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All Posts in Category: Clinical Conditions

7 Common Gym Injuries and Managing it Without Medications

Injuring the body while trying to achieve a fitness goal can be a major set-back. It’s annoying as it limits you from achieving your target and it’s also worrying because you are concerned about its severity and how long it would take to get back to your active lifestyle.

How do you know when to wear brace, when to rest the part, when to change your footwear and when to see a physiotherapist? Below is a list of commonly occurring injuries in people with fitness goals. Physiotherapists have been extensively trained to manage ailments and help in rehab without the use medications. For most injuries, the first intervention recommended is usually PRICE: Protection, Rest, Ice, Compression and Elevation. Not heat. Do NOT use heat balm or rub vigorously when you have an acute injury.

 

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Shoulder Pain in Breastfeeding Mothers

As a nursing mother, there is so much to juggle in the first few months after giving birth. Sleepless nights, diaper changes, finding a good nanny or maid, hosting visitors and guests are a few of the things to contend with externally. Internally , a lot is also going on and the focus is usually on the baby while mothers tend to neglect themselves. Remember a healthy mommy is a healthy baby and we know you want to take care of yourself without using using medications.

 

Shoulder pain

Shoulder pain is a common complaint in nursing mothers. Shoulder pain can occur either because they repetitively use the same arm to carry the baby or let the baby sleep off on their arms especially while nursing at night. This places parts of the shoulder joint under stress and the constant irritation of this region can lead to shoulder pain. Most commonly, bursitis or shoulder impingement are the most commonly occurring diagnosis in breastfeeding mom’s. Mom’s shoulder is also a term which has been used to describe the cluster of symptoms associated with breastfeeding. This pain can be diffuse or specific to a region, it can also triggered by specific movements such as reaching behind to wear seatbelt, lying on that side, trying to carry the baby to the back.

 

Guidelines for managing shoulder pain while breastfeeding

Below are a few guidelines on how to minimise the occurrence of shoulder pain when nursing

  1. Alternate sides. Most people tend to carry their babies on their right side because they are right handed. However, to minimise the chances of injuring the shoulder region, it is better to alternate the side on which you carry the baby switching from the left and right sides frequently.
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Upper Back Pain while Breast Feeding

As a nursing mother, there is so much to juggle in the first few months after giving birth. Sleepless nights, diaper changes, finding a good nanny or maid, hosting visitors and guests are a few of the things to contend with externally. Internally and often neglected are the body pains and musculoskeletal dysfunction your body may be experiencing.

The most common type of pain mothers experience occur in in the upper back, neck and shoulder. Though these three body parts are located close to each other, pain or dysfunction in them can occur separately or at the same time. If left unattended to, pain in one area can spread to another. For instance, a mother struggling with upper back pain may develop neck pain if she does not manage the upper back pain properly.

Upper back pain: It usually extends from the upper spine around the thoracic level upwards towards the base of the neck. There may even be palpable knots around the shoulder blades and muscles. It typically occurs as a result of imbalance in the muscles because the shoulders roll forward and shorten the chest wall while the upper back muscles lengthen and become weak.

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Physiotherapy After Spine Surgery

 

Physiotherapy after Spine Surgery

The choice to undergo a spine surgery is a tough one to make. There’s a lot of concern and consideration about the risks, complications, safety, competence of the surgical team, success rate, resources, support system and prognosis. We understand. At PhysioCraft, we work with you through the journey and the decision making process.

Once the decision has been made to have a spine surgery, ideal circumstances require that you are seen by the physiotherapist not only after the surgery but also before the surgery. Asides getting acquainted with you, pre-surgery physiotherapy prepares you and your body for the surgical process and reviews everyday activities with you. While on admission and a few hours after the surgery, physiotherapy should start.  In the early hours post-op, everyday movements such as how to breathe, how to cough and get out of bed are examples of the movements which are reviewed.

As you get stronger after the neck or back surgery, there are several ways in which physiotherapy helps after spine surgery.

