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Treatment of Lordosis

Treatment of Lordosis

Lordosis is deviations of the spine from the sagittal (anteroposterior) plane, having the convexity of the anteriorly oriented curvature. The patient with lordosis presents for consultation, mainly for pain in the lower lumbar region or the thoracolumbar region. Another important symptom is the deformity of the lumbar region, associated with the prominence of the abdomen.

The classification of lordosis is done according to the following criteria:

1. After the moment of the appearance of the lordosis they can be:

  • primary: when the column deviation appears as the first sign
  • secondary: when the deviation of the column appears after another condition that can induce a deficiency of the column

2. According to the evolutionary prognosis, the lordosis is classified according to the degree of curvature:

  • 1st degree (light): between 20-40 °
  • 2nd degree (average): between 40-60 °
  • grade III (severe): above 60 °

3. After the presence of pain lordosis can be:

  • painful: in the case of lordotic attitudes or post-traumatic lordosis
  • painless: in the case of congenital lordosis

4. After topography, the lordosis can be:

  • typical: when the lordotic deviation appears as an accentuation of the physiological lordosis of the lumbar region
  • atypical: when the lordotic deviation appears in other regions of the spine: cervico-dorsal, dorsal or dorso-lumbar

5. Depending on the length of the affected column segment and the number of vertebrates involved in lordosis deficiency, they can be:

  • short: when the deficiency of the spine is limited to 3-4 vertebrae
  • long: when the deficiency encompasses the entire spine

6. After the mechanism of production and structural damage the lordosis can be:

  • functional: when the deviation of the column does not show structural changes in the elements of the spine
  • pathological: when the deviation presents structural changes

THE TREATMENT OF LORDS

The treatment of lordosis is done by kinetotherapy in the case of functional lordosis and by orthopedic, less surgical means, in the pathological lordosis.

Kinetotherapy has the following objectives:

  1. The softening of the spine by toning under shortening of the muscles of the anterolateral wall of the abdomen and under prolonged conditions of the lumbosacral muscle.
  2. Restoring the position of the basin.
  3. Correction of deficiencies in the trunk and lower limbs to obtain a correct and stable attitude.
  4. Prevention or correction of kyphosis may appear compensatory in the dorsal region.
  5. Preparation of the body for pre and post other types of treatment (surgical or orthopedic).

The means used in recovery are:

  • static exercises consisting of maintaining some corrective and hypercorrective positions of the lumbar spine, pelvis, lower limbs
  • dynamic exercises for all regions (head, upper limbs, trunk, lower limbs). Applicative exercises are used (walking, shooting, suspension, balance)
  • breathing and recovery exercises (self-control)

At the Physiotherapy clinic in Dwarka, the best doctors and therapists are available for the treatment of lordosis, from the initial consultation to the treatment and complete medical recovery.

Lesions of Muscle Physiotherapy

We want to dedicate this article to explain how muscular physiotherapy works. It is not about any particular branch but how physiotherapy treats muscle injuries. In today’s society, muscle injury is very present, so it has a great interest.

What is muscle physiotherapy?

Muscle physiotherapy in Dwarka takes care of all muscle problems and injuries, one of the most common areas of the physiotherapist’s work. Such is the importance that all professional teams have incorporated the figure of the physiotherapist in Dwarka into their organizational charts, even in many gyms.

Most important muscle injuries

There are many types of muscle injuries but we will see which are the most important, the ones that are seen most frequently in a physiotherapy clinic in Dwarka.

Laces

They are defined as that muscular and diffuse pain, which appears in the immediate 24-48 hours from the realization of an intense and/or prolonged exercise and affects the musculotendinous apparatus. Muscle joints and tendons near the joints are affected.

They are part of an adaptation process and the pain is due to the weakness of the muscle fiber, to the exercise being untrained or when an exercise other than usual is performed. Muscles work differently than usual and microroturas occur.

This process usually lasts 20 to 30 hours, and until 78h after the effort, the pain evolves and thereafter decreases until 7 days later.

To prevent stiffness we must adapt to training or new exercise gradually. In addition, good nutrition is essential to avoid them.

Muscle contracture

The contracture is an involuntary, lasting or permanent contraction of a muscle or group of them. It can occur when making an effort and among the most frequent symptoms, we find the bulging or inflammation of the area, pain, and alteration of the normal functioning of the muscle.

The reasons why we can have a contracture is:

  • If we carry out a continuous activity with an inadequate posture,
  • Force when doing an exercise,
  • Due to dehydration, lack of magnesium and potassium. Muscle fibers need water, glucose, sodium, potassium, and magnesium.
  • Emotional and psychological stress, such as anxiety and tension, can cause a series of reactions in the body that affect the nervous system causing stiff neck and muscle tension.

Muscle Physiotherapy

Muscle strain

Fibrillar rupture or fiber breakage, as the name implies, is the breakage of muscle fibers and is popularly known as “muscle tear.” This injury causes hemorrhage in the area due to the breakage of blood vessels that supply the muscle, inflammation and very intense pain.

Fiber breaks can be caused by a variety of factors such as trauma, excessive muscle exertion, poor pre-preparation at the time of physical activity, … among other things. It should be mentioned that, according to oriental medicine, the body may be predisposed to suffer this type of injury due to emotional factors.

