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…
Migraines are notoriously difficult to treat. They often don’t respond very well to medication or the medication itself can have unwanted side effects. And you usually know they’re coming . . . . Migraines with Aura Some people experience symptoms before an attack called an aura. flashing lights, zigzag patterns or blind spots in your vision stiffness, a tingling sensation or pins and needles in your neck or shoulders feeling…
Arthritis – such a common diagnosis for so many people and so many joints. But what is it? Arth – joint Itis – inflammation This can happen to any joint in the body –any point where 2 bones meet, and this includes each disc of the spine as well! Sometimes we are given more complicated names for specific joints or conditions: Osteoarthritis – when the cartilage within the joint has…
I’m not a fan of cortical steroid injections. Repeated research has shown that while the initial pain relief can be significant, prolonged and repeated use starts to break down the tendons within the joint, like a fraying rope. Which inevitably leads to more pain and more problems. Tennis Elbow is a complicated condition, often misdiagnosed and therefore mistreated, it isn’t uncommon to hear of patients having had treatment for many…
I do quite a few radio interviews myself here on the coast, so I was fascinated to hear a fellow physiotherapist give a radio interview. David Peirce from Pondera Physiotherapy talked on Brisbane radio about neck pain and makes some interesting points. You can listen to his interview and I’ve highlighted some of the key points he makes below. [soundcloud url=”https://api.soundcloud.com/tracks/220466998″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /] The first point he…
I don’t think it will surprise anyone who’s met me or read my blog that in my opinion surgery is to be considered the last resort, the thing you do when you’ve tried everything else or things have got so bad there just isn’t another option. But if you are at that point then I think it’s important to get the BEST results possible. These points apply for all kind…
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…
In the past I have jokingly referred to gait analysis as a way to predict the future. I can watch you walk, analyse your foot function and be pretty certain whether you will have hip, knee or ankle pain in the next decade. Foot function rarely alters, it gets worse but if you have high big toe impact at 18 the chances are you will continue to have high big…
A few years ago I was involved in a car accident – another driver didn’t see the red light and rear ended me. I became part of a growing statistic – a whiplash victim. Immediate and Short Term Symptoms stiffness and tenderness in the neck and upper back headaches dizziness pain into shoulders and arms difficulty turning your head Early Treatment The quicker you start treatment, the better. Use an…
What is Persistent Pain? The dictionary definition of chronic or persistent pain is “any pain that lasts longer than 12 weeks.” For many of my patients, by the time they come to see me, they have seen numerous therapists, tried many medications and even had surgeries, all with varying degrees of success. And those weeks have become months or years. Is Chronic Pain different? Yes. The difference lies in how…