinal cord injury in the cervical vertebrae, and the formation of extra small bones in the cervical vertebrae, etc. If we want to categorize these factors, they are divided into three categories: inappropriate activities, injuries, pressures, blows, and finally diseases. Example of inappropriate activities pain in the neck Examples of inappropriate activities that cause pain in the neck area include long-term positioning of the head in front of the body or too high or too low when reading and watching, sleeping on inappropriate pillows or placing the head in a straight line with the body and stretching the head, neck and shoulder muscles. Injuries that cause neck pain can be as mild as a fall and feel little pain, or as severe as a blow from a car accident and being thrown to the ground. The last category, which is related to diseases that cause neck pain, includes inflammation around the spinal cord, which is called meningitis, arthritis in the neck area, and the narrowness of the spinal canal inside the cervical vertebrae, etc. Spinal canal stenosis causes pressure on the spinal cord and inflammation in that part. Neck pain in old age Another factor that causes pain in the neck area, especially in old age, is osteoarthritis. In this condition, over time, the cartilage discs that are between the cervical vertebrae dry up and due to the wear and shrinking of the bone pieces around it, pain occurs. Also, the disc between the cervical vertebrae may be swollen or ruptured, and this also causes pain in the neck area and affects the related points. When you go to the doctor because of neck pain, the doctor will find the main cause of the pain and help you relieve it. If necessary, the doctor will prescribe you to visit spine physiotherapy clinics. The aim of neck physiotherapy is to strengthen the muscles and tendons and ligaments around the neck and cervical vertebrae. Stretching activities that are performed in neck physiotherapy, if there is swelling around the neck, it will be removed and it will increase flexibility. Also, the process of neck pain treatment is accelerated. In neck physiotherapy, the correct positioning of the neck during various activities is taught and ways to prevent problems that may happen to the neck in the future and ways to reduce pain when it occurs are taught. Thoracic vertebrae problems One of the common problems that usually occurs for the vertebral column in the thoracic and back vertebrae is increasing the arch and having a hump, and the body of these people protrudes in the region of these vertebrae and the body leans forward. This abnormal curvature of the vertebrae behind the chest is called kyphosis, and it is determined when the curvature of this area is abnormal. There is a specific angle for the vertebrae in this area, which is between 20 and 45 degrees, and the higher this angle is, it may be considered kyphosis. Among the causes of kyphosis or hunchback, thoracic vertebrae fractures in this area, lack of vitamins especially in children, a person suffering from spinal cancer, abnormal growth of this area, incorrect sitting and standing, erosion of the disc between the thoracic vertebrae of the spine, etc. can be mentioned. The symptoms of this disorder are pain in this area, stiffening of the spine, pain and inability to bend and straighten, severe back pain and abnormal curvature in this area that can be seen with the eye, etc. If you have these symptoms, you can easily solve this problem and treat your spine by visiting Mana Physiotherapy Clinic. Types of kyphosis There are different types of kyphosis and it is classified into different categories based on the factor that causes it. Postural kyphosis: In kyphosis, a posture that is usually observed in people who are overweight and immobile, the person has problems in the hip and thigh area and they do not walk properly to reduce the pain in this area, and over time, kyphosis develops. Usually, the pain in this type of kyphosis is due to pain in the hip and thigh area, and this type of kyphosis alone will not cause pain. Congenital kyphosis: In the type of congenital kyphosis, the growth of the fetal spine in the mother's body is disturbed and causes this type of kyphosis. Kyphosis, muscle weakness: Weakness of the spine muscles may also cause pain in the back and thoracic vertebrae and cause kyphosis. The spine is surrounded and protected by many muscles, and their health is effective in the health of the spine. Weakness and stiffness of these muscles cause abnormalities in these vertebrae. There are two types of muscles around the spine, which are divided into two categories: superficial muscles that help movement and deep muscles that protect and stabilize the spine. These muscles may become weak due to reasons such as lack of important vitamins in the body due to improper nutrition, low water consumption and lack of it in the body, continuous blows to this area, and diseases such as osteoporosis, MS, arthritis, etc. Ankylosing spondylitis Ankylosing spondylitis (Ankylosing spondylitis) is a joint disease that inflames and hardens the spine and the bones of the pelvis and gives the spine a forward bend. This problem may also cause physical discomfort in the area of ​​the back vertebrae and cause kyphosis. In Scheuermann's kyphosis, the back vertebrae of a person's spine, which are