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Sciatica

Sciatica

Sciatica

 

WHO?

  • Persons with acute or chronic lower back pain and/or hip issues
  • Active persons with chronic muscular tightness
  • Elderly, with normal age related changes to the body
  • Desk workers & persons with chronic poor posture

 

WHAT?

Sciatica is a condition that refers to pain felt along the back of the thigh and lower leg, which normally originates from the lower back.  The pain generally occurs along the sciatic nerve itself, which is the largest nerve in the body, and runs from the lower part of the spine, travelling along the back of the leg into the outer portion of the calf. Pinching and compression causes irritation to the nerve resulting in the above distribution of pain. Occasionally patients may complain of pins and needles and/ or numbness in the lower back, back of the leg or outside of the calf.

WHEN & HOW?

Sciatic nerve irritation occurs when the nerve itself is pinched or compressed by the surrounding soft tissue or bony structures. Pressure on the nerve can be caused by joint inflammation, arthritic or bony growths, or a locked facet joint in the lower back. Chronic tightness in muscles such as the piriformis or hamstring muscles can also cause irritation to the nerve resulting in flair ups. This often happens in persons who sit a lot and/or those with poor posture which results in these muscles becoming overly tight, causing compression to the sciatic nerve as it passes through the muscle.

MANAGEMENT?

To manage sciatica your local Move Forward physiotherapist will assess the entire lower quadrant to determine any factors that may be contributing to your injury. This will include a detailed look at the soft tissue structures, such as the hamstrings, glutes and calves, as well as the lumbar spine and hips.  An individualized program and treatment plan will then be prescribed to help reduce irritation to the nerve in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy practise

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Shoulder Bursitis

Shoulder Bursitis

SHOULDER BURSITIS

WHO?

  • Sports with repetitive overhead activities
  • Gym goers
  • Elderly
  • Desk workers & persons with chronic poor posture

WHAT?

The bursa can be described as a fluid filled sac found between the bones that make up both the shoulder and the hip joint. There are several of these fluid filled sacs within the shoulder joint.  The role of the bursa is to help reduce friction between the structures within the joint allowing better and more fluid range of motion. Inflammation of the bursa is termed as bursitis and symptoms can typically include pain at the front and outside of the shoulder and upper arm, pain at the hand, pain at night when sleeping on the affected shoulder, and activities whereby the arm is lifted over shoulder height.

WHEN & HOW?

Bursitis can occur after an acute injury or trauma, or more commonly as a result of a chronic repetitive strain to the structures within the shoulder joint. Repetitive strain or injury to the structures within the shoulder joint causes an inflammatory effect and subsequent painful symptoms at the shoulder and arm.

Overuse or chronic bursitis is typically associated with shoulder impingement or tendonitis of the rotator cuff muscles. Impingement occurs when the soft tissue structures within the shoulder joint get “pinched” together resulting in inflammation and pain. When the bursa become irritated they tend to become inflamed and enlarged, resulting in less space within the shoulder joint and more chance of soft tissue structures impinging on one another. Physiotherapy aims to reduce the likelihood of impingement by addressing muscular imbalances and weakness around the shoulder, correcting posture, lengthening overactive and tight structures of the shoulder, and specific strengthening of the rotator cuff muscles.

MANAGEMENT?

To manage shoulder bursitis your local move forward physiotherapist will assess the shoulder and entire upper quadrant, including the neck, upper back and arm in order to determine any factors that may be contributing to your injury. An individualized program and treatment plan will then be prescribed to help reduce the strain placed on shoulder joint and associated muscles and tendons in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

 

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