- CLUNEAL NERVE ENTRAPEMENT Can account for 15% of low back pain cases. It does mimic other conditions so it is hard to pin point for patients at the start QUICK ANATOMY- the superior cluneal nerve originates at the dorsal rami from T11 to L5. The nerve penetrates the fascia at the illiac crest and the medial cluneal nerve passes deep to the PSIS and PIIS, hence why its so hard as it mimics so many lower back conditions RISK FACTORS- one sided pain, worse with extension and

UPPER CROSS SYNDROME Usually beginning in childhood, made worse by prolonged study in teenage years and then in adulthood with prolonged sitting in front of the computer/phone/tablet. Overtime we develop a flexion dominant posture. The pecs, upper traps, levator scapular become shortened and tight The Rhomboids, serratus anterior, middle and lower traps and deep neck flexors are weakened Other conditions associated with upper cross syndrome are : cervical facet pain, cervicog

Most people (80%) have a family history , It is a neurological - not a blood vessel- disorder Risk Factors are being overweight, LOW cardiovascular fitness, medication overuse, hypertension, history of stroke, Vitamin D Deficiency and being over 20 Some Common TRIGGERS are stress, perfume, sleeping late, neck pain, heat, not eating, foods, weather, poor sleep, smoke alcohol and exercise Common FOOD TRIGGERS are alcohol, MSG, nuts, avocados, peanut butter, papayas, citrus food

If you guessed THORACIC FACETOGENIC PAIN .... your a winner ! 42% of chronic middle back pain originates from the facet joints Several nerve roots innervate the joints, with the medial brach of the dorsal rami innervating the multifidi and longissimus muscles Patients usually complain of one sided pain, bad posture and being hypomobile. Made WORSE with side bending, flexion and rotation. If you want more information. Please call Health Wise Chiropractic 03 9467 7889 or book o

Cervicogenic Headaches Most commonly at the C1, 2 and 3 joints usually one sided pain, made worse with neck movement, can last for hours to weeks, pain usually at the base of the head and more likely in females What we do - Spinal adjustments to the cervical and thoracic joints, dry needling, y strap stretching If you want more information. Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors #melton #meltonsouth #strathtulloh #cobb

Cervical radiculopathy - This involves the cervical nerve roots which can result in sensory or motor deficits with or without pain C7 ( lower neck) is the most common Usually one sided neck pain and most people don't know when the pain started relief occurs with walking and lying down Its Made worse with sitting and immobilisation Pain is usually constant What we do to help- Adjustment to the neck and mid back , traction( y strap) massage therapy to secondary muscle spasms If

Lets talk about Cervical Facet Syndrome Cervical Facet Syndrome - This is the most prominent pain generating structure in neck pain patients Most commonly at C2/3 and C5/6 You may experience one sided pain, made worse with rotating to that side ( doing head checks in the car) and lateral flexion The pain is usually sharp and aches at rest What we do to help- massage therapy to break up the secondary muscle spasms, dry needling for the muscle spasm. Chiropractic adjustments. M

Most common in flexion dominant - forward based lifestyles. This includes sitting, standing and poor posture CONDITIONS associated with lower cross syndrome are : thoracic spine pain, psoas pain, external rotation of feet, lumbar facet syndrome, anterior hip pain and stiffness, IT band pain and tightness, SIJ pain, hamstring tightness, cervical spine pain, hip abductor weakness, over pronation in gait. If you want more information. Please call Health Wise Chiropractic 03 9467

Tension Type Headaches Stress and Mental tension are the MOST common triggers. which lead to decreased neck extension, Trigger points in the trapezius and SCM muscles Tension type are usually non throbbing, both sides, have high stress levels, not aggravated by physical activity, made worse with neck movements, dull pain. What we do- Spinal adjustments, y strap stretches , work on the common trigger points in the frontalis, temporalis, massaeter, pterygoid, upper trap and lev

What are the effects of CHRONIC neck pain People with neck pain had lower local pressure pain threshold a decrease in conditioned pain modulation more depressive symptoms greater pain catastrophizing lower quality of life and reduced range of motion for neck rotation when compared with healthy controls Reference É P Rampazo, PT, MSc, V R da Silva, A L M de Andrade, PT, PhD, C G N Back, PT, MSc, P M Madeleine, MSc, PhD, L Arendt-Nielsen, D Sc, PhD, Richard Eloin Liebano, PT, P

