Sciatica, one of those wonderful medical terms which we now use in everyday conversation to cover a whole host of aches and pains. Real, true sciatica is only from problems in the disc L3 in your lower back and symptoms include: Pain in the buttocks or leg, often worse when sitting. Burning, tingling or “pins and needles” down the leg. Weakness, numbness, or difficulty moving the leg or foot. A…
Chronic lower back pain is becoming a big problem. In the UK, USA and Australia it is fighting to be the number 1 reason people are off work. So what is the solution? Lumbar Fusion Surgery? Although there are a number of different methods all involve joining or fusing together 2 of the bony discs in the spine so that they no longer move, the theory being that it is…
As August draws to a close many people are preparing to drive home again and long distance driving often results in back pain. Lowered, tipped back seats make the legs too straight, placing strain on the hamstrings, pelvis and lower back. The neck then tilts forward to look “straight ahead”. A recent survey found that male drivers tend to sit with legs fully extended straining the back muscles and women…
I’ve written a few times now about nerve pain and how it confuses treatment. The problems with nerve pain are: Identifying it Finding the root cause And this is why you can be having the best tennis/golfers elbow treatment, the best carpal tunnel treatment, the best knee and leg pain treatment with no effect. Because it’s actually a problem with the nerve supplying that area not that area itself. The…
Most of us are familiar with sciatica, when the discs in the lower spine (specifically L3) get compressed and start to press onto the sciatic nerve. This causes pain and tingling in the leg and buttock as well as leg weakness and pain into the foot. In fact sciatica is often used as a “catch all” term to describe all kinds of nerve issues coming from the lower back and…
In my first article about chronic pain I started to explain a little about why chronic pain is different and needs to be treated differently. I talked about the science behind it and how pain works. Now let’s start to put that into context of how chronic pain affects you and how it makes you feel. One of the terms we often use when talking about chronic pain is “central…
The hip or acetabilofemoral joint includes over 70 different ligaments, tendons, muscles and bones and is (with the shoulder) the most flexible joint in the body, slightly different in men and women. Where’s the pain? Confusingly, the area that most of us refer to as our hip is actually the pelvis bone. The hip joint itself is deep into the groin. So “true” hip joint pain is usually felt as…
The Griffith University in Australia recently did some research looking at patient satisfaction during musculoskeletal treatment. One of the key factors in making patients feel the most satisfied and the least depressed was having an X-ray. Of course there are now a multitude of investigations available, and while an X-ray might make you feel better it might not give your clinician the information they need. These are some of the…
As a kid one of my favourite games was Charades. Is it a movie. . . Sounds like . . . . Now as a physiotherapist, when doing an initial assessment I play a different kind of game with my patients – Feels like . . . . And I watch the movements of my patients as closely as I listen to the words. Pain is a funny thing –…
Many runners complain of lower back pain, in the United States this could account for nearly 10% of all running related injuries. As I’ve explained before there is a myth that the shock and impact from running causes joint pain. This isn’t true! Runners actually have stronger bones, healthier joints and are less likely to require joint replacement surgery. It’s not the activity that’s at fault – it’s the mechanics…