Pain management: While a certain amount of pain can occur after surgery, there are ways to manage it conservatively and without medication. This is where we as physiotherapists have had extensive training. At PhysioCraft, we have worked with several clients to reduce the consumption of their pain medications even after surgery.

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Physiotherapy Scoliosis Treatment In Nigeria

What is scoliosis?

Scoliosis is a sideways curvature of the spine. The degree of curvature of the spine can vary from C-shape to an S-shape. Several people have a degree of curvature as but if the curve exceeds 10 degrees, a diagnosis of scoliosis is made. Scoliosis is more common in girls than in boys. Sometimes, a “wait and see” approach may be used when scoliosis is first observed because it may not progress further. During that period, scheduled checks are recommended and if it is progressing, intervention may be recommended.

S shaped scoliosis

scliosis assessment

PhysioCraft client being assessed for scoliosis. Notice the extra folds on one side

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What is Foot Drop or Injection Palsy?

foot-drop image from msviews.org

Physiotherapy Treatmet of Foot drop or Injection Palsy

Foot drop or drop foot refers to the inability to lift off the front part of the foot. It can occur because the nerve, muscles or tendon responsible for the movement have been damaged. The most common cause is injury or trauma to peroneal nerve, a nerve which supplies the muscles and helps in transmission of sensation in the foot. Foot drop is usually a symptom of another problem rather than a disease itself. Because the ability to lift off the foot is a critical part of the way we walk, foot drop often affects the gait.

In Nigeria, the term injection palsy is commonly used interchangeably with foot-drop. Unfortunately, injection palsy is quite common in children this is because, children are still frequently given injection in the buttocks area and since they don’t have muscle bulk or fat pads in the region, they are more susceptible to the nerve being injured by the injection needle. This is one of the reasons injections should only be given as a last resort to children, mothers are advised to ask questions pertaining this whenever they have to visit the hospital and injection is suggested.

 

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Physiotherapy for ACL reconstruction in Nigeria

 

acl reconstuction Nigeria

Resistance exercise of lower limbs

The anterior cruciate ligament (ACL) is a supporting structure in the knee joint which helps to stabilise the knee and contributes to its movement.  Because of its anatomical position, the ACL is susceptible to injury particularly during high risk activity or sports such as football and basketball. Injury to the ACL is a fairly common occurrence with almost half of the cases requiring surgery for repair, hence the need for ACL reconstruction. Often times, associated damage may occur to other structures in the knee joint such as the meniscus or the surface of the bone.

Common triggers of ACL tear are:

  • Stopping suddenly while running
  • Twisting of the knee with the foot planted on the ground
  • Jumping and landing on an extended knee
  • A direct blow or hit to the knee while it is fixed
  • Pushing the knee farther than its usual range of movement
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Treatment of painful sex, a physiotherapy story…

 

courtesy wackystuff

MA was a 32 year old female who reached out to the PhysioCraft team with complaints of pain in her hip and “very low back” region of about 7 months duration which began just before the birth of her 6 month old baby.

During consultation, she reported that childbirth was per vagina and certain movements like getting up, climbing stairs and getting into the car were also painful. Though her O&G physician had prescribed pain meds, she got only short term relief and was reluctant to take them because she was breastfeeding. She was also trying to shed the pregnancy weight and she was quite unhappy about her body and the effect pregnancy had on her. She had tried registering in the gym but walking on the treadmill and cycling made her pain much worse.

In the course of her examination, she admitted her real concern: sex was very painful. This pain was different from the previous pregnancy she’d had and she wasn’t happy at all.

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What is Coccydynia (Tailbone pain, Coccygodynia, Cocalgia)?

 

courtesy twitter

Coccygodynia is a debilitating pain around the coccyx. This pain is usually triggered by sitting or transiting from sitting to standing. The pain may sometimes radiate to the spine, sacrum, buttocks or thighs. Tailbone pain is more common in women than in men and is suspected to be related to increased pressure during pregnancy or childbirth.

Associated symptoms of Coccydynia

  • Limited movement in the thoracic spine
  • Limited movement or poor alignment in the lumbar spine
  • Limited movement in the hip musculature
  • Tension in the pelvic muscle floor

 

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