usually oval, change shape, and this type of kyphosis is associated with pain and is more common in young people. This is called developmental kyphosis and during the development of the spine, it turns into the shape of English thirty. Treatment of kyphosis if its severity is very high or if it is congenital kyphosis, it can be treated with surgery, and if surgery is not needed according to the doctor's diagnosis, it can be treated without surgery with the help of physiotherapy methods. Lumbar problems The symptoms of a problem in the lower back are usually associated with muscle cramps in this area and other symptoms such as pain or numbness in this area and feeling weak in the leg area and murmuring etc. are caused by it. The causes of problems in the lumbar vertebrae area include pressure on the spinal cord and nerve fibers in this area, narrowing of the spinal canal inside the lumbar vertebrae, wear and tear or protrusion of the lumbar vertebrae, swelling of the disc between the lumbar vertebrae, arthritis, etc. Lumbar disc is one of the complications that occurs due to pressure on the lumbar vertebrae due to lifting heavy objects or in old age due to weakening of the lumbar muscles. Between the vertebrae of the spine, there is a cartilage-like part called a disc, which makes it easier for them to slide over each other and prevent them from eroding. When these cartilaginous plates protrude due to pressure, pain is felt in the lower back and legs. Because it puts pressure on the spinal cord. In old age, it happens with the drying of the fluid of these discs with the pressure of disc protrusion. Another complication that may occur for people whose spine is under pressure is a disc rupture or disc herniation, which is the destruction of the peripheral part of the disc by its central part and its removal, followed by putting pressure on the spinal cord. The main symptom of these complications is back pain. Another complication is called spondylosis, which is like spinal canal stenosis and the nerve fibers are placed very close to the vertebrae and affects them. Another complication is the curvature or deviation of the spine in the lumbar region, which is called kyphosis or lumbar hump, which causes a bulge in the upper part and can be inherited or caused by a wrong lifestyle. Lumbar lordosis is one of the complications of the lumbar vertebrae and is an inward depression in the lumbar region. There may also be a tumor in the lower back, which may originate from the spinal cord and is called a spinal cord tumor. These tumors put pressure on the spinal cord and nerve fibers and may break the vertebrae with their growth. Physiotherapy methods of the spine There are various methods for spine physiotherapy, which are performed in the best possible way by Mana Physiotherapy Clinic to treat and improve spine problems. These methods have lower costs than surgeries and have fewer complications and relieve pain and symptoms naturally. Manual therapy: The first method of spine physiotherapy, which is usually used for all parts of the spine, including cervical vertebrae, thoracic vertebrae, lumbar vertebrae, as well as the pelvis, is manual or manual spine therapy, which is performed by the hands of a physiotherapist. This method is non-invasive and in it, different manual physiotherapy methods are applied on the patient's body similar to massage and stretching, and sometimes the vertebrae of the spine are moved to solve the patient's problems and relieve his pain. Due to its importance and usually the basis of any treatment plan, this type of physiotherapy should be performed by a physiotherapist specializing in this field so as not to aggravate the problems by moving and moving the vertebrae. Sports exercises: Another method of spinal physiotherapy is to perform movement and sports exercises under the name of exercise therapy, which is prescribed by a specialist doctor for patients who do not have an acute problem in the area of ​​the spinal vertebrae that does not require surgery and not to move the organs connected to it, or for the recovery period after surgery. This type of physiotherapy is done in the best way in the Mana Physiotherapy Clinic and it makes the muscles flexible and improves the movement function and relieves the patient's pain. Traction: The third method is specific for relieving and improving pain in the upper spine and in the cervical vertebrae or at the end of the spine and in the sacral and coccyx vertebrae. The name of this method is traction and it can be done manually both by the device and by an expert in this field. In the traction method, by pulling the spine, the compression caused by the pressure between the vertebrae will be removed and a natural distance will be created between these vertebrae and will return their condition to the original state and provide more space for the spinal cord and nerve fibers. Laser therapy: The next method is laser therapy, which quickly improves the patient's pain, and if there is a damaged tissue, due to the energy transmitted to that tissue through the laser and the dead cells are destroyed, the healing process will be faster. This method is used today for various types of diseases. This laser can be applied to the body both with high power and with low power. High-power laser therapy destroys dead and damaged tissues, and