Do you find that your general willingness to do things is different with chronic low back pain ? • Sense of effort is an important but rarely researched aspect of proprioception. • We developed a novel force-matching paradigm for back muscles to test sense of effort. • Sense of effort is affected in people with low back pain. • People with low back pain overestimate the trunk extension force they generate. • Patients match forces accurately when sense of effort deficit can be

Can pilates help with chronic low back pain New research has shown the following with core based pilates programs By the end of the 8-week Pilates program, the intervention group achieved a better health-related quality of life on the EQ-5D visual analogue score than the control group. In assessing the trends in each individual group regarding pain, the intervention group demonstrated an earlier pain reduction than the control group that lasted until the end of the trial. Ref

Is dry needling effective for the management of plantar heel pain or plantar fasciitis Plantar fasciitis is an inflammation of the plantar fascia, a piece of strong, thick tissue that runs along the bottom of the foot. It connects the heel bone to the toes, creating the arch of the foo Plantar fasciitis is a common cause of heel pain and can develop as a result of overstretching, overuse or a medical condition. Plantar fasciitis is often associated with a heel spur, a spike o

Do males or females get lumbar spinal stenosis worse? Lumbar spinal stenosis (LSS) is a complex disease with a wide variety of symptoms and anatomic pathologies. Besides pain in the lower back and buttocks, the main symptom is neurogenic intermittent claudication. The combination of degenerative changes such as bulging of the discs, facet joints with osteophytes, and hypertrophy of the ligamentum flavum (LF) leads to the various known clinical appearances of LSS The study sho

Low‐volume high‐intensity interval training for cardiometabolic health · Low‐volume HIIT is an efficacious and time efficient therapy for improving the cardiometabolic health of individuals with or at risk of metabolic disease, including in the absence of significant weight loss. · Findings from the available literature indicate that low‐volume HIIT elicits comparable, and at times superior, improvements in cardiometabolic health outcomes to higher volume moderate‐intensity e

Ergonomic exposures and development of musculoskeletal pain Ergonomic factors considered in the study where back bending, arm above shoulders and lifting Workers with high percentage of working time showed the largest increase in neck shoulder and low back pain intensity Workers with high exposure more specific ergonomic facts had increased pain – these include long periods of standing, walking combined with lifting/carrying and twist/bend Repetitive arm movements for the maj

Diaphragm manual therapy is effective in improving thoracoabdominal expansion. Diaphragm manual therapy is effective in improving diaphragmatic mobility. Diaphragm manual therapy obtains a better posterior muscle chain flexibility. Limited studies show improvements at lumbar and cervical level. If you want more information. Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors Reference Effects of manual therapy on the diaphragm in t

Intervertebral disc degeneration relates to biomechanical changes of spinal ligaments Aging is primarily related to biomechanical changes to the LF.(ligamentum flavum) IVD-degeneration is related to a relevant reduction in stiffness and ultimate strength of the LF and ISL&SSL(interspinous ligament, supraspinous ligmanet) , with a similar trend for the ITL (intertransverse ligament) The ligamentum flavum is essential for maintaining upright posture, it helps to preserve the no

Neck and shoulder pain in adolescents seldom occur alone In total, 253,968 adolescents (50% girls) participated in the study, of which 56.5% were from lower secondary school. The total prevalence of neck/shoulder pain was 24%, but only 5% reported isolated neck/shoulder pain. Among students reporting neck/shoulder pain, half of them also reported other musculoskeletal pain, and 50% of the boys and 70% of the girls reported co-occurring headache. Depressive symptoms were repor

Effectiveness of conservative non-pharmacologic therapies for pain, disability, physical capacity, and physical activity behaviour in patients with degenerative lumbar spinal stenosis Samantha Jacobi, Amber Beynon, Stephan Dombrowski, Niels Wedderkopp, Richelle Witherspoon, Jeffrey J. Hebert, Effectiveness of conservative non-pharmacologic therapies for pain, disability, physical capacity, and physical activity behaviour in patients with degenerative lumbar spinal stenosis: a