In general, muscle tearing causes:

  • An intense pain, similar to a stab.
  • Swelling or edema
  • Loss of mobility, which is due to damage to the affected muscle
  • Sometimes a bruise or bruise.

The intensity and duration of these symptoms vary according to the severity of the fiber breakage (the longer the fibers involved, the longer the recovery time will have to wait).

Muscular cramp

Muscle cramps are contractions or sudden, involuntary spasms in one or more muscles. They usually occur after exercise or at night and last from a few seconds to several minutes. It is a very common muscle problem.

Muscle cramps can be caused by the malfunction of some nerves. Sometimes, this malfunction is due to a health problem, such as a spinal cord injury or a pinched nerve in the neck or back. Other causes are:

  • Strains or excess use of a muscle
  • Dehydration
  • Lack of minerals in the diet or wear of minerals in the body
  • Insufficient arrival of blood to the muscles

Cramps can be very painful. Stretching or gentle massage on the muscle can relieve pain.

Low back pain

The back pain is the most cause problems of absenteeism muscle injury since the age group where more is given is the range between 30 and 60 years.

The symptoms are strong pains in the lower back after physical activities or a sudden movement such as lifting something heavy. It is manifested by difficulty in moving that can walk or stand up, pain does not radiate through the leg, pain is usually dull, muscle spasms can be severe and the localized area is painful with palpation.

One of the most common causes of acute low back pain is the distention of a ligament or a back muscle. When lifting something heavy, twisting or making a sudden movement, it can cause a stretch of the muscles or ligaments or cause microscopic tears.

Muscle Contusion

It occurs when the muscle is struck against a structure, either by the collision with a partner or against a surface. They are very frequent in contact sports.

Fibrous crushing or muscle tearing may appear. As a clinical manifestation diffuse pain (stiffness), ecchymosis and functional impotence appear.

Muscle bruise

It is the bloodshed in the breast of the muscle, due to crushing of a vessel due to a bruise, rupture, tearing … Pressure pain appears, increased volume of the injured area, and hematoma after 24 to 48 hours.

These are the main injuries that are treated with muscle physiotherapy. As we see they are of the most varied, hence the importance that, as we mentioned at the beginning, has been taken. For any questions, you can consult a physiotherapist in Delhi.

backache in office

Backache in the Office

Physical inactivity at work is often cited as one of the main causes of back pain. However, the cause of our pain is not always what we believe and it may be that the sitting position is not the cause of all our worries. Dr. Gholam Sarwar, a physiotherapist in Dwarka, suggests that you find out more about the back pain encountered in the office and gives you some tips to remedy it. Ready to move?

Back pain and sitting position: cause or aggravating factor?

In light of the latest scientific studies, it would seem that working in an office, and especially in a sitting position, does not specifically increase the risk of back injuries. Indeed, we will speak more of aggravating factors than of real cause. It would, therefore, be wrong to say that an office worker is more at risk of back pain than any other category of the population.

However, in case of back pain, it is obvious that maintaining a prolonged sitting position may worsen the situation.

Therefore, even if we do not talk about a cause, maintaining the sitting position remains the main problem when dealing with back pain in the office. After one hour of sitting work, muscle fatigue can be felt in the transverse muscle and the internal oblique muscle of the abdomen, two important stabilizing muscles of the back.

The prolonged sitting position has also been shown to exert pressure on the discs, which can cause the intervertebral discs to sag.

The essentials to have a healthy back at work

Move regularly

When working in a company, it is not always easy to adapt to your work station and sitting is often one of the only possibilities. If you have to work while sitting, consider moving and stimulating your structures and muscles. It is strongly recommended to take a break every hour in order to get up and stretch.

Adapt your work environment

It is important to alternate and vary the positions as much as possible (sitting, standing, squatting, etc.). The goal is to allow your body to change position several times during the day so as not to always stimulate the same structures. An adjustable workstation, which allows you to work both standing and seated, is the ideal solution. Meetings and other professional activities can also be conducted differently to keep you moving.

For example, meetings or conferences can be organized in a place that favors walking or that will allow the speaker and his listeners to move.

Choose a good position

In order to promote good back health, some advice on your sitting posture can be useful:

  • Press your lower back to your chair (use a towel or cushion to press your back).
  • Bend your knees.
  • Put your feet on the ground.
  • Keep your arms close to your body and press your forearms on the armrests of the chair to reduce the pressure on your back.

office-worker-back-pain

Office back pain and physiotherapy

Are you worried about your back pain? Do not hesitate to consult a physiotherapy doctor in Dwarka. Following the evaluation of his patient’s condition, the physiotherapist in Janakpuri will be able to determine the various issues involved. The evaluation will make it possible to verify whether or not the patient suffers from joint restrictions, loss of mobility, muscular weakness, etc.

The physiotherapy professional can then use certain manual therapy techniques at his physiotherapy clinic in Dwarka such as mobilizations, stretching techniques, and muscle relaxation techniques in order to resolve these problems. Both in terms of prevention and treatment, the best physiotherapist in Dwarka will advise on the patient’s position and ergonomics. He may also prescribe strengthening exercises that will limit the effects of muscle fatigue.

It is important to remember that patient education and awareness plays a central role in their healing. The patient will be able to become independent and carry out the small daily gestures himself which will improve his condition.