low-power laser therapy stimulates cell activity and reduces pain, etc. This method is used a lot especially when there is pain in the neck and back. The wavelength of the lasers is determined by the specialist according to your body condition and is not the same for all people. This method also reduces inflammation. Viotherapy shock: Viotherapy shock is also used by physiotherapists to treat neck and back pain and muscle pain. A new method in physiotherapy is ozone therapy, in which ozone is injected into the joints and the treatment process begins. Electrotherapy is the application of a small electrical stimulation continuously to the parts of the body that suffer from immobility and cause damage. This action contracts the muscles and tissues and makes them active and the normal function is restored. This operation is done to improve the parts of the body that are paralyzed. Magnet therapy method Electromagnetic waves are used in magnet therapy. Induction of these waves to the affected parts of the body accelerates the treatment process and stimulates and restores the cells. This process is done in such a way that the tissues are stimulated by the application of electromagnetic waves and nitrogen monoxide is produced and the blood supply process is improved. This also strengthens the immune system. Dry needling in physiotherapy is one of the methods of pain reduction and blood supply. This method is like needle therapy and several thin needles are inserted into the client's skin by a specialist physiotherapist and spasms or cramps are treated by this procedure. One of the other treatment methods taught to you by the physiotherapist if it is found to be effective is active physiotherapy, in which physical activities are designed and taught to you to do frequently and regularly. These exercises and physical activities or so-called sports will improve your physical fitness in addition to improving the way you perform physical activities. There are many methods in the field of spine physiotherapy, and here we tried to introduce the most important methods to you. With the progress of science, the variety of these methods is increasing day by day, and newer and more efficient methods will replace the old methods. All modern methods of physiotherapy for the spine and other organs and parts of the body are performed by the most experienced specialists at the Mana Physiotherapy Clinic. Application of spine physiotherapy As stated at the beginning of the article, spine physiotherapy is a non-surgical, side-effect-free and cost-effective way to treat spine complications. Physiotherapy can solve problems caused by disc herniation, solve muscle cramps around the spine, solve problems caused by blows to the spine, treat sciatica, treat arthritis, solve back pain and neck pain, solve pain in the joints, solve problems in the area where disc destruction has occurred, and solve spinal canal stenosis, etc. The role of physiotherapist in physiotherapy When you visit a physical therapy clinic for treatment or to improve your functioning in life, you will first undergo evaluation and counseling. If you have visited the physiotherapy clinic with a doctor's prescription, the type of treatment and the affected area will be known. But if you go to these clinics without a doctor's prescription, you will be asked a series of questions about your need for physical therapy, the symptoms you feel, your ability to perform various movements, the diseases you have, your medical history, the amount of activity you have during the day, the amount of sleep and rest, etc. Also, a number of tests, including blood tests to check your physical condition and health, and a series of tests to check your physical fitness, including walking and going up and down stairs, and the ability to move different body parts and stretch, etc., will be taken from you. After conducting the necessary investigations, your goal of doing physiotherapy is determined and according to that a plan is determined for you so that you can achieve your desired goal of doing physiotherapy. In this program, physical activity and exercise and stretching may be specified for you according to the purpose and physical condition. You may be prescribed the use of equipment or physiotherapy methods with devices, or exercise with different equipment and massage, etc. All these activities have been taught to an expert physiotherapist and will be performed and modified by you under his supervision, and he will supervise the process of doing it and its effects. Mana Kadri Physiotherapy Clinic specializes in the treatment of spine injuries Mana Physiotherapy Clinic has a staff specialized in performing this physiotherapy method, and if necessary, you can benefit from its services by visiting this clinic. This method is used to treat pain in the neck, ribs, back, pelvis, etc., and is widely used and recommended by doctors after surgeries. Dr. Mana's Physiotherapy Clinic in Tehran has provided a suitable space for you to provide physiotherapy services, especially spine physiotherapy, which is the subject of our article, and you can go to it to prevent injuries and complications in the spine and other parts of the body, and if you are injured, by visiting this clinic, you can receive your treatment plan as soon as possible and return to